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      Characteristics of Children with Acute Carbon Monoxide Poisoning in Ankara: A Single Centre Experience

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          Abstract

          The purpose of the study was to define characteristics of children with acute carbon monoxide poisoning. Eighty children hospitalized with acute carbon monoxide poisoning were recruited prospectively over a period of 12 months. Sociodemographic features, complaints and laboratory data were recorded. When the patient was discharged, necessary preventive measures to be taken were explained to parents. One month later, the parents were questioned during a control examination regarding the precautions that they took. The ages of the cases were between one month and 16 yr. Education levels were low in 86.2% of mothers and 52.6% of fathers. All families had low income and 48.8% did not have formal housing. The source of the acute carbon monoxide poisoning was stoves in 71.2% of cases and hot-water heaters in 28.8% of cases. Three or more people were poisoned at home in 85.1% of the cases. The most frequent symptoms of poisoning were headache and vertigo (58.8%). Median carboxyhemoglobin levels at admission to the hospital and discharge were measured as 19.5% and 1.1% ( P < 0.001). When families were called for re-evaluation, it was determined that most of them had taken the necessary precautions after the poisoning incident (86.3%). This study determined that children with acute childhood carbon monoxide poisoning are usually from families with low socioeconomic and education levels. Education about prevention should be provided to all people who are at risk of carbon monoxide poisoning before a poisoning incident occurs.

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          Most cited references16

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          Carboxyhemoglobin levels in carbon monoxide poisoning: do they correlate with the clinical picture?

          It is commonly written that carboxyhemoglobin (COHb) measurements correlate with the clinical presentation of patients poisoned with carbon monoxide (CO). However, the evidence supporting this concept is scanty. The present study was performed to analyze COHb measurements in a large population of patients with CO poisoning to determine whether clinically significant correlates exist. Records of all patients treated with hyperbaric oxygen for acute CO poisoning at a single private academic medical center from 1978 to 2005 were reviewed. The COHb measurements were analyzed with regard to sex, age, source of CO, loss of consciousness, endotracheal intubation, arterial pH, and death. Data from 1603 CO-poisoned patients were reviewed, and 1407 were included in the final analysis. Statistically higher COHb measurements were associated with male sex (24.2% +/- 11.2% vs 21.5% +/- 11.6), adult age range (24.0% +/- 11.0% vs 19.5% +/- 10.3%), poisoning by CO from fires (25.7% +/- 12.1%) or motor vehicles (22.7% +/- 24.7%), loss of consciousness (24.3% +/- 12.2% vs 22.3% +/- 9.4%), lower arterial pH, and death (32.1% +/- 12.8% vs 23.1% +/- 0.9%). Despite the fact that statistically significant differences in average COHb measurements were seen with regard to a number of variables, the clinical significance of these differences appeared to be minimal. Moreover, the utility of COHb measurements as predictors of clinical status in CO poisoning was not apparent. At least in part, this likely relates to delay and interval oxygen administration before obtaining COHb measurements.
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            Turkish Statistical Institute

            (2014)
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              Carbon monoxide-related deaths in Ankara between 2001 and 2011.

              The aim of the present study was to describe the epidemiology of unintentional carbon monoxide (CO) poisonings (between 2001 and 2011) in Ankara, Turkey.
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                Author and article information

                Journal
                J Korean Med Sci
                J. Korean Med. Sci
                JKMS
                Journal of Korean Medical Science
                The Korean Academy of Medical Sciences
                1011-8934
                1598-6357
                December 2015
                30 November 2015
                : 30
                : 12
                : 1836-1840
                Affiliations
                [1 ]Ministry of Health, Ankara Training and Research Hospital, Pediatrics Clinic, Ankara, Turkey.
                [2 ]Ministry of Health, Dr. Sami Ulus Women's and Children's Health and Research Teaching Hospital, Department of Pediatric Allergy and Asthma, Ankara, Turkey.
                Author notes
                Address for Correspondence: Medine Ayşin Taşar, MD. Ankara Training and Research Hospital, Pediatrics Clinic, Şükriye Mh. Ulucanlar Cd. No: 89 Altındağ/ANKARA 06340, Turkey. Tel: +90.312-5953000, Fax: +90.312-3624933, aysintasar@ 123456yahoo.com
                Author information
                http://orcid.org/0000-0003-4367-725X
                Article
                10.3346/jkms.2015.30.12.1836
                4689829
                26713060
                ec8df209-6a52-464f-bbde-26f80423c1f4
                © 2015 The Korean Academy of Medical Sciences.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 14 November 2014
                : 01 April 2015
                Categories
                Original Article
                Pediatrics

                Medicine
                child,carbon monoxide,poisoning,prevention,education,ankara
                Medicine
                child, carbon monoxide, poisoning, prevention, education, ankara

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