Abstract
Many cases of carbon monoxide poisoning in Taiwan are due to burning charcoal. Nevertheless, few reports have analyzed the mortality rate of these patients who survive to reach a hospital and die despite intensive treatment. Therefore, this study examined the clinical features, physiological markers, and outcomes after carbon monoxide poisoning and the associations between these findings. We analyzed the records of 261 patients who were referred for management of carbon monoxide intoxication between 2000 and 2010. Patients were grouped according to status at discharge as alive (survivor, n = 242) or dead (non-survivor, n = 19). Demographic, clinical, laboratory, and mortality data were obtained for analysis. Approximately half of the cases (49.4%) attempted suicide by burning charcoal. Most of the patients were middle-aged adults (33±19 years), and were referred to our hospital in a relatively short period of time (6±10 hours). Carbon monoxide produced many serious complications after exposure: fever (26.1%), hypothermia (9.6%), respiratory failure (34.1%), shock (8.4%), myocardial infarction (8.0%), gastrointestinal upset (34.9%), hepatitis (18.4%), renal failure (25.3%), coma (18.0%) and rhabdomyolysis (21.8%). Furthermore, t...Continue Reading
References
Feb 1, 1991·Critical Care Medicine·C M DunhamT C Vary
Nov 1, 1965·The Journal of Clinical Investigation·R F CoburnP B Kane
Jun 17, 1998·Archives of Neurology·Y AmitaiD Gross
Nov 26, 1998·The New England Journal of Medicine·A Ernst, J D Zibrak
Jun 3, 1999·American Journal of Respiratory and Critical Care Medicine·O R LuhrJ Bonde
Oct 24, 2000·The American Journal of Emergency Medicine·T J NucktonJ G Nuckton
Oct 12, 2004·Emergency Medicine Clinics of North America·Louise W Kao, Kristine A Nañagas
Feb 3, 2005·Nursing·Terri Kress, Diane Krueger
Nov 10, 2005·Critical Care : the Official Journal of the Critical Care Forum·Dieter Rixen, John H Siegel
Sep 15, 2006·Journal of Child Neurology·Kam-lun Ellis HonYu-leung Chan
Feb 28, 2007·Journal of Epidemiology and Community Health·Ka Y LiuPaul Yip
Aug 10, 2007·Inhalation Toxicology·Huei-Guan Shie, Chung-Yi Li
Jan 22, 2008·Annals of Emergency Medicine·Stephen J WolfUNKNOWN American College of Emergency Physicians
Mar 25, 2008·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Stephen J WolfUNKNOWN American College of Emergency Physicians Clinical Policies Subcommittee (Writing Committee) on Critical Issues in the Manage
Aug 6, 2008·Critical Care Medicine·Neil B Hampson, Niels M Hauff
Mar 20, 2009·The New England Journal of Medicine·Lindell K Weaver
Apr 23, 2009·Critical Care Medicine·Neil B HampsonNiels M Hauff
May 5, 2009·Journal of Affective Disorders·Yi-Ju PanMing-Been Lee
Jan 7, 2010·PLoS Medicine·Shu-Sen ChangJonathan A C Sterne
Jan 26, 2010·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·Stephen R ThomDominic Eisinger
Jun 10, 2011·Journal of Palliative Medicine·Stacy M Kessler, Keith M Swetz
May 5, 2012·General Hospital Psychiatry·Chemin LinShwu-Hua Lee
Jun 8, 2012·Liver International : Official Journal of the International Association for the Study of the Liver·Chin-Jung YangTzung-Hai Yen
Oct 23, 2012·American Journal of Respiratory and Critical Care Medicine·Neil B HampsonLindell K Weaver
Feb 23, 2013·European Neurology·Xiaomin HouChunjin Gao
Apr 20, 2013·AJNR. American Journal of Neuroradiology·T Beppu
Jun 19, 2013·PloS One·Ping WangPei-Ling Li
Jan 5, 2014·SpringerPlus·Yi-Chou HouTzung-Hai Yen
Jan 28, 2014·Therapeutics and Clinical Risk Management·Chen-Yen LeeTzung-Hai Yen
Aug 29, 2014·PloS One·Chien-Cheng HuangChi-Wen Juan
Nov 12, 2014·PloS One·Chemin LinShwu-Hua Lee
Citations
Jul 21, 2016·Iranian Red Crescent Medical Journal·Kagan HuysalMehmet Karadag
May 26, 2016·Revista clínica española·P GodoyM Alsedà
Feb 20, 2017·Advanced Drug Delivery Reviews·Huaifa Zhang, Jake E Barralet
Jan 16, 2018·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·Youn-Jung KimWon Young Kim
Jun 10, 2018·Journal of Investigative Medicine : the Official Publication of the American Federation for Clinical Research·Shan-Yueh ChangNian-Sheng Tzeng
Dec 14, 2018·Human & Experimental Toxicology·J M MoonM H Shin
Mar 2, 2019·PloS One·Il Jae WangSeong-Youn Hwang
Jul 20, 2016·Scientific Reports·Yu-Chin ChenTzung-Hai Yen
Jun 11, 2019·Epidemiology·Chien-Cheng HuangHow-Ran Guo
Dec 31, 2019·Human & Experimental Toxicology·Amal Saf Hafez, Ghada N El-Sarnagawy
Oct 27, 2017·Oncotarget·Chern-Horng LeeTzung-Hai Yen
Oct 3, 2018·Advanced Healthcare Materials·Huaifa ZhangJake Barralet
Jul 15, 2017·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Chien-Cheng HuangHow-Ran Guo
Nov 14, 2019·International Journal of Environmental Research and Public Health·Chung-Hsuan KuTzung-Hai Yen
May 26, 2021·Environmental Toxicology·Xu-Dong ZhouQin Li