지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
이용수
초록· 키워드
오류제보하기
Objective: Heat stroke is a serious heat-related illness characterized by elevated core body temperature and an impaired central nervous system. Heat stroke can also cause various complications and lead to irremediable results. However, early prediction of its outcome remains difficult. In this study, we analyzed clinical features and laboratory findings according to the outcome of heat stroke patients and tried to identify factors that predict their prognosis in the acute stage.
Methods: In this retrospective observational study, we enrolled 40 heat stroke patients who arrived at five emergency departments in Daegu within three hours from the time at which heat stroke occurred every June 1 to August 31 from 2011 to 2016. In addition, we compared the clinical features and laboratory findings according to the outcome.
Results: The mean ages were 72.0 (53.0-76.0) in the good outcome group (GOG) and 57.0 (39.5-84.8) in the poor outcome group (POG). In addition, there were 23 (71.9%) and five (62.5%) men in the GOG and the POG, respectively.
Among clinical characteristics, initial neurological status and endotracheal intubation differed significantly by prognosis (P=0.019 and P=0.001, respectively). Among laboratory findings, arterial bicarbonate ion level, platelet count, and aspartate aminotransferase level were differed significantly by prognosis (P=0.003, P=0.005, and P=0.009, respectively).
Conclusion: An initial decline in consciousness, conducting endotracheal intubation, decreased arterial bicarbonate ion level or platelet count, as well as increased aspartate aminotransferase levels were poor prognosis factors of heat stroke patients in the acute stage. Emergency physicians should be careful when managing these patients.
목차
등록된 정보가 없습니다.
참고문헌 (29)
참고문헌 신청
Patz JA / 2005 / Impact of regional climate change on human health / Nature 438:310~317
Astrom DO / 2011 / Heat wave impact on morbidity and mortality in the elderly population: a review of recent studies / Maturitas 69:99~105
Yaqub B / 1998 / Heat strokes: aetiopathogenesis, neurological characteristics, treatment and outcome / J Neurol Sci 156:144~151
조유환 / 2003 / 운동 유발성 열사병 환자의 예후 관련 요인에 대한 연구 / 대한응급의학회지 14(4):409~414
People's Liberation Army Professional Committee of Critical Care Medicine / 2016 / Expert consensus on standardized diagnosis and treatment for heat stroke / Mil Med Res 3:1
Astrom DO / 2011 / Heat wave impact on morbidity and mortality in the elderly population: a review of recent studies / Maturitas 69:99~105
Yaqub B / 1998 / Heat strokes: aetiopathogenesis, neurological characteristics, treatment and outcome / J Neurol Sci 156:144~151
조유환 / 2003 / 운동 유발성 열사병 환자의 예후 관련 요인에 대한 연구 / 대한응급의학회지 14(4):409~414
People's Liberation Army Professional Committee of Critical Care Medicine / 2016 / Expert consensus on standardized diagnosis and treatment for heat stroke / Mil Med Res 3:1
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