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Is coagulopathy a common consequence of a Vipera berus bite?: a retrospective single centre study
- Source :
- Annals of Agricultural and Environmental Medicine, Vol 25, Iss 4, Pp 630-634 (2018)
- Publication Year :
- 2018
-
Abstract
- Introduction. The Vipera berus (common viper) is the only species of venomous snake found in Poland. The aim of this study was to determine to what extent coagulopathy has occurred as a post-bite complication. Materials and method. The medical records of 138 adult patients in the Sucha Beskidzka hospital with the diagnosis of snake bite between 2001–2014 were retrospectively analyzed. Demographic, clinical and laboratory data were collected. Antivenom was given to all patients, except one, with snake bites, but laboratory test were taken prior to administration of antivenom. Obtained results were compared to those of the control group, composed of 176 adults hospitalized in the same period for an elective laparoscopic cholecystectomy. Results. The mean platelet count in the study group was 239.94×109/L (SD=56.56) and 248.77×109/L (SD=57.82) in the control group. In 98% of the study group and 100% of the control group the platelet value (PLT) fell within laboratory norms (130 to 420×109/L), 2 patients after snake bites had a PLT lower than normal, and thrombocytosis was not observed in either group. A reference range of 0.85–1.3 INR below normal was found in 2 patients in the study group and 15 from the control group, while values above the normal range were found in 8 patients (6.7%) from the snake bite group and no patients from the control group. In the study group, the INR ranged from 0.78–1.43 with a mean of 1.046 (SD=0.14), while in the control group the range was from 0.79–1.28, with a mean of 0.95 (SD=0.08). There was a significant difference in INR between the study and control groups (p
- Subjects :
- Adult
Male
medicine.medical_specialty
Adolescent
Vipera berus
Antivenom
Snake Bites
venom
Reference range
thrombocytopenia
Viper Venoms
snakebite
coagulopathy
lcsh:Agriculture
Young Adult
Internal medicine
Viperidae
medicine
Coagulopathy
Animals
Humans
Child
Envenomation
Waste Management and Disposal
Ecology, Evolution, Behavior and Systematics
lcsh:Environmental sciences
Aged
Retrospective Studies
lcsh:GE1-350
snake
antivenom
biology
Thrombocytosis
envenomation
Antivenins
Platelet Count
business.industry
Public Health, Environmental and Occupational Health
lcsh:S
Retrospective cohort study
Middle Aged
biology.organism_classification
medicine.disease
Snake bites
Vipera berus bite
Female
Poland
business
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Annals of Agricultural and Environmental Medicine, Vol 25, Iss 4, Pp 630-634 (2018)
- Accession number :
- edsair.doi.dedup.....0efedfcea035d045f864bf758f8e5388