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Retrospective study of prognosis and relating factors of cardiac complications associated with electrical injuries at a single centre in Korea
OBJECTIVES: To date, no research has investigated the association between cardiac complication and electrical injury; hence, we aimed to assess the consequences and relating factors of cardiac complications from electrical injuries in South Korea. DESIGN: Retrospective single-centre study. PARTICIPA...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6624029/ https://www.ncbi.nlm.nih.gov/pubmed/31296510 http://dx.doi.org/10.1136/bmjopen-2018-028741 |
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author | Choi, Jae Hyuk Han, Donghoon Kang, Si-Hyuck Yoon, Chang-Hwan Cho, Jung Rae Kym, Dohern |
author_facet | Choi, Jae Hyuk Han, Donghoon Kang, Si-Hyuck Yoon, Chang-Hwan Cho, Jung Rae Kym, Dohern |
author_sort | Choi, Jae Hyuk |
collection | PubMed |
description | OBJECTIVES: To date, no research has investigated the association between cardiac complication and electrical injury; hence, we aimed to assess the consequences and relating factors of cardiac complications from electrical injuries in South Korea. DESIGN: Retrospective single-centre study. PARTICIPANTS: 721 patients who had electrical injury–related admission during 2007–2017. An electronic medical record system was used to extract records of patients admitted for electrical injury treatment. RESULTS: Cardiac complications included abnormal parameters of myocardial damage, abnormal regional wall motion detected via echocardiogram, dysrhythmia (eg, bradycardia, atrial flutter/fibrillation) and ventricular tachycardia or fibrillation. Overall, 107 patients (14.8%) experienced cardiac complications. The average admission duration and intensive care unit stay duration were significantly longer in patients with cardiac complications than in those without them (75.0±45.3 vs 56.6±48.0 days and 19.3±24.1 vs 10.4±15.5 days, respectively, p<0.01 for both). Of the total cardiac cases, 72.9% had Troponin I elevation, 3.7% had regional wall motion abnormality, and 5.6% had atrial flutter/fibrillation. Overall, seven patients from the cardiac complication group and three patients from the control group died (p=0.01). All deaths occurred within 32 days, and the most common cause of death was septic shock. Total body surface area (TBSA) was only positively related factor to cardiac complications. CONCLUSION: This study is the first in South Korea to reveal that electrical accident patients with cardiac complications experience poorer in-hospital prognosis, and TBSA was the only risk factor of cardiac complications. And initial treatment for infection and inflammations could be important in electrical injury. |
format | Online Article Text |
id | pubmed-6624029 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-66240292019-07-28 Retrospective study of prognosis and relating factors of cardiac complications associated with electrical injuries at a single centre in Korea Choi, Jae Hyuk Han, Donghoon Kang, Si-Hyuck Yoon, Chang-Hwan Cho, Jung Rae Kym, Dohern BMJ Open Public Health OBJECTIVES: To date, no research has investigated the association between cardiac complication and electrical injury; hence, we aimed to assess the consequences and relating factors of cardiac complications from electrical injuries in South Korea. DESIGN: Retrospective single-centre study. PARTICIPANTS: 721 patients who had electrical injury–related admission during 2007–2017. An electronic medical record system was used to extract records of patients admitted for electrical injury treatment. RESULTS: Cardiac complications included abnormal parameters of myocardial damage, abnormal regional wall motion detected via echocardiogram, dysrhythmia (eg, bradycardia, atrial flutter/fibrillation) and ventricular tachycardia or fibrillation. Overall, 107 patients (14.8%) experienced cardiac complications. The average admission duration and intensive care unit stay duration were significantly longer in patients with cardiac complications than in those without them (75.0±45.3 vs 56.6±48.0 days and 19.3±24.1 vs 10.4±15.5 days, respectively, p<0.01 for both). Of the total cardiac cases, 72.9% had Troponin I elevation, 3.7% had regional wall motion abnormality, and 5.6% had atrial flutter/fibrillation. Overall, seven patients from the cardiac complication group and three patients from the control group died (p=0.01). All deaths occurred within 32 days, and the most common cause of death was septic shock. Total body surface area (TBSA) was only positively related factor to cardiac complications. CONCLUSION: This study is the first in South Korea to reveal that electrical accident patients with cardiac complications experience poorer in-hospital prognosis, and TBSA was the only risk factor of cardiac complications. And initial treatment for infection and inflammations could be important in electrical injury. BMJ Publishing Group 2019-07-10 /pmc/articles/PMC6624029/ /pubmed/31296510 http://dx.doi.org/10.1136/bmjopen-2018-028741 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Public Health Choi, Jae Hyuk Han, Donghoon Kang, Si-Hyuck Yoon, Chang-Hwan Cho, Jung Rae Kym, Dohern Retrospective study of prognosis and relating factors of cardiac complications associated with electrical injuries at a single centre in Korea |
title | Retrospective study of prognosis and relating factors of cardiac complications associated with electrical injuries at a single centre in Korea |
title_full | Retrospective study of prognosis and relating factors of cardiac complications associated with electrical injuries at a single centre in Korea |
title_fullStr | Retrospective study of prognosis and relating factors of cardiac complications associated with electrical injuries at a single centre in Korea |
title_full_unstemmed | Retrospective study of prognosis and relating factors of cardiac complications associated with electrical injuries at a single centre in Korea |
title_short | Retrospective study of prognosis and relating factors of cardiac complications associated with electrical injuries at a single centre in Korea |
title_sort | retrospective study of prognosis and relating factors of cardiac complications associated with electrical injuries at a single centre in korea |
topic | Public Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6624029/ https://www.ncbi.nlm.nih.gov/pubmed/31296510 http://dx.doi.org/10.1136/bmjopen-2018-028741 |
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