Evaluation of Clinical Outcomes in Hospitalized Patients With Exertional Rhabdomyolysis

Exertional rhabdomyolysis (ER) is a medical condition in which excessive and unaccustomed physical activity results in skeletal muscle damage in otherwise healthy individuals. To assess the overall outcomes of patients who presented to the emergency department with ER. This retrospective study was c...

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Veröffentlicht in:Journal of Osteopathic Medicine (Online) 2019-07, Vol.119 (7), p.428-434
Hauptverfasser: Arnautovic, Jelena Z., Tereziu, Stela
Format: Artikel
Sprache:eng
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Zusammenfassung:Exertional rhabdomyolysis (ER) is a medical condition in which excessive and unaccustomed physical activity results in skeletal muscle damage in otherwise healthy individuals. To assess the overall outcomes of patients who presented to the emergency department with ER. This retrospective study was conducted across 4 hospitals. The study included nonpregnant adults with no history of renal function impairment or myopathy disorder who had a diagnosis of ER in the emergency department setting. Medical records were reviewed for patient demographics, length of stay, complications, mechanism(s) of injury involved, impact of nutritional supplements, spectrum of creatine kinase (CK) responses, prevalence of hospital readmissions, and overall mortality. Of the 800 rhabdomyolysis cases identified during the 24-month study period, 41 were included in the study. The mean age was 29 years, and the patients were predominantly male (33 [80.5%]) and white (25 [61%]). The median length of stay was 2 days, and it correlated significantly with initial and peak CK levels (R=0.45, P=.004, and R=0.52, P
ISSN:0098-6151
1945-1997
2702-3648
DOI:10.7556/jaoa.2019.079