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Báo cáo y học: " Delayed neuropsychological sequelae after carbon monoxide poisoning: predictive risk factors in the "

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Delayed neuropsychological sequelae after carbon monoxide poisoning: predictive risk factors in the | Pepe et al. Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2011 19 16 http www.sjtrem.eom content 19 1 16 SCANDINAVIAN JOURNAL OF St emergency medicine ORIGINAL RESEARCH Open Access Delayed neuropsychological sequelae after carbon monoxide poisoning predictive risk factors in the Emergency Department. A retrospective study z n 1 Ỷ 1 Ỷ 1 Ỷ - 1 Ỷ 1 Ỷ Giuseppe Pepe Matteo Castelli Peiman Nazerian Simone Vanni Massimo Del Panta c Ct l 1 rri21 D 12Ỷ A li i ll 2Ỷ c Ct r I Francesco Gambassi Primo Botti Andrea Missanelli Stefano Grifoni Abstract Background Delayed neuropsychological sequelae DNS commonly occur after recovery from acute carbon monoxide CO poisoning. The preventive role and the indications for hyperbaric oxygen therapy in the acute setting are still controversial. Early identification of patients at risk in the Emergency Department might permit an improvement in quality of care. We conducted a retrospective study to identify predictive risk factors for DNS development in the Emergency Department. Methods We retrospectively considered all CO-poisoned patients admitted to the Emergency Department of Careggi University General Hospital Florence Italy from 1992 to 2007. Patients were invited to participate in three follow-up visits at one six and twelve months from hospital discharge. Clinical and biohumoral data were collected univariate and multivariate analysis were performed to identify predictive risk factors for DNS. Results Three hundred forty seven patients were admitted to the Emergency Department for acute CO poisoning from 1992 to 2007 141 347 patients participated in the follow-up visit at one month from hospital discharge. Thirty four 141 patients were diagnosed with DNS 24.1 . Five 34 patients previously diagnosed as having DNS presented to the follow-up visit at six months reporting a complete recovery. The following variables collected before or upon Emergency Department admission were associated to DNS development at one .