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Predictors of the development of post-snakebite compartment syndrome
- Source :
- Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
- Publication Year :
- 2015
- Publisher :
- BioMed Central, 2015.
-
Abstract
- Background To identify the factors associated with the development of post-snakebite compartment syndrome (PSCS) in snakebite patients and to analyze the clinical prognosis of these patients. Methods We retrospectively reviewed the medical records of patients who presented to our institution with snakebites from March 2009 to December 2012. The clinical data, hospital course and outcome were all recorded. Results A total of 136 patients were included in the present study. Nine patients developed PSCS and underwent fasciotomy. Relative to the non-PSCS group, the PSCS group demonstrated a significant increase in the white blood cell count (WBC, p = 0.006), segment form (Seg, p ≤ 0.001), aspartate aminotransferase level (AST, p = 0.002) and alanine aminotransferase level (ALT, p = 0.008). Elevated WBC count and AST level were identified as independent risk factors for PSCS (p = 0.028 and 0.037, respectively) in a multivariate analysis. Conclusions Snakebite patients have a high likelihood of developing locoregional complications such as PSCS. Symptomatic snakebite patients should be observed for at least 48 h, and increased WBC counts and AST levels are risk factors for PSCS.
- Subjects :
- Adult
Male
medicine.medical_specialty
medicine.medical_treatment
Taiwan
Snake Bites
Critical Care and Intensive Care Medicine
Compartment Syndromes
Risk Assessment
Severity of Illness Index
Fasciotomy
Cohort Studies
Predictive Value of Tests
Internal medicine
White blood cell
Severity of illness
medicine
Humans
Original Research
Aged
Monitoring, Physiologic
Retrospective Studies
business.industry
Antivenins
Incidence (epidemiology)
Medical record
Incidence
Retrospective cohort study
Middle Aged
Surgery
medicine.anatomical_structure
Treatment Outcome
Predictive value of tests
Multivariate Analysis
Emergency Medicine
Female
business
Cohort study
Follow-Up Studies
Snake Venoms
Subjects
Details
- Language :
- English
- ISSN :
- 17577241
- Volume :
- 23
- Database :
- OpenAIRE
- Journal :
- Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
- Accession number :
- edsair.doi.dedup.....84cb05d63c63e826adfec3f453d1e910