Clinical and laboratory characteristics of unintentional carbon monoxide poisoning due to coal stove in children
Toxin Reviews, cilt.36, sa.1, ss.33-38, 2017 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Derleme
- Cilt numarası: 36 Sayı: 1
- Basım Tarihi: 2017
- Doi Numarası: 10.1080/15569543.2016.1241277
- Dergi Adı: Toxin Reviews
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.33-38
- Anahtar Kelimeler: Carbon monoxide poisoning, carboxyhemoglobin, mean platelet volume, pH level, children
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
To describe predictors for severe carbon monoxide (CO) poisoning in children due to coal stove. Patients (n = 176) were divided into two groups retrospectively: severe and mild-moderate clinical presentation. Forty-two patients received hyperbaric oxygen (HBO) therapy. No patient died. pH < 7.30 (p = 0.030; OR:1.0211), carboxyhemoglobin (COHb) (p= 0.002; OR:1.0558), and mean platelet volume (MPV) (p = 0.004; OR:1.4695) were significantly different between the groups. COHb > 20%, (AUC: 0.691) was comparable to those for pH (AUC: 0.536) and MPV (AUC: 0.639) (p > 0.05) in ROC analysis. Although COHb, pH and MPV were poor predictors for severe manifestations, performance of MPV was similar to the COHb and pH levels.