Journals / Eurasian Journal of Toxicology / 2023 / Cilt: 5 Sayı: 2

Carbon Monoxide Poisoning: Comparison of Paediatric and Adult Patients

Pages
28–31
Publication Date
2023-08-31
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

It should not be forgotten that children are affected more and recovery is fast.

📌 3 Key Takeaways

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Objective & Hypothesis:Background: Carbon monoxide (CO) gas is a tasteless, odorless and colorless gas and causes many poisonings every year.
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Key Findings & Data:Materials and Methods: Paediatric and adult patients who applied to the Emergency Department of Mardin Training and Research Hospital between 01 January 2021 and 31 December 2022 due to CO poisoning due to stove usage were included in the study.
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Conclusion & Impact:It should not be forgotten that children are affected more and recovery is fast.
🔬Design:Review & Systematic Survey
📍Scope:2021 Verileri
⚙️Variables:Carbon monoxide · Emergency · Poisoning

Abstract

Background: Carbon monoxide (CO) gas is a tasteless, odorless and colorless gas and causes many poisonings every year. In this study, paediatric and adult CO poisoning cases admitted to our emergency department were reviewed retrospectively. Materials and Methods: Paediatric and adult patients who applied to the Emergency Department of Mardin Training and Research Hospital between 01 January 2021 and 31 December 2022 due to CO poisoning due to stove usage were included in the study. Patients were compared according to age, gender, month and time of admission to the emergency department, complaints at admission, laboratory test results and discharge status. Results: 90 patients admitted to the emergency department due to CO poisoning caused by stoves between 2021-2022 were included in the study. While the rate of female patients in the paediatric age group was 53.3%, the rate of female patients in the adult group was 48.9% (p=0.673). When compared according to the complaints of admission to the hospital, the most common complaint in the paediatric age group was nausea-vomiting with 42.2%, while the most common complaint in the adult group was shortness of breath with 26.7%. In both groups, it was determined that the most frequent application was in January with 48.9%. While 15.6% of children were hospitalized, this rate was 4.4% for adults. (p=0.065). While the carboxyhemoglobin (COHb) value at the time of first admission was 18.36±6.60 in the paediatric group, it was 22.03±10.24 in the adult group (p:0.047). In the control blood gas values taken at discharge, COHb level was 2.76±1.83 in children and 5.10±3.02 in adults (p<0.001). Conclusion: CO poisoning should always be considered in the differential diagnosis of patients who present to the emergency department with nonspecific symptoms during the winter months. It should not be forgotten that children are affected more and recovery is fast.

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Cite This Article

ORHAN, Ö., YEŞİL, A. (2023). Carbon Monoxide Poisoning: Comparison of Paediatric and Adult Patients. Eurasian Journal of Toxicology, Cilt: 5 Sayı: 2, 28–31. https://ajindex.com/articles/970172

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References (4)

  1. Raub JA, Mathieu-Nolf M, Hampson NB, Thom SR. Carbon monoxide poisoning — a public health perspective. Toxicology. 2000;145(1):1-14. doi:10.1016/S0300-483X(99)00217-6. The Importance of Hyperbaric Oxygen Therapy In The Management of Carbon Monoxide Poisoning Is Neglected. doi:10.1007/s12012-019-09560-7
  2. Harper A, Croft-Baker J. Carbon monoxide poisoning: undetected by both patients and their doctors. Br Geriatr Soc. 2004;33(2):105-109. doi:10.1093/ageing/afh038 Kao LW, Nañagas KA. Carbon monoxide poisoning. Emerg Med Clin North Am. 2004;22(4):985-1018. doi:10.1016/J.EMC.2004.05.003 İncekaya Y, Feyizi H, Bayraktar S, et al. Cabon Monoxide Poisoning And Hyperbaric Oxygen Therapy. Med J Okmeydani Train Res Hosp. 2017;33(2):114-118. doi:10.5222/OTD.2017.1106 Juurlink DN, Buckley N, Stanbrook MB, Isbister G, Bennett MH, McGuigan M. Hyperbaric oxygen for carbon monoxide poisoning. Juurlink DN, ed. Cochrane Database Syst Rev. 2005;(1). doi:10.1002/14651858.CD002041.PUB2 İŞLER Y. Karbonmonoksit zehirlenmesi. Eurasian J Toxicol. 2022;11(3):54-60. doi:10.51262/ejtox.1101903
  3. Cho CH, Chiu NC, Ho CS, Peng CC. Carbon Monoxide Poisoning in Children. Pediatr Neonatol. 2008;49(4):121-125. doi:10.1016/S1875-9572(08)60026-1 Guzman JA. Carbon monoxide poisoning. Crit Care Clin. 2012;28(4):537-548. doi:10.1016/J.CCC.2012.07.007 Kurt F, Bektaş Ö, Kalkan G, Öncel MY, Yakut HI, Kocabaş CN. Does age affect presenting symptoms in children with carbon monoxide poisoning? Pediatr Emerg Care. 2013;29(8):916-921. doi:10.1097/PEC.0B013E31829EC22B Delice O, Daş M, Çelik K, Kavaklı Ş, Neşelioğlu H, Hatıl I. Evaluation of Plasma Total Thiol Levels in Patients with Carbon Monoxide Poisoning in the Emergency Department. Eurasian J Tox. 2023;5(1):1-4. Accessed July 6, 2023. https://dergipark.org.tr/ejtox
  4. Kumarihamy P, Kularatne SAM, Pathirage M, Gunaratne WMSN, Waduge R. A case of delayed neurological manifestation following carbon monoxide poisoning in Sri Lanka: epidemiology of exposure and literature review. BMC Pharmacol Toxicol. 2019;20(1):1-8. doi:10.1186/S40360-019-0295-9/FIGURES/4 Altintop I, Akcin ME, Tatli M, Ilbasmis MS. Factors that influence the decision for hyperbaric oxygen therapy (HBOT) in cases of carbon monoxide poisoning: a retrospective study. Ann Burns Fire Disasters. 2018;31(3):168. Accessed May 6, 2023. /pmc/articles/PMC6367868/ Klein JG, Alter SM, Paley RJ, et al. Carbon monoxide poisoning at a Florida Hospital following Hurricane Irma. Am J Emerg Med. 2019;37(9):1800-