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Clinical and laboratory characteristics of unintentional carbon monoxide poisoning due to coal stove in children
Authors:Yuksel Bicilioglu  Murat Anil  Alkan Bal  Gamze Gokalp  Fulya Kamit Can
Affiliation:1. Department of Pediatric Emergency,;2. Pediatric Intensive Care Unit, Health Sciences University Izmir Tepecik Training and Research Hospital, Izmir, Turkey, and
Abstract:
To describe predictors for severe carbon monoxide (CO) poisoning in children due to coal stove. Patients (n?=?176) were divided into two groups retrospectively: severe and mild-moderate clinical presentation. Forty-two patients received hyperbaric oxygen (HBO) therapy. No patient died. pH?p?=?0.030; OR:1.0211), carboxyhemoglobin (COHb) (p=?0.002; OR:1.0558), and mean platelet volume (MPV) (p?=?0.004; OR:1.4695) were significantly different between the groups. COHb?>?20%, (AUC: 0.691) was comparable to those for pH (AUC: 0.536) and MPV (AUC: 0.639) (p?>?0.05) in ROC analysis. Although COHb, pH and MPV were poor predictors for severe manifestations, performance of MPV was similar to the COHb and pH levels.
Keywords:Carbon monoxide poisoning  carboxyhemoglobin  mean platelet volume  pH level  children
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