{"title":"某二级医院急诊一氧化碳暴露病例回顾性分析。","authors":"Ahmet Münir Yılmaz, Enes Kalıntaş","doi":"10.5144/0256-4947.2025.28.08.1202","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Carbon monoxide (CO) poisoning is one of the leading causes of mortality and morbidity among inhaled toxins worldwide. The use of chimneyless stoves, barbecues and water heaters in small areas with poor ventilation leads to CO poisoning and increases the number of emergency department admissions.</p><p><strong>Objective: </strong>To evaluate the morbidity and mortality rates of CO poisoning cases admitted to the emergency department of our hospital.</p><p><strong>Design: </strong>Retrospective, cross-sectional study.</p><p><strong>Setting: </strong>Single center, secondary-state hospital in Türkiye.</p><p><strong>Patients and methods: </strong>Data from CO poisoning cases admitted to Gaziantep Abdülkadir Yüksel State Hospital Emergency Department between October 20, 2022 and October 20, 2023 were retrospectively evaluated.</p><p><strong>Main outcome measures: </strong>CO levels in venous blood obtained from patients with suspected CO poisoning.</p><p><strong>Sample size: </strong>377 patients.</p><p><strong>Results: </strong>Of the 377 patients, 204 (54.1%) were females, 302 (80.1%) were Turkish citizens, and 196 (52%) presented to the hospital on their own means. It was determined that 285 patients (75.6%) were poisoned by stove smoke, 90 (23.8%) by fire smoke, and two (0.5%) by natural gas. It was determined that 298 patients (79%) were discharged after treatment, 42 (11.1%) left the hospital without permission, 23 (6.1%) were taken under observation and hyperbaric oxygen (HBO) treatment was applied, 13 (3.4%) refused treatment, and 1 (0.3%) died. The need for HBO treatment increased with age and a significant association was found between age and the need for HBO treatment (<i>P</i>=.002).</p><p><strong>Conclusions: </strong>CO poisoning remains a common public health issue, mostly linked to stove and fire smoke. Older age was significantly associated with the need for HBO therapy. It is important to prevent and raise awareness regarding CO poisoning cases, which increase particularly during the winter months in the context of earthquakes and other natural disasters.</p><p><strong>Limitations: </strong>Retrospective design.</p>","PeriodicalId":93875,"journal":{"name":"Annals of Saudi medicine","volume":" ","pages":"336-344"},"PeriodicalIF":0.0000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Retrospective analysis of carbon monoxide exposure cases in a secondary-level state hospital emergency department.\",\"authors\":\"Ahmet Münir Yılmaz, Enes Kalıntaş\",\"doi\":\"10.5144/0256-4947.2025.28.08.1202\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Carbon monoxide (CO) poisoning is one of the leading causes of mortality and morbidity among inhaled toxins worldwide. The use of chimneyless stoves, barbecues and water heaters in small areas with poor ventilation leads to CO poisoning and increases the number of emergency department admissions.</p><p><strong>Objective: </strong>To evaluate the morbidity and mortality rates of CO poisoning cases admitted to the emergency department of our hospital.</p><p><strong>Design: </strong>Retrospective, cross-sectional study.</p><p><strong>Setting: </strong>Single center, secondary-state hospital in Türkiye.</p><p><strong>Patients and methods: </strong>Data from CO poisoning cases admitted to Gaziantep Abdülkadir Yüksel State Hospital Emergency Department between October 20, 2022 and October 20, 2023 were retrospectively evaluated.</p><p><strong>Main outcome measures: </strong>CO levels in venous blood obtained from patients with suspected CO poisoning.</p><p><strong>Sample size: </strong>377 patients.</p><p><strong>Results: </strong>Of the 377 patients, 204 (54.1%) were females, 302 (80.1%) were Turkish citizens, and 196 (52%) presented to the hospital on their own means. It was determined that 285 patients (75.6%) were poisoned by stove smoke, 90 (23.8%) by fire smoke, and two (0.5%) by natural gas. It was determined that 298 patients (79%) were discharged after treatment, 42 (11.1%) left the hospital without permission, 23 (6.1%) were taken under observation and hyperbaric oxygen (HBO) treatment was applied, 13 (3.4%) refused treatment, and 1 (0.3%) died. The need for HBO treatment increased with age and a significant association was found between age and the need for HBO treatment (<i>P</i>=.002).</p><p><strong>Conclusions: </strong>CO poisoning remains a common public health issue, mostly linked to stove and fire smoke. Older age was significantly associated with the need for HBO therapy. It is important to prevent and raise awareness regarding CO poisoning cases, which increase particularly during the winter months in the context of earthquakes and other natural disasters.</p><p><strong>Limitations: </strong>Retrospective design.</p>\",\"PeriodicalId\":93875,\"journal\":{\"name\":\"Annals of Saudi medicine\",\"volume\":\" \",\"pages\":\"336-344\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Annals of Saudi medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.5144/0256-4947.2025.28.08.1202\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/10/2 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of Saudi medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5144/0256-4947.2025.28.08.1202","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/10/2 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
背景：一氧化碳（CO）中毒是世界范围内吸入性毒素死亡和发病的主要原因之一。在通风不良的小区域使用无烟囱炉灶、烧烤和热水器会导致一氧化碳中毒，并增加急诊室的入院人数。目的：了解我院急诊科一氧化碳中毒病例的发病率和死亡率。设计：回顾性、横断面研究。环境：单中心，二级国家医院在 rkiye。患者和方法：回顾性分析2022年10月20日至2023年10月20日Gaziantep abd lkadir yksel州立医院急诊科收治的一氧化碳中毒病例资料。主要观察指标：疑似一氧化碳中毒患者静脉血CO水平。样本量：377例患者。结果：377例患者中，204例（54.1%）为女性，302例（80.1%）为土耳其公民，196例（52%）自费就诊。炉烟中毒285例（75.6%），火烟中毒90例（23.8%），天然气中毒2例（0.5%）。经治疗出院298例（79%），擅自出院42例（11.1%），留院观察高压氧治疗23例（6.1%），拒绝治疗13例（3.4%），死亡1例（0.3%）。HBO治疗的需求随着年龄的增长而增加，并且发现年龄与HBO治疗需求之间存在显著相关性（P= 0.002）。结论：一氧化碳中毒仍然是一个常见的公共卫生问题，主要与炉子和火灾烟雾有关。年龄越大，对HBO治疗的需求越高。重要的是要预防和提高对一氧化碳中毒病例的认识，特别是在冬季地震和其他自然灾害的情况下，一氧化碳中毒病例会增加。局限性：回顾性设计。
Retrospective analysis of carbon monoxide exposure cases in a secondary-level state hospital emergency department.
Background: Carbon monoxide (CO) poisoning is one of the leading causes of mortality and morbidity among inhaled toxins worldwide. The use of chimneyless stoves, barbecues and water heaters in small areas with poor ventilation leads to CO poisoning and increases the number of emergency department admissions.
Objective: To evaluate the morbidity and mortality rates of CO poisoning cases admitted to the emergency department of our hospital.
Design: Retrospective, cross-sectional study.
Setting: Single center, secondary-state hospital in Türkiye.
Patients and methods: Data from CO poisoning cases admitted to Gaziantep Abdülkadir Yüksel State Hospital Emergency Department between October 20, 2022 and October 20, 2023 were retrospectively evaluated.
Main outcome measures: CO levels in venous blood obtained from patients with suspected CO poisoning.
Sample size: 377 patients.
Results: Of the 377 patients, 204 (54.1%) were females, 302 (80.1%) were Turkish citizens, and 196 (52%) presented to the hospital on their own means. It was determined that 285 patients (75.6%) were poisoned by stove smoke, 90 (23.8%) by fire smoke, and two (0.5%) by natural gas. It was determined that 298 patients (79%) were discharged after treatment, 42 (11.1%) left the hospital without permission, 23 (6.1%) were taken under observation and hyperbaric oxygen (HBO) treatment was applied, 13 (3.4%) refused treatment, and 1 (0.3%) died. The need for HBO treatment increased with age and a significant association was found between age and the need for HBO treatment (P=.002).
Conclusions: CO poisoning remains a common public health issue, mostly linked to stove and fire smoke. Older age was significantly associated with the need for HBO therapy. It is important to prevent and raise awareness regarding CO poisoning cases, which increase particularly during the winter months in the context of earthquakes and other natural disasters.
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