Factors Affecting Prognosis in Patients with Snakebite
Aim:This study aimed to determine the factors influencing hospitalization durations and discharge status of patients with snakebite, starting from pre-hospital care in the field.Materials and Methods:A total of 38 patients with snakebite admitted to the emergency medicine department between May 1st,...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2021-03-01
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| Series: | Eurasian Journal of Emergency Medicine |
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http://akademikaciltip.com/archives/archive-detail/article-preview/factors-affecting-prognosis-in-patients-with-snake/46963
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| author | Mehmet Özbulat Ayca Açıkalın Ufuk Akday Ömer Taşkın Nezihat Rana Dişel Ahmet Sebe |
| author_facet | Mehmet Özbulat Ayca Açıkalın Ufuk Akday Ömer Taşkın Nezihat Rana Dişel Ahmet Sebe |
| author_sort | Mehmet Özbulat |
| collection | DOAJ |
| description | Aim:This study aimed to determine the factors influencing hospitalization durations and discharge status of patients with snakebite, starting from pre-hospital care in the field.Materials and Methods:A total of 38 patients with snakebite admitted to the emergency medicine department between May 1st, 2013 and August 31st, 2016, participated in the study. Data were evaluated using Statistical Package for the Social Sciences 17.0.Results:A total of 38 patients were enrolled, of which, 17 (44.7%) were female. Of the 38 patients enrolled, nine patients were in stage 1, 24 in stage 2, and 5 in stage 3. The mean antivenoms given to patients were 3.33±1.29 vials in stage 2 and 4.40±1.14 vials in stage 3. The mean time from bite to antivenom infusion was 80.92±47.57 mins. Hospitalization durations of patients with shorter bite to antivenom infusion intervals (bite-to-needle) were also shorter (p<0.001). In addition, overweight patients were found to stay longer in the hospital (p=0.027). Patients with low hemoglobin and platelet counts and high creatine kinase (CK) levels were found to stay longer in the hospital (p<0.05).Conclusion:Shorter hospitalization durations of patients with shorter bite-to-needle times show the importance of early administration of antivenom. Moreover, longer hospitalization durations of overweight patients seem to reflect their slow wound-healing times, which may be due to co-morbidities. Low platelet, hemoglobin, and CK are found to be poor prognostic markers in patients with snakebite. |
| first_indexed | 2024-04-10T10:39:30Z |
| format | Article |
| id | doaj.art-e6c59da3de2a4a76b2654df7b6ea924f |
| institution | Directory Open Access Journal |
| issn | 2149-5807 2149-6048 |
| language | English |
| last_indexed | 2024-04-10T10:39:30Z |
| publishDate | 2021-03-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Eurasian Journal of Emergency Medicine |
| spelling | doaj.art-e6c59da3de2a4a76b2654df7b6ea924f2023-02-15T16:20:40ZengGalenos YayineviEurasian Journal of Emergency Medicine2149-58072149-60482021-03-0120161110.4274/eajem.galenos.2020.6988513049054Factors Affecting Prognosis in Patients with SnakebiteMehmet Özbulat0Ayca Açıkalın1Ufuk Akday2Ömer Taşkın3Nezihat Rana Dişel4Ahmet Sebe5 Department of Emergency Medicine, Çukurova University Faculty of Medicine, Adana, Turkey Department of Emergency Medicine, Çukurova University Faculty of Medicine, Adana, Turkey Department of Emergency Medicine, Çukurova University Faculty of Medicine, Adana, Turkey Department of Emergency Medicine, Çukurova University Faculty of Medicine, Adana, Turkey Department of Emergency Medicine, Çukurova University Faculty of Medicine, Adana, Turkey Department of Emergency Medicine, Çukurova University Faculty of Medicine, Adana, Turkey Aim:This study aimed to determine the factors influencing hospitalization durations and discharge status of patients with snakebite, starting from pre-hospital care in the field.Materials and Methods:A total of 38 patients with snakebite admitted to the emergency medicine department between May 1st, 2013 and August 31st, 2016, participated in the study. Data were evaluated using Statistical Package for the Social Sciences 17.0.Results:A total of 38 patients were enrolled, of which, 17 (44.7%) were female. Of the 38 patients enrolled, nine patients were in stage 1, 24 in stage 2, and 5 in stage 3. The mean antivenoms given to patients were 3.33±1.29 vials in stage 2 and 4.40±1.14 vials in stage 3. The mean time from bite to antivenom infusion was 80.92±47.57 mins. Hospitalization durations of patients with shorter bite to antivenom infusion intervals (bite-to-needle) were also shorter (p<0.001). In addition, overweight patients were found to stay longer in the hospital (p=0.027). Patients with low hemoglobin and platelet counts and high creatine kinase (CK) levels were found to stay longer in the hospital (p<0.05).Conclusion:Shorter hospitalization durations of patients with shorter bite-to-needle times show the importance of early administration of antivenom. Moreover, longer hospitalization durations of overweight patients seem to reflect their slow wound-healing times, which may be due to co-morbidities. Low platelet, hemoglobin, and CK are found to be poor prognostic markers in patients with snakebite. http://akademikaciltip.com/archives/archive-detail/article-preview/factors-affecting-prognosis-in-patients-with-snake/46963 emergency departmentsnakebiteprognosis |
| spellingShingle | Mehmet Özbulat Ayca Açıkalın Ufuk Akday Ömer Taşkın Nezihat Rana Dişel Ahmet Sebe Factors Affecting Prognosis in Patients with Snakebite Eurasian Journal of Emergency Medicine emergency department snakebite prognosis |
| title | Factors Affecting Prognosis in Patients with Snakebite |
| title_full | Factors Affecting Prognosis in Patients with Snakebite |
| title_fullStr | Factors Affecting Prognosis in Patients with Snakebite |
| title_full_unstemmed | Factors Affecting Prognosis in Patients with Snakebite |
| title_short | Factors Affecting Prognosis in Patients with Snakebite |
| title_sort | factors affecting prognosis in patients with snakebite |
| topic | emergency department snakebite prognosis |
| url |
http://akademikaciltip.com/archives/archive-detail/article-preview/factors-affecting-prognosis-in-patients-with-snake/46963
|
| work_keys_str_mv | AT mehmetozbulat factorsaffectingprognosisinpatientswithsnakebite AT aycaacıkalın factorsaffectingprognosisinpatientswithsnakebite AT ufukakday factorsaffectingprognosisinpatientswithsnakebite AT omertaskın factorsaffectingprognosisinpatientswithsnakebite AT nezihatranadisel factorsaffectingprognosisinpatientswithsnakebite AT ahmetsebe factorsaffectingprognosisinpatientswithsnakebite |