open access

Vol 5, No 4 (2020)
Research paper
Published online: 2020-10-21
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Association of carbon monoxide ratio with neutrophil-lymphocyte ratios and cardiac indicators in carbon monoxide intoxication; a pilot study

Bulut Demirel, Mehmet Ergin, Cahit Teke
DOI: 10.5603/DEMJ.a2020.0037
·
Disaster Emerg Med J 2020;5(4):190-192.

open access

Vol 5, No 4 (2020)
ORIGINAL ARTICLES
Published online: 2020-10-21

Abstract

INTRODUCTION: Carbon monoxide is still a public health problem in developing countries. Brain and heart tissues are mostly affected by intoxications. Carbon monoxide poisoning causes the development of cardiac ischemia and cardiac conduction disorders. Our aim is to study the associations of NRL with cardiac indicators in patients with acute carbon monoxide poisoning.  

MATERIAL AND METHODS: Patients who admitted to the E.R. between the dates 01.10.2015–01.06.2017 were examined retrospectively. Of 54 patients diagnosed with carbon monoxide intoxication, 41 patients with complete parameters and follow-ups were included in the study. Their demographic information, complete blood count, troponin and CK-MB values and carbon monoxide levels were recorded.  

RESULTS: Of the patients who included in the study, 18 (43.9%) were female and 23 (43.9%) were male. Their age average was 43.7 ± 18.9. Troponin, CK-MB, neutrophil-lymphocyte ratio levels of the patients were not correlated with carbon monoxide levels (respectively p = 0.238, 0.707, 0.364). Troponin levels of the patients had a positive correlation with neutrophil-lymphocyte ratio (r: 0,309, p = 0.049).  

CONCLUSIONS: Neutrophil-lymphocyte ratio can be used to identify an early diagnosis of cardiac impacts in carbon monoxide poisonings. However, more studies on the subject are needed.

Abstract

INTRODUCTION: Carbon monoxide is still a public health problem in developing countries. Brain and heart tissues are mostly affected by intoxications. Carbon monoxide poisoning causes the development of cardiac ischemia and cardiac conduction disorders. Our aim is to study the associations of NRL with cardiac indicators in patients with acute carbon monoxide poisoning.  

MATERIAL AND METHODS: Patients who admitted to the E.R. between the dates 01.10.2015–01.06.2017 were examined retrospectively. Of 54 patients diagnosed with carbon monoxide intoxication, 41 patients with complete parameters and follow-ups were included in the study. Their demographic information, complete blood count, troponin and CK-MB values and carbon monoxide levels were recorded.  

RESULTS: Of the patients who included in the study, 18 (43.9%) were female and 23 (43.9%) were male. Their age average was 43.7 ± 18.9. Troponin, CK-MB, neutrophil-lymphocyte ratio levels of the patients were not correlated with carbon monoxide levels (respectively p = 0.238, 0.707, 0.364). Troponin levels of the patients had a positive correlation with neutrophil-lymphocyte ratio (r: 0,309, p = 0.049).  

CONCLUSIONS: Neutrophil-lymphocyte ratio can be used to identify an early diagnosis of cardiac impacts in carbon monoxide poisonings. However, more studies on the subject are needed.

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Keywords

carbon monoxide, neutrophil lymphocyte ratio, cardiac biomarkers

About this article
Title

Association of carbon monoxide ratio with neutrophil-lymphocyte ratios and cardiac indicators in carbon monoxide intoxication; a pilot study

Journal

Disaster and Emergency Medicine Journal

Issue

Vol 5, No 4 (2020)

Article type

Research paper

Pages

190-192

Published online

2020-10-21

DOI

10.5603/DEMJ.a2020.0037

Bibliographic record

Disaster Emerg Med J 2020;5(4):190-192.

Keywords

carbon monoxide
neutrophil lymphocyte ratio
cardiac biomarkers

Authors

Bulut Demirel
Mehmet Ergin
Cahit Teke

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