Yıl: 2021 Cilt: 43 Sayı: 1 Sayfa Aralığı: 13 - 19 Metin Dili: İngilizce DOI: 10.14744/etd.2020.52993 İndeks Tarihi: 27-01-2022

Impaired Renal Function in Outpatients with AcuteCarbon Monoxide Poisoning

Öz:
Objective: The study aims to investigate the incidence of early stage kidney disease in outpatients with acute carbon monoxide poisoning (CMP) and to assess whether the Chronic Kidney Disease Epidemiology Collaboration formula (CKD-EPI)values of these patients had any impact on the time taken for their discharge. Materials and Methods: This retrospective case–control study consisted of a total of 94 patients (47 patients with carbonmonoxide poisoning induced by exposure to incompletely burned coal, and 47 age-and sex-matched controls). Patient detailsincluding age, CKD-EPI value, hemoglobin, carboxyhemoglobin (COHb), lactate, pH, SaO2, pO2 pCO2, BE, HCO3, glucose,AST, ALT, amylase, ALP, BUN, creatinine, Na, K, Cl, CK, CK-MB, troponin, uric acid levels and duration of follow-upwere recorded. The post-hoc power analysis was calculated using G*Power 3.1.9.2 based on the difference between the twomeans by Wilcoxon–Mann–Whitney test. A Kaplan–Meier survival curve was plotted and test of equality of survival distributions for the different levels of CKD-EPI was compared. Results: The mean age and mean COHb values of the study group were 37.24±12.91 and 21.45±9.89, respectively.The CKD-EPI values were lower in patients belonging to the CMP group (101.39±19.53) compared to the control group(114.92±14.81) (p=0.017), 92% power level, d=0.781, 95% confidence intervals (CI) on the difference between means(-23.01/-4.04). The duration of follow-up of patients with CMP was 29.04±9.7 hours. There was a significant relationshipbetween the follow-up duration of patients with CMP in the emergency department and their CKD-EPI levels (Log-rank/ Mantel–Cox, p<0.001). Conclusion: CKD-EPI-values are reduced as a result of impaired renal function in outpatients with CMP in the early stages.Thus, long-term nephrology follow-up should be performed in outpatients diagnosed with CMP. Further investigations maybe required to rule out possible chronic kidney disease (CKD) associated with impaired renal function induced by acute CMP
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  • 1. Reumuth G, Alharbi Z, Houschyar KS, Kim BS, Siemers F, Fuchs PC, et al. Carbon monoxide intoxication: What we know. Burns 2019; 45(3): 526–30.
  • 2. Rose JJ, Wang L, Xu Q, McTiernan CF, Shiva S, Tejero J, et al. Carbon Monoxide Poisoning: Pathogenesis, Management, and Future Directions of Therapy. Am J Respir Crit Care Med 2017; 195(5): 596–606.
  • 3. Stearns D, Sircar K. National unintentional carbon monoxide poisoning estimates using hospitalization and emergency department data. Am J Emerg Med 2019; 37(3): 421–6.
  • 4. Sekiya K, Nishihara T, Abe N, Konishi A, Nandate H, Hamada T, et al. Carbon monoxide poisoning-induced delayed encephalopathy accompanies decreased microglial cell numbers: Distinctive pathophysiological features from hypoxemia-induced brain damage. Brain Res 2019; 1710: 22–32.
  • 5. Kim YJ, Sohn CH, Seo DW, Oh BJ, Lim KS, Chang JW, et al. Analysis of the development and progression of carbon monoxide poisoningrelated acute kidney injury according to the Kidney Disease Improving Global Outcomes (KDIGO) criteria. Clin Toxicol (Phila) 2018; 56(8): 759–64.
  • 6. Kim SG, Woo J, Kang GW. A case report on the acute and late complications associated with carbon monoxide poisoning: Acute kidney injury, rhabdomyolysis, and delayed leukoencephalopathy. Medicine (Baltimore) 2019; 98(19): e15551.
  • 7. Pottel H, Björk J, Bökenkamp A, Berg U, Åsling-Monemi K, Selistre L, et al. Estimating glomerular filtration rate at the transition from pediatric to adult care. Kidney Int 2019; 95(5): 1234–43.
  • 8. Jalalonmuhali M, Lim SK, Md Shah MN, Ng KP. MDRD vs. CKDEPI in comparison to 51Chromium EDTA: a cross sectional study of Malaysian CKD cohort. BMC Nephrol 2017; 18(1): 363.
  • 9. Park SY, Lee KW. Renal assessment using CKD-EPI equation is useful as an early predictor of contrast- induced nephropathy in elderly patients with cancer. J Geriatr Oncol 2017; 8(1): 44–9.
  • 10. Hutton LG, Porter CA, Morgan AJ, Bradley KM, McGowan DR. An investigation into the accuracy of using serum creatinine estimated glomerular filtration rate to predict measured glomerular filtration rate. Nucl Med Commun 2019; 40(4): 349–52.
  • 11. Drosos G, Ampatzidou F, Sarafidis P, Karaiskos T, Madesis A, Boutou AK. Serum Creatinine and Chronic Kidney Disease-Epidemiology Estimated Glomerular Filtration Rate: Independent Predictors of Renal Replacement Therapy following Cardiac Surgery. Am J Nephrol 2018; 48(2): 108–17.
  • 12. Lee HW, Choi SM, Lee J, Park YS, Lee CH, Yim JJ, et al. Serum Uric Acid Level as a Prognostic Marker in Patients With Acute Respiratory Distress Syndrome. J Intensive Care Med 2019; 34(5): 404–10.
  • 13. Kheirmand Parizi M, Akbari H, Malek-Mohamadi M, Kheirmand Parizi M, Kakoei S. Association of salivary levels of immunoglobulin-a and amylase with oral-dental manifestations in patients with controlled and non-controlled type 2 diabetes. BMC Oral Health 2019; 19(1): 175.
  • 14. Permentier K, Vercammen S, Soetaert S, Schellemans C. Carbon dioxide poisoning: a literature review of an often forgotten cause of intoxication in the emergency department. Int J Emerg Med 2017; 10(1): 14.
  • 15. Jung JW, Lee JH. Serum lactate as a predictor of neurologic outcome in ED patients with acute carbon monoxide poisoning. Am J Emerg Med 2019; 37(5): 823–7
APA GÜNAY N, KALE A, Günay N (2021). Impaired Renal Function in Outpatients with AcuteCarbon Monoxide Poisoning. , 13 - 19. 10.14744/etd.2020.52993
Chicago GÜNAY Nahide Ekici,KALE Aykut,Günay Nurullah Impaired Renal Function in Outpatients with AcuteCarbon Monoxide Poisoning. (2021): 13 - 19. 10.14744/etd.2020.52993
MLA GÜNAY Nahide Ekici,KALE Aykut,Günay Nurullah Impaired Renal Function in Outpatients with AcuteCarbon Monoxide Poisoning. , 2021, ss.13 - 19. 10.14744/etd.2020.52993
AMA GÜNAY N,KALE A,Günay N Impaired Renal Function in Outpatients with AcuteCarbon Monoxide Poisoning. . 2021; 13 - 19. 10.14744/etd.2020.52993
Vancouver GÜNAY N,KALE A,Günay N Impaired Renal Function in Outpatients with AcuteCarbon Monoxide Poisoning. . 2021; 13 - 19. 10.14744/etd.2020.52993
IEEE GÜNAY N,KALE A,Günay N "Impaired Renal Function in Outpatients with AcuteCarbon Monoxide Poisoning." , ss.13 - 19, 2021. 10.14744/etd.2020.52993
ISNAD GÜNAY, Nahide Ekici vd. "Impaired Renal Function in Outpatients with AcuteCarbon Monoxide Poisoning". (2021), 13-19. https://doi.org/10.14744/etd.2020.52993
APA GÜNAY N, KALE A, Günay N (2021). Impaired Renal Function in Outpatients with AcuteCarbon Monoxide Poisoning. Erciyes Medical Journal, 43(1), 13 - 19. 10.14744/etd.2020.52993
Chicago GÜNAY Nahide Ekici,KALE Aykut,Günay Nurullah Impaired Renal Function in Outpatients with AcuteCarbon Monoxide Poisoning. Erciyes Medical Journal 43, no.1 (2021): 13 - 19. 10.14744/etd.2020.52993
MLA GÜNAY Nahide Ekici,KALE Aykut,Günay Nurullah Impaired Renal Function in Outpatients with AcuteCarbon Monoxide Poisoning. Erciyes Medical Journal, vol.43, no.1, 2021, ss.13 - 19. 10.14744/etd.2020.52993
AMA GÜNAY N,KALE A,Günay N Impaired Renal Function in Outpatients with AcuteCarbon Monoxide Poisoning. Erciyes Medical Journal. 2021; 43(1): 13 - 19. 10.14744/etd.2020.52993
Vancouver GÜNAY N,KALE A,Günay N Impaired Renal Function in Outpatients with AcuteCarbon Monoxide Poisoning. Erciyes Medical Journal. 2021; 43(1): 13 - 19. 10.14744/etd.2020.52993
IEEE GÜNAY N,KALE A,Günay N "Impaired Renal Function in Outpatients with AcuteCarbon Monoxide Poisoning." Erciyes Medical Journal, 43, ss.13 - 19, 2021. 10.14744/etd.2020.52993
ISNAD GÜNAY, Nahide Ekici vd. "Impaired Renal Function in Outpatients with AcuteCarbon Monoxide Poisoning". Erciyes Medical Journal 43/1 (2021), 13-19. https://doi.org/10.14744/etd.2020.52993