ISSN 2148-4902
e-ISSN 2536-4553
 

Volume : 5 Issue : 4 Year : 2018

 
The Investigation of Demographic Characteristics of The Patients Who Admitted to Emergency Service. [North Clin Istanb]
North Clin Istanb. Ahead of Print: NCI-88709 | DOI: 10.14744/nci.2018.88709  

The Investigation of Demographic Characteristics of The Patients Who Admitted to Emergency Service.

Mehmet Necdet Yıldız1, Serkan Emre Eroğlu2, Can Özen2, Handan Aydın Yıldız3, Bilge Kağan Sektioğlu4, Celil Alkan2
1T.E.V. Sultanbeyli State Hospital, Emergency Service, Istanbul
2University of Health Sciences Umraniye Training and Research Hospital, Emergency Department, Istanbul
3University of Health Sciences Erenköy Mental Health and Neurological Diseases Training and Research Hospital, Psychiatry Department, İstanbul
4Şehit Prof. Dr. İlhan Varank Sancaktepe Training and Research Hospital, Emergency Service, İstanbul

INTRODUCTION: In this study, it is aimed to determine the relation among the demographical attributes the levels of carboxyhemoglobin, lactate and troponin and hospitalization duration of the patients who apply to the Emergency Room due to CO intoxication for the past three years.
METHODS: This study was carried out retrospectively between 01/01/2013 and 01/01/2016. The ages, sexualities, manners of application, etiology of intoxication, clinical findings, levels of blood carboxyhemoglobin (COHb), lactate and troponin, requirement of cranial computed tomography, applied treatments and the results of the patients are evaluated. The data analysis is done by Shapiro-Wilk, Student t test, Mann Whitney u and chi-square.
RESULTS: A total of 450 patients (average age 37,5±14,0) were included in the study. It is detected that patients’ average levels of COHb, lactate and troponin levels were respectively 14,01±11,77 (95% CI: 12,92–15,10), 2,11±1,90 (95% CI: 1,93–2,28) mmol/L and 0,07±0,06 (95% CI 0,01–0,13) ng/ml. Levels of lactate is detected statistically high in the patients who were transferred with an ambulance, who had syncope and who received hyperbaric oxygen treatment (p<0,05). And also, the levels of lactate and troponin were significantly higher in patients who had hospitalized (p <0,05)
DISCUSSION AND CONCLUSION: The levels of COHb, lactate and troponin can provide an insight to the clinician about hospitalization and the type of treatment.

Keywords: CO intoxication, Hyperbaric oxygen treatment, Normobaric oxygen treatment


Karbonmonoksit Zehirlenmesi İle Acil Servise Başvuran Hastaların Demografik Özelliklerinin İncelenmesi

Mehmet Necdet Yıldız1, Serkan Emre Eroğlu2, Can Özen2, Handan Aydın Yıldız3, Bilge Kağan Sektioğlu4, Celil Alkan2
1T.E.V. Sultanbeyli Devlet Hastanesi, Acil Servis, İstanbul
2Sağlık Bilimleri Üniversitesi Ümraniye Eğitim ve Araştırma Hastanesi, Acil Tıp Kliniği, İstanbul
3Sağlık Bilimleri Üniversitesi Erenköy Ruh ve Sinir Hastalıkları Eğitim ve Araştırma Hastanesi, Acil Tıp Kliniği, İstanbul
4Şehit Prof. Dr. İlhan Varank Sancaktepe Eğitim ve Araştırma Hastanesi, Acil Servis, İstanbul

GİRİŞ ve AMAÇ: In this study, it is aimed to determine the relation among the demographical attributes the levels of carboxyhemoglobin, lactate and troponin and hospitalization duration of the patients who apply to the Emergency Room due to CO intoxication for the past three years.
YÖNTEM ve GEREÇLER: This study was carried out retrospectively between 01/01/2013 and 01/01/2016. The ages, sexualities, manners of application, etiology of intoxication, clinical findings, levels of blood carboxyhemoglobin (COHb), lactate and troponin, requirement of cranial computed tomography, applied treatments and the results of the patients are evaluated. The data analysis is done by Shapiro-Wilk, Student t test, Mann Whitney u and chi-square.
BULGULAR: A total of 450 patients (average age 37,5±14,0) were included in the study. It is detected that patients’ average levels of COHb, lactate and troponin levels were respectively 14,01±11,77 (95% CI: 12,92–15,10), 2,11±1,90 (95% CI: 1,93–2,28) mmol/L and 0,07±0,06 (95% CI 0,01–0,13) ng/ml.
Levels of lactate is detected statistically high in the patients who were transferred with an ambulance, who had syncope and who received hyperbaric oxygen treatment (p<0,05). And also, the levels of lactate and troponin were significantly higher in patients who had hospitalized (p <0,05)
TARTIŞMA ve SONUÇ: The levels of COHb, lactate and troponin can provide an insight to the clinician about hospitalization and the type of treatment.

Anahtar Kelimeler: CO zehirlenmesi, Hiperbarik oksijen tedavisi (HBO) tedavisi,  Normal basınçlı oksijen (NBO) tedavisi




Corresponding Author: Serkan Emre Eroğlu, Türkiye


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