The detection of occult CO poisoning through noninvasive measurement of carboxyhemoglobin: A cross-sectional study
Carbon monoxide (CO) poisoning is one of the leading causes of preventable death in the world. Our primary objective was to identify and treat individuals who are unaware of their exposure to carbon monoxide in emergency departments (EDs). Our secondary goal was to reduce the costs of diagnosis and...
Gespeichert in:
| Veröffentlicht in: | The American journal of emergency medicine 2020-06, Vol.38 (6), p.1110-1114 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1114 |
|---|---|
| container_issue | 6 |
| container_start_page | 1110 |
| container_title | The American journal of emergency medicine |
| container_volume | 38 |
| creator | Koyuncu, Serhat Bol, Oguzhan Ertan, Tamer Günay, Nurullah Akdogan, Halil İbrahim |
| description | Carbon monoxide (CO) poisoning is one of the leading causes of preventable death in the world. Our primary objective was to identify and treat individuals who are unaware of their exposure to carbon monoxide in emergency departments (EDs). Our secondary goal was to reduce the costs of diagnosis and treatment by preventing unnecessary diagnostic testing in EDs.
In this cross-sectional study, carboxyhemoglobin (COHb) levels of patients presented with the signs of CO poisoning to the Emergency Department of Kayseri Training and Research Hospital between November 2012 and May 2013 were noninvasively measured during triage. Patients with elevated COHb levels were suspected of CO poisoning and subjected to further investigation.
A total of 4073 patients were enrolled in the study, and 106 (2.6%) of them were diagnosed with CO poisoning. Initial evaluation revealed headache to be the most common presenting complaint in patients with occult CO poisoning. Further evaluations to determine the accuracy of noninvasive measurements showed that noninvasive pulse CO-oxymeter and arterial blood gas (ABG) measurement were compatible.
The use of noninvasive pulse CO-oxymeter might reduce the morbidity and mortality associated with occult CO poisoning in patients presented with suspected CO poisoning in emergency settings. |
| doi_str_mv | 10.1016/j.ajem.2019.158383 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2275320466</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0735675719305157</els_id><sourcerecordid>2275320466</sourcerecordid><originalsourceid>FETCH-LOGICAL-c384t-3c937bf985e9fd48d8c9b456fb1340aa844f59cc04da10c3afeef46975e7af0a3</originalsourceid><addsrcrecordid>eNp9kc1u1DAYRS0EokPhBVggS2y6yWDHfwliU41aqFSpm7K2HOfzjKMkHuxkxLw9TlNYsOjKsnTulX0PQh8p2VJC5ZduazoYtiWh9ZaKilXsFdpQwcqiooq-RhuimCikEuoCvUupI4RSLvhbdMEop1JyukHx8QC4hQns5MOIg8PB2rmf8O4BH4NPYfTjHk-HGOb9AY_L9WSSPwEewKQ5wgDjtMSsiU34fT7AEPZ9aPz4FV9jG0NKRVrLTY_TNLfn9-iNM32CD8_nJfp5e_O4-1HcP3y_213fF5ZVfCqYrZlqXF0JqF3Lq7aydcOFdA1lnBhTce5EbS3hraHEMuMAHJe1EqCMI4Zdoqu19xjDrxnSpAefLPS9GSHMSZelylsRLmVGP_-HdmGO-cWZ4qWQSjFGMlWu1NO3Ijh9jH4w8awp0YsR3enFiF6M6NVIDn16rp6bAdp_kb8KMvBtBSBvcfIQdbIeRgutj3k43Qb_Uv8fUnieXg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2425677330</pqid></control><display><type>article</type><title>The detection of occult CO poisoning through noninvasive measurement of carboxyhemoglobin: A cross-sectional study</title><source>Elsevier ScienceDirect Journals</source><creator>Koyuncu, Serhat ; Bol, Oguzhan ; Ertan, Tamer ; Günay, Nurullah ; Akdogan, Halil İbrahim</creator><creatorcontrib>Koyuncu, Serhat ; Bol, Oguzhan ; Ertan, Tamer ; Günay, Nurullah ; Akdogan, Halil İbrahim</creatorcontrib><description>Carbon monoxide (CO) poisoning is one of the leading causes of preventable death in the world. Our primary objective was to identify and treat individuals who are unaware of their exposure to carbon monoxide in emergency departments (EDs). Our secondary goal was to reduce the costs of diagnosis and treatment by preventing unnecessary diagnostic testing in EDs.
In this cross-sectional study, carboxyhemoglobin (COHb) levels of patients presented with the signs of CO poisoning to the Emergency Department of Kayseri Training and Research Hospital between November 2012 and May 2013 were noninvasively measured during triage. Patients with elevated COHb levels were suspected of CO poisoning and subjected to further investigation.
A total of 4073 patients were enrolled in the study, and 106 (2.6%) of them were diagnosed with CO poisoning. Initial evaluation revealed headache to be the most common presenting complaint in patients with occult CO poisoning. Further evaluations to determine the accuracy of noninvasive measurements showed that noninvasive pulse CO-oxymeter and arterial blood gas (ABG) measurement were compatible.
The use of noninvasive pulse CO-oxymeter might reduce the morbidity and mortality associated with occult CO poisoning in patients presented with suspected CO poisoning in emergency settings.</description><identifier>ISSN: 0735-6757</identifier><identifier>EISSN: 1532-8171</identifier><identifier>DOI: 10.1016/j.ajem.2019.158383</identifier><identifier>PMID: 31416641</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Carbon monoxide ; Carbon monoxide poisoning ; Carboxyhemoglobin ; Coal ; Complaints ; Consciousness ; Cross-sectional studies ; Diagnostic tests ; Emergency medical care ; Emergency service ; Gender ; Headache ; Headaches ; Morbidity ; Natural gas ; Noninvasive pulse CO-oxymeter ; Occult ; Occupations ; Patients ; Poisoning ; Preventable deaths ; Pulse oximetry ; Self employment ; Vomiting</subject><ispartof>The American journal of emergency medicine, 2020-06, Vol.38 (6), p.1110-1114</ispartof><rights>2019 Elsevier Inc.</rights><rights>Copyright © 2019 Elsevier Inc. All rights reserved.</rights><rights>2019. Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-3c937bf985e9fd48d8c9b456fb1340aa844f59cc04da10c3afeef46975e7af0a3</citedby><cites>FETCH-LOGICAL-c384t-3c937bf985e9fd48d8c9b456fb1340aa844f59cc04da10c3afeef46975e7af0a3</cites><orcidid>0000-0002-0929-8590</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0735675719305157$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31416641$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Koyuncu, Serhat</creatorcontrib><creatorcontrib>Bol, Oguzhan</creatorcontrib><creatorcontrib>Ertan, Tamer</creatorcontrib><creatorcontrib>Günay, Nurullah</creatorcontrib><creatorcontrib>Akdogan, Halil İbrahim</creatorcontrib><title>The detection of occult CO poisoning through noninvasive measurement of carboxyhemoglobin: A cross-sectional study</title><title>The American journal of emergency medicine</title><addtitle>Am J Emerg Med</addtitle><description>Carbon monoxide (CO) poisoning is one of the leading causes of preventable death in the world. Our primary objective was to identify and treat individuals who are unaware of their exposure to carbon monoxide in emergency departments (EDs). Our secondary goal was to reduce the costs of diagnosis and treatment by preventing unnecessary diagnostic testing in EDs.
In this cross-sectional study, carboxyhemoglobin (COHb) levels of patients presented with the signs of CO poisoning to the Emergency Department of Kayseri Training and Research Hospital between November 2012 and May 2013 were noninvasively measured during triage. Patients with elevated COHb levels were suspected of CO poisoning and subjected to further investigation.
A total of 4073 patients were enrolled in the study, and 106 (2.6%) of them were diagnosed with CO poisoning. Initial evaluation revealed headache to be the most common presenting complaint in patients with occult CO poisoning. Further evaluations to determine the accuracy of noninvasive measurements showed that noninvasive pulse CO-oxymeter and arterial blood gas (ABG) measurement were compatible.
The use of noninvasive pulse CO-oxymeter might reduce the morbidity and mortality associated with occult CO poisoning in patients presented with suspected CO poisoning in emergency settings.</description><subject>Carbon monoxide</subject><subject>Carbon monoxide poisoning</subject><subject>Carboxyhemoglobin</subject><subject>Coal</subject><subject>Complaints</subject><subject>Consciousness</subject><subject>Cross-sectional studies</subject><subject>Diagnostic tests</subject><subject>Emergency medical care</subject><subject>Emergency service</subject><subject>Gender</subject><subject>Headache</subject><subject>Headaches</subject><subject>Morbidity</subject><subject>Natural gas</subject><subject>Noninvasive pulse CO-oxymeter</subject><subject>Occult</subject><subject>Occupations</subject><subject>Patients</subject><subject>Poisoning</subject><subject>Preventable deaths</subject><subject>Pulse oximetry</subject><subject>Self employment</subject><subject>Vomiting</subject><issn>0735-6757</issn><issn>1532-8171</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kc1u1DAYRS0EokPhBVggS2y6yWDHfwliU41aqFSpm7K2HOfzjKMkHuxkxLw9TlNYsOjKsnTulX0PQh8p2VJC5ZduazoYtiWh9ZaKilXsFdpQwcqiooq-RhuimCikEuoCvUupI4RSLvhbdMEop1JyukHx8QC4hQns5MOIg8PB2rmf8O4BH4NPYfTjHk-HGOb9AY_L9WSSPwEewKQ5wgDjtMSsiU34fT7AEPZ9aPz4FV9jG0NKRVrLTY_TNLfn9-iNM32CD8_nJfp5e_O4-1HcP3y_213fF5ZVfCqYrZlqXF0JqF3Lq7aydcOFdA1lnBhTce5EbS3hraHEMuMAHJe1EqCMI4Zdoqu19xjDrxnSpAefLPS9GSHMSZelylsRLmVGP_-HdmGO-cWZ4qWQSjFGMlWu1NO3Ijh9jH4w8awp0YsR3enFiF6M6NVIDn16rp6bAdp_kb8KMvBtBSBvcfIQdbIeRgutj3k43Qb_Uv8fUnieXg</recordid><startdate>20200601</startdate><enddate>20200601</enddate><creator>Koyuncu, Serhat</creator><creator>Bol, Oguzhan</creator><creator>Ertan, Tamer</creator><creator>Günay, Nurullah</creator><creator>Akdogan, Halil İbrahim</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0929-8590</orcidid></search><sort><creationdate>20200601</creationdate><title>The detection of occult CO poisoning through noninvasive measurement of carboxyhemoglobin: A cross-sectional study</title><author>Koyuncu, Serhat ; Bol, Oguzhan ; Ertan, Tamer ; Günay, Nurullah ; Akdogan, Halil İbrahim</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c384t-3c937bf985e9fd48d8c9b456fb1340aa844f59cc04da10c3afeef46975e7af0a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Carbon monoxide</topic><topic>Carbon monoxide poisoning</topic><topic>Carboxyhemoglobin</topic><topic>Coal</topic><topic>Complaints</topic><topic>Consciousness</topic><topic>Cross-sectional studies</topic><topic>Diagnostic tests</topic><topic>Emergency medical care</topic><topic>Emergency service</topic><topic>Gender</topic><topic>Headache</topic><topic>Headaches</topic><topic>Morbidity</topic><topic>Natural gas</topic><topic>Noninvasive pulse CO-oxymeter</topic><topic>Occult</topic><topic>Occupations</topic><topic>Patients</topic><topic>Poisoning</topic><topic>Preventable deaths</topic><topic>Pulse oximetry</topic><topic>Self employment</topic><topic>Vomiting</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Koyuncu, Serhat</creatorcontrib><creatorcontrib>Bol, Oguzhan</creatorcontrib><creatorcontrib>Ertan, Tamer</creatorcontrib><creatorcontrib>Günay, Nurullah</creatorcontrib><creatorcontrib>Akdogan, Halil İbrahim</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Koyuncu, Serhat</au><au>Bol, Oguzhan</au><au>Ertan, Tamer</au><au>Günay, Nurullah</au><au>Akdogan, Halil İbrahim</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The detection of occult CO poisoning through noninvasive measurement of carboxyhemoglobin: A cross-sectional study</atitle><jtitle>The American journal of emergency medicine</jtitle><addtitle>Am J Emerg Med</addtitle><date>2020-06-01</date><risdate>2020</risdate><volume>38</volume><issue>6</issue><spage>1110</spage><epage>1114</epage><pages>1110-1114</pages><issn>0735-6757</issn><eissn>1532-8171</eissn><abstract>Carbon monoxide (CO) poisoning is one of the leading causes of preventable death in the world. Our primary objective was to identify and treat individuals who are unaware of their exposure to carbon monoxide in emergency departments (EDs). Our secondary goal was to reduce the costs of diagnosis and treatment by preventing unnecessary diagnostic testing in EDs.
In this cross-sectional study, carboxyhemoglobin (COHb) levels of patients presented with the signs of CO poisoning to the Emergency Department of Kayseri Training and Research Hospital between November 2012 and May 2013 were noninvasively measured during triage. Patients with elevated COHb levels were suspected of CO poisoning and subjected to further investigation.
A total of 4073 patients were enrolled in the study, and 106 (2.6%) of them were diagnosed with CO poisoning. Initial evaluation revealed headache to be the most common presenting complaint in patients with occult CO poisoning. Further evaluations to determine the accuracy of noninvasive measurements showed that noninvasive pulse CO-oxymeter and arterial blood gas (ABG) measurement were compatible.
The use of noninvasive pulse CO-oxymeter might reduce the morbidity and mortality associated with occult CO poisoning in patients presented with suspected CO poisoning in emergency settings.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>31416641</pmid><doi>10.1016/j.ajem.2019.158383</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-0929-8590</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0735-6757 |
| ispartof | The American journal of emergency medicine, 2020-06, Vol.38 (6), p.1110-1114 |
| issn | 0735-6757 1532-8171 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2275320466 |
| source | Elsevier ScienceDirect Journals |
| subjects | Carbon monoxide Carbon monoxide poisoning Carboxyhemoglobin Coal Complaints Consciousness Cross-sectional studies Diagnostic tests Emergency medical care Emergency service Gender Headache Headaches Morbidity Natural gas Noninvasive pulse CO-oxymeter Occult Occupations Patients Poisoning Preventable deaths Pulse oximetry Self employment Vomiting |
| title | The detection of occult CO poisoning through noninvasive measurement of carboxyhemoglobin: A cross-sectional study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-28T06%3A30%3A50IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20detection%20of%20occult%20CO%20poisoning%20through%20noninvasive%20measurement%20of%20carboxyhemoglobin:%20A%20cross-sectional%20study&rft.jtitle=The%20American%20journal%20of%20emergency%20medicine&rft.au=Koyuncu,%20Serhat&rft.date=2020-06-01&rft.volume=38&rft.issue=6&rft.spage=1110&rft.epage=1114&rft.pages=1110-1114&rft.issn=0735-6757&rft.eissn=1532-8171&rft_id=info:doi/10.1016/j.ajem.2019.158383&rft_dat=%3Cproquest_cross%3E2275320466%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2425677330&rft_id=info:pmid/31416641&rft_els_id=S0735675719305157&rfr_iscdi=true |