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Carbon monoxide poisoning: beyond survival - mortality, morbidities, and risk factors, a Turkey sample

BACKGROUND: We aimed to investigate the effect of poisoning on mortality leading to new morbidities in people who survived the poisoning. METHODS: The descriptive-retrospective study evaluated all carbon monoxide poisoning cases between 2012 and 2022 in the Adiyaman. For the fatality, all cases were...

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Autores principales: Öz, Erdoğan, Küçükkelepçe, Osman, Kurt, Osman, Vural, Aşkı
Formato: Online Artículo Texto
Lenguaje:English
Publicado: PeerJ Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10542819/
https://www.ncbi.nlm.nih.gov/pubmed/37790623
http://dx.doi.org/10.7717/peerj.16093
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author Öz, Erdoğan
Küçükkelepçe, Osman
Kurt, Osman
Vural, Aşkı
author_facet Öz, Erdoğan
Küçükkelepçe, Osman
Kurt, Osman
Vural, Aşkı
author_sort Öz, Erdoğan
collection PubMed
description BACKGROUND: We aimed to investigate the effect of poisoning on mortality leading to new morbidities in people who survived the poisoning. METHODS: The descriptive-retrospective study evaluated all carbon monoxide poisoning cases between 2012 and 2022 in the Adiyaman. For the fatality, all cases were followed up through Turkey’s death notification system until the end of 2022. One-year health records of cases treated as inpatients in Adiyaman hospitals were analyzed for nine diagnoses. A total of 4,395 carbon monoxide cases, recorded over 11 years, were all noted to be accidental cases. RESULTS: The rate of carbon monoxide poisoning in Adıyaman was calculated as 63.2 per hundred thousand. A total of 87 (2%) of the cases died. The population’s hospitalization rate was 1.71, while the mortality rate was 1.25 in a hundred thousand. Among the cases, the hospitalization rate was 2.7, and the admission to intensive care rate was 1.7. The fatality rate was 6.5% for those hospitalized and 12.2% for those admitted to the intensive care unit. The highest fatality rate was 65.5% in patients aged 65 and above. One out of five morbidities was developed in 8.4% of cases within one year. The fatality rate of those who developed morbidities (40%) was higher than those who did not (5.5%). Being male posed a 1,886-fold risk for mortality, and each increase in age posed a 1,086-fold risk for mortality. CONCLUSION: Individuals who had carbon monoxide poisoning should be followed up closely for one year after poisoning due to the possibility of the emergence of new morbidities that increase the risk of mortality.
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spelling pubmed-105428192023-10-03 Carbon monoxide poisoning: beyond survival - mortality, morbidities, and risk factors, a Turkey sample Öz, Erdoğan Küçükkelepçe, Osman Kurt, Osman Vural, Aşkı PeerJ Toxicology BACKGROUND: We aimed to investigate the effect of poisoning on mortality leading to new morbidities in people who survived the poisoning. METHODS: The descriptive-retrospective study evaluated all carbon monoxide poisoning cases between 2012 and 2022 in the Adiyaman. For the fatality, all cases were followed up through Turkey’s death notification system until the end of 2022. One-year health records of cases treated as inpatients in Adiyaman hospitals were analyzed for nine diagnoses. A total of 4,395 carbon monoxide cases, recorded over 11 years, were all noted to be accidental cases. RESULTS: The rate of carbon monoxide poisoning in Adıyaman was calculated as 63.2 per hundred thousand. A total of 87 (2%) of the cases died. The population’s hospitalization rate was 1.71, while the mortality rate was 1.25 in a hundred thousand. Among the cases, the hospitalization rate was 2.7, and the admission to intensive care rate was 1.7. The fatality rate was 6.5% for those hospitalized and 12.2% for those admitted to the intensive care unit. The highest fatality rate was 65.5% in patients aged 65 and above. One out of five morbidities was developed in 8.4% of cases within one year. The fatality rate of those who developed morbidities (40%) was higher than those who did not (5.5%). Being male posed a 1,886-fold risk for mortality, and each increase in age posed a 1,086-fold risk for mortality. CONCLUSION: Individuals who had carbon monoxide poisoning should be followed up closely for one year after poisoning due to the possibility of the emergence of new morbidities that increase the risk of mortality. PeerJ Inc. 2023-09-28 /pmc/articles/PMC10542819/ /pubmed/37790623 http://dx.doi.org/10.7717/peerj.16093 Text en ©2023 Öz et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, reproduction and adaptation in any medium and for any purpose provided that it is properly attributed. For attribution, the original author(s), title, publication source (PeerJ) and either DOI or URL of the article must be cited.
spellingShingle Toxicology
Öz, Erdoğan
Küçükkelepçe, Osman
Kurt, Osman
Vural, Aşkı
Carbon monoxide poisoning: beyond survival - mortality, morbidities, and risk factors, a Turkey sample
title Carbon monoxide poisoning: beyond survival - mortality, morbidities, and risk factors, a Turkey sample
title_full Carbon monoxide poisoning: beyond survival - mortality, morbidities, and risk factors, a Turkey sample
title_fullStr Carbon monoxide poisoning: beyond survival - mortality, morbidities, and risk factors, a Turkey sample
title_full_unstemmed Carbon monoxide poisoning: beyond survival - mortality, morbidities, and risk factors, a Turkey sample
title_short Carbon monoxide poisoning: beyond survival - mortality, morbidities, and risk factors, a Turkey sample
title_sort carbon monoxide poisoning: beyond survival - mortality, morbidities, and risk factors, a turkey sample
topic Toxicology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10542819/
https://www.ncbi.nlm.nih.gov/pubmed/37790623
http://dx.doi.org/10.7717/peerj.16093
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