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Association of carbon monoxide ratio with neutrophil-lymphocyte ratios and cardiac indicators in carbon monoxide intoxication; a pilot study
Affiliations- Department of Emergency Medicine, Halil Şıvgın Çubuk State Hospital, Ankara, Türkiye
- Department of Emergency Medicine, Ankara Yıldırım Beyazıt University Atatürk Education and Research Hospital, Ankara, Türkiye
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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.
Keywords
carbon monoxide, neutrophil lymphocyte ratio, cardiac biomarkers
About this articleTitle
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
Article type
Research paper
Pages
190-192
Published online
2020-10-21
Page views
401
Article views/downloads
500
DOI
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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