Predictors of prognosis in scorpion sting cases: Cross-sectional study of the third care pediatric emergency service Akrep sokması vakalarında prognozu öngören belirteçler: Üçüncü basamak çocuk acil servis kesitsel çalışması
Turkiye Klinikleri Pediatri, cilt.30, sa.3, ss.177-183, 2021 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 30 Sayı: 3
- Basım Tarihi: 2021
- Doi Numarası: 10.5336/pediatr.2021-82083
- Dergi Adı: Turkiye Klinikleri Pediatri
- Derginin Tarandığı İndeksler: Scopus, Academic Search Premier, EMBASE, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.177-183
- Anahtar Kelimeler: Child, Emergency service, Scorpion sting
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
It was aimed to determine the clinical appearance, laboratory results, treatment, and prognosis of children presenting with scorpion sting and aims to determine the predictive markers in cases of advanced stages. Material and Methods: The patients who were admitted to the Pediatric Emergency Clinic of Health Sciences University Tepecik Education and Research Hospital between January 2008 and November 2020 with a complaint of scorpion sting were analyzed retrospectively in terms of epidemiological features, clinical appearance, laboratory results, treatment methods, and prognosis. Results: The mean age of 77 patients who were admitted to our emergency department due to scorpion stings was 82.3±57.3 months. The clinical grade of 60 patients (77.9%) who were admitted was Stage I, 12 (15.6%) of them was Stage II, 4 (5.2%) was Stage III, and one (1.3%) was detected as Stage IV. When compared according to staging, the mean creatinine kinase (CK) of patients with stage I was 175.7±78.8 U/L, mean neutrophil count was 5.9±3.3 x103/uL, mean serum amylase value is 69.3”±42.2 U/L; in patients with Stage II-III-IV, mean CK level was 360±309.3 U/L, mean neutrophil count was 9.9±4.6 x103/uL, mean serum amylase level was 113.6±81.2 U/L (p<0.05). When laboratory values were compared between inpatient-outpatient discharge and antivenom given and not given patients, the same parameters were found to be significantly higher (p<0.05). Conclusion: It should always be kept in mind that patients with scorpion sting may deteriorate clinically. Serum CK levels, neutrophil count, and amylase levels may be used effectively in determining clinical prognosis in patients with scorpion sting.