Abstract
Amaç: Hastanemiz acil tıp kliniğimize başvuran karbon monoksit zehirlenmesi olgularının demografik verileri ve karboksihemoglobin düzeyleri ile ilgili mekânsal analizler yaparak zehirlenme verilerine katkıda bulunmayı amaçladık.
Yöntemler: Çalışmamız kliniğimize karbon monoksit zehirlenmesi ile başvuran hastalardan karboksihemoglobin düzeyi %10’ un üzerinde olanlar dahil edildi. Hastaların demografik verileri değerlendirilerek zehirlenme adresleri kullanılarak vaka yoğunluğu ve karboksihemoglobin değerlerine göre iki ısı haritası oluşturulmuştur.
Bulgular: Çalışmaya 414 hasta dahil edildi. 39 hasta çalışma dışı bırakıldı. Hastaların %52,3'ü kadın, %47,7'si erkekti. Ortalama karboksihemoglobin değerleri %14 idi (IQR = 13). Kış aylarında kabul edilen vaka sayısının diğer mevsimlere göre daha yüksek olduğu bulundu. Karbon monoksit zehirlenmesinin adreslerine dayanarak iki ısı haritası oluşturuldu.
Sonuç: Karbon monoksit zehirlenmesi ülkemizde önemli bir sağlık sorunudur. Coğrafi Bilgi Sistemleri ile çok merkezli çalışmalar karbon monoksit zehirlenmesi için alınması gereken önlemlere katkıda bulunabilir.
References
- 1- Meade MS. Medical Geography. In Cockerham WC, Dingwall y R, Quah SR, editors. The Wiley Blackwell Encyclopedia of Health, İllness, Behavior, and Society 2014.p. 1375-81.
- 2- Raub JA, Mathieu-Nolf M, Hampson NB, Thom SR. Carbon monoxide poisoning—a public health perspective. Toxicology 2000; 145:1–14.
- 3- Rose JJ, Wang L, Xu Q, McTiernan CF, Shiva S, Tejero J and Gladwin MT. Carbon monoxide poisoning: pathogenesis, management, and future directions of therapy. Am J Respir Crit Care Med 2017; 195: 596-606.
- 4- Ben Ramadan AA, Jackson-Thompson J, Boren SA. Geographic Information Systems: Usability, Perception, and Preferences of Public Health Professionals. Online J Public Health Inform. 2017; 9(2): e191.
- 5- Melley DD, Finney SJ, Elia A, Lagan AL, Quinlan GJ, Evans TW.Arterial carboxyhemoglobin level and outcome in critically ill patients. Crit Care Med. 2007;35(8):1882-7.
- 6- Avsarogullari L, Senol V, Akdur O, Akin A, Durukan P, Ozkan S. Characteristics of acute adult poisonings in a university hospital emergency department in central Turkey: a three-year analysis. J Pak Med Assoc. 2012;62(2):129-33.
- 7- Özdemir S, Altunok İ, Eroğlu SE. Karbon Monoksit Zehirlenmesi Laktat ve Kardiyak Belirteç İlişkisi. Van Tıp Derg. 2019; 26(3): 285-8.
- 8- Hosseininejad SM, Aminiahidashti H, Goli Khatir I, Ghasempouri SK, Jabbari A, Khandashpour M. Carbon monoxide poisoning in Iran during 1999-2016: A systematic review and meta-analysis. J Forensic Leg Med. 2018; 53:87-96
- 9- Wu L, Wang R. Carbon monoxide: endogenous production, physiological functions, and pharmacological applications. Pharmacol Rev 2005; 57:585–630
- 10- Doğruyol S, Akbaş İ, Çakır Z. Demographic and Clinical Characteristics of Carbon Monoxide Poisoning: Data Between 2014 and 2018 in Erzurum. Eurasian Journal of Toxicology. 2019; 1(1): 20-15.
Spatial Analysis and Evaluation of Carbon Monoxide Poisoning Admitted to A Tertiary Hospital- A Pilot Study
Abstract
Background: We aimed to contribute to the poisoning data by performing spatial analyzes related to the demographic data and carboxyhemoglobin levels of carbon monoxide poisoning cases admitted to our hospital emergency medicine clinic.
Methods: The population of this retrospective study included all adults who were admitted to our clinic with carboxyhemoglobin level above 10%. Two heat maps were created based on address of carbon monoxide poisoning and carboxyhemoglobin values of the persons in this position.
Results: 414 patients were included in the study. 39 patients were excluded from the study. 52.3% of the patients were female and 47.7% were male. Median of carboxyhemoglobin values was 14% (IQR = 13). The number of cases admitted during the winter was found to be higher than the other seasons. Two heat maps were created based on addresses of carbon monoxide poisoning.
Conclusion: Carbon monoxide poisoning is an important health problem in our country. Multicenter studies with Geographical Information Systems may contribute to the measures to be taken for carbon monoxide intoxication.
References
- 1- Meade MS. Medical Geography. In Cockerham WC, Dingwall y R, Quah SR, editors. The Wiley Blackwell Encyclopedia of Health, İllness, Behavior, and Society 2014.p. 1375-81.
- 2- Raub JA, Mathieu-Nolf M, Hampson NB, Thom SR. Carbon monoxide poisoning—a public health perspective. Toxicology 2000; 145:1–14.
- 3- Rose JJ, Wang L, Xu Q, McTiernan CF, Shiva S, Tejero J and Gladwin MT. Carbon monoxide poisoning: pathogenesis, management, and future directions of therapy. Am J Respir Crit Care Med 2017; 195: 596-606.
- 4- Ben Ramadan AA, Jackson-Thompson J, Boren SA. Geographic Information Systems: Usability, Perception, and Preferences of Public Health Professionals. Online J Public Health Inform. 2017; 9(2): e191.
- 5- Melley DD, Finney SJ, Elia A, Lagan AL, Quinlan GJ, Evans TW.Arterial carboxyhemoglobin level and outcome in critically ill patients. Crit Care Med. 2007;35(8):1882-7.
- 6- Avsarogullari L, Senol V, Akdur O, Akin A, Durukan P, Ozkan S. Characteristics of acute adult poisonings in a university hospital emergency department in central Turkey: a three-year analysis. J Pak Med Assoc. 2012;62(2):129-33.
- 7- Özdemir S, Altunok İ, Eroğlu SE. Karbon Monoksit Zehirlenmesi Laktat ve Kardiyak Belirteç İlişkisi. Van Tıp Derg. 2019; 26(3): 285-8.
- 8- Hosseininejad SM, Aminiahidashti H, Goli Khatir I, Ghasempouri SK, Jabbari A, Khandashpour M. Carbon monoxide poisoning in Iran during 1999-2016: A systematic review and meta-analysis. J Forensic Leg Med. 2018; 53:87-96
- 9- Wu L, Wang R. Carbon monoxide: endogenous production, physiological functions, and pharmacological applications. Pharmacol Rev 2005; 57:585–630
- 10- Doğruyol S, Akbaş İ, Çakır Z. Demographic and Clinical Characteristics of Carbon Monoxide Poisoning: Data Between 2014 and 2018 in Erzurum. Eurasian Journal of Toxicology. 2019; 1(1): 20-15.
Details
| Primary Language | English |
|---|---|
| Subjects | Toxicology, Emergency Medicine |
| Journal Section | Original Articles |
| Authors | |
| Publication Date | November 11, 2020 |
| Submission Date | July 10, 2020 |
| Published in Issue | Year 2020 Volume: 2 Issue: 2 |
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