Incidence patterns of nervous system diseases after carbon monoxide poisoning: a retrospective longitudinal study in South Korea from 2012 to 2018
Objective To analyze the incidence patterns of nervous system diseases in survivors of carbon monoxide (CO) poisoning using nationwide claims data from South Korea. Methods A national cohort was abstracted from a database that includes patients diagnosed with CO poisoning between January 2012 and De...
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| Format: | Article |
| Language: | English |
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The Korean Society of Emergency Medicine
2021-06-01
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| Series: | Clinical and Experimental Emergency Medicine |
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| Online Access: | http://ceemjournal.org/upload/pdf/ceem-20-099.pdf |
| _version_ | 1828006162762563584 |
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| author | Bangshill Rhee Hyuk-Hoon Kim Sangchun Choi Young Gi Min |
| author_facet | Bangshill Rhee Hyuk-Hoon Kim Sangchun Choi Young Gi Min |
| author_sort | Bangshill Rhee |
| collection | DOAJ |
| description | Objective To analyze the incidence patterns of nervous system diseases in survivors of carbon monoxide (CO) poisoning using nationwide claims data from South Korea. Methods A national cohort was abstracted from a database that includes patients diagnosed with CO poisoning between January 2012 and December 2018. For all nervous system diseases, we investigated the frequency, pattern of incidence, effect of intensive care unit admission, and the standardized incidence ratios (SIRs) to estimate the risk of nervous system disease after CO poisoning. Results Of 26,778 patients, 18,720 (69.9%) were diagnosed with nervous system diseases after CO poisoning. The most common disease was disorders of sleep initiation and maintenance (n=701, 3.74%), followed by tension-type headache (n=477, 2.55%) and anoxic brain injury (n=406, 2.17%). Over half of the nervous system diseases occurred within the first year after CO poisoning. The cumulative hazard ratio for nervous system diseases in patients admitted to the intensive care unit was 2.25 (95% confidence interval [CI], 2.07–2.44). Among the frequent nervous system diseases after CO poisoning, patients had a higher risk of disorders of initiating and maintaining sleep (SIR, 1.61; 95% CI, 1.52–1.71), tension-type headache (SIR, 2.41; 95% CI, 2.23–2.61), anoxic brain injury (SIR, 58.76; 95% CI, 53.95–63.88), and post-zoster neuralgia (SIR, 1.94; 95% CI, 1.70–2.20). Conclusion Patients who experience CO poisoning are at higher risk for several nervous system diseases. Therefore, monitoring for specific nervous system diseases is important after CO poisoning within the first year. |
| first_indexed | 2024-04-10T07:53:07Z |
| format | Article |
| id | doaj.art-6b67db089c7946fea83fa344b031f217 |
| institution | Directory Open Access Journal |
| issn | 2383-4625 |
| language | English |
| last_indexed | 2024-04-10T07:53:07Z |
| publishDate | 2021-06-01 |
| publisher | The Korean Society of Emergency Medicine |
| record_format | Article |
| series | Clinical and Experimental Emergency Medicine |
| spelling | doaj.art-6b67db089c7946fea83fa344b031f2172023-02-23T07:04:14ZengThe Korean Society of Emergency MedicineClinical and Experimental Emergency Medicine2383-46252021-06-018211111910.15441/ceem.20.099336Incidence patterns of nervous system diseases after carbon monoxide poisoning: a retrospective longitudinal study in South Korea from 2012 to 2018Bangshill Rhee0Hyuk-Hoon KimSangchun Choi1Young Gi Min2 Department of Emergency Medicine, Ajou University School of Medicine, Suwon, Korea Department of Emergency Medicine, Ajou University School of Medicine, Suwon, Korea Department of Emergency Medicine, Ajou University School of Medicine, Suwon, KoreaObjective To analyze the incidence patterns of nervous system diseases in survivors of carbon monoxide (CO) poisoning using nationwide claims data from South Korea. Methods A national cohort was abstracted from a database that includes patients diagnosed with CO poisoning between January 2012 and December 2018. For all nervous system diseases, we investigated the frequency, pattern of incidence, effect of intensive care unit admission, and the standardized incidence ratios (SIRs) to estimate the risk of nervous system disease after CO poisoning. Results Of 26,778 patients, 18,720 (69.9%) were diagnosed with nervous system diseases after CO poisoning. The most common disease was disorders of sleep initiation and maintenance (n=701, 3.74%), followed by tension-type headache (n=477, 2.55%) and anoxic brain injury (n=406, 2.17%). Over half of the nervous system diseases occurred within the first year after CO poisoning. The cumulative hazard ratio for nervous system diseases in patients admitted to the intensive care unit was 2.25 (95% confidence interval [CI], 2.07–2.44). Among the frequent nervous system diseases after CO poisoning, patients had a higher risk of disorders of initiating and maintaining sleep (SIR, 1.61; 95% CI, 1.52–1.71), tension-type headache (SIR, 2.41; 95% CI, 2.23–2.61), anoxic brain injury (SIR, 58.76; 95% CI, 53.95–63.88), and post-zoster neuralgia (SIR, 1.94; 95% CI, 1.70–2.20). Conclusion Patients who experience CO poisoning are at higher risk for several nervous system diseases. Therefore, monitoring for specific nervous system diseases is important after CO poisoning within the first year.http://ceemjournal.org/upload/pdf/ceem-20-099.pdfcarbon monoxide poisoningnervous system diseasesepidemiology |
| spellingShingle | Bangshill Rhee Hyuk-Hoon Kim Sangchun Choi Young Gi Min Incidence patterns of nervous system diseases after carbon monoxide poisoning: a retrospective longitudinal study in South Korea from 2012 to 2018 Clinical and Experimental Emergency Medicine carbon monoxide poisoning nervous system diseases epidemiology |
| title | Incidence patterns of nervous system diseases after carbon monoxide poisoning: a retrospective longitudinal study in South Korea from 2012 to 2018 |
| title_full | Incidence patterns of nervous system diseases after carbon monoxide poisoning: a retrospective longitudinal study in South Korea from 2012 to 2018 |
| title_fullStr | Incidence patterns of nervous system diseases after carbon monoxide poisoning: a retrospective longitudinal study in South Korea from 2012 to 2018 |
| title_full_unstemmed | Incidence patterns of nervous system diseases after carbon monoxide poisoning: a retrospective longitudinal study in South Korea from 2012 to 2018 |
| title_short | Incidence patterns of nervous system diseases after carbon monoxide poisoning: a retrospective longitudinal study in South Korea from 2012 to 2018 |
| title_sort | incidence patterns of nervous system diseases after carbon monoxide poisoning a retrospective longitudinal study in south korea from 2012 to 2018 |
| topic | carbon monoxide poisoning nervous system diseases epidemiology |
| url | http://ceemjournal.org/upload/pdf/ceem-20-099.pdf |
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