Clinical and laboratory characteristics of unintentional carbon monoxide poisoning due to coal stove in children |
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Authors: | Yuksel Bicilioglu Murat Anil Alkan Bal Gamze Gokalp Fulya Kamit Can |
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Affiliation: | 1. Department of Pediatric Emergency,;2. Pediatric Intensive Care Unit, Health Sciences University Izmir Tepecik Training and Research Hospital, Izmir, Turkey, and |
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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?7.30 (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. |
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Keywords: | Carbon monoxide poisoning carboxyhemoglobin mean platelet volume pH level children |
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