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Elevated body temperature and leukocyte count are associated with elevated creatine kinase after seizures
OBJECTIVE: To evaluate the independent risk factors for elevated creatine kinase (hyperCKemia) after seizures. METHODS: Data included in this retrospective study were obtained from two hospitals from July 1, 2017, to March 31, 2022. Clinical and laboratory data were acquired from the emergency depar...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9834749/ https://www.ncbi.nlm.nih.gov/pubmed/36643300 http://dx.doi.org/10.1016/j.heliyon.2022.e12509 |
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author | Wang, Lei Lu, Yanan Yang, Yujing Li, Hanli Wang, Yu |
author_facet | Wang, Lei Lu, Yanan Yang, Yujing Li, Hanli Wang, Yu |
author_sort | Wang, Lei |
collection | PubMed |
description | OBJECTIVE: To evaluate the independent risk factors for elevated creatine kinase (hyperCKemia) after seizures. METHODS: Data included in this retrospective study were obtained from two hospitals from July 1, 2017, to March 31, 2022. Clinical and laboratory data were acquired from the emergency department or within 24 h after patient admission. Variables that exhibited statistical differences (P < 0.05) were selected for further analysis. Associations between body temperature (BT), leukocyte count (LEU), percentage of neutrophils (NEU), and C-reactive protein (CRP) and creatine kinase (CK) levels were assessed using binary logistic regression analysis. RESULTS: One hundred twenty-three patients who exhibited seizures were included in the study, and 39 (31.7%) patients exhibited hyperCKemia based on a CK level that was >1.5 times the upper limit of the normal range for CK. No statistical differences were observed among the patient characteristics, seizure-related parameters, or electrolyte levels. However, BT, LEU, NEU, and CRP were elevated in patients with hyperCKemia compared to patients with normal CK levels. Specifically, a BT ≥ 37.5 °C (fever) and LEU >9.5×10(9)/L (elevated LEU) exhibited positive correlations with hyperCKemia, and presented an adjusted OR of 8.87 (95% CI: 2.11–37.24, P = 0.003) and 3.01 (95% CI: 1.12–8.05, P = 0.029), respectively. CONCLUSION: In this study, hyperCKemia occurred in 31.7% of patients after seizures. Fever and elevated LEU were independent risk factors for seizure-related hyperCKemia. Earlier recognition of risks for seizure-related hyperCKemia would be beneficial in taking prophylactic measures. |
format | Online Article Text |
id | pubmed-9834749 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-98347492023-01-13 Elevated body temperature and leukocyte count are associated with elevated creatine kinase after seizures Wang, Lei Lu, Yanan Yang, Yujing Li, Hanli Wang, Yu Heliyon Research Article OBJECTIVE: To evaluate the independent risk factors for elevated creatine kinase (hyperCKemia) after seizures. METHODS: Data included in this retrospective study were obtained from two hospitals from July 1, 2017, to March 31, 2022. Clinical and laboratory data were acquired from the emergency department or within 24 h after patient admission. Variables that exhibited statistical differences (P < 0.05) were selected for further analysis. Associations between body temperature (BT), leukocyte count (LEU), percentage of neutrophils (NEU), and C-reactive protein (CRP) and creatine kinase (CK) levels were assessed using binary logistic regression analysis. RESULTS: One hundred twenty-three patients who exhibited seizures were included in the study, and 39 (31.7%) patients exhibited hyperCKemia based on a CK level that was >1.5 times the upper limit of the normal range for CK. No statistical differences were observed among the patient characteristics, seizure-related parameters, or electrolyte levels. However, BT, LEU, NEU, and CRP were elevated in patients with hyperCKemia compared to patients with normal CK levels. Specifically, a BT ≥ 37.5 °C (fever) and LEU >9.5×10(9)/L (elevated LEU) exhibited positive correlations with hyperCKemia, and presented an adjusted OR of 8.87 (95% CI: 2.11–37.24, P = 0.003) and 3.01 (95% CI: 1.12–8.05, P = 0.029), respectively. CONCLUSION: In this study, hyperCKemia occurred in 31.7% of patients after seizures. Fever and elevated LEU were independent risk factors for seizure-related hyperCKemia. Earlier recognition of risks for seizure-related hyperCKemia would be beneficial in taking prophylactic measures. Elsevier 2022-12-22 /pmc/articles/PMC9834749/ /pubmed/36643300 http://dx.doi.org/10.1016/j.heliyon.2022.e12509 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Research Article Wang, Lei Lu, Yanan Yang, Yujing Li, Hanli Wang, Yu Elevated body temperature and leukocyte count are associated with elevated creatine kinase after seizures |
title | Elevated body temperature and leukocyte count are associated with elevated creatine kinase after seizures |
title_full | Elevated body temperature and leukocyte count are associated with elevated creatine kinase after seizures |
title_fullStr | Elevated body temperature and leukocyte count are associated with elevated creatine kinase after seizures |
title_full_unstemmed | Elevated body temperature and leukocyte count are associated with elevated creatine kinase after seizures |
title_short | Elevated body temperature and leukocyte count are associated with elevated creatine kinase after seizures |
title_sort | elevated body temperature and leukocyte count are associated with elevated creatine kinase after seizures |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9834749/ https://www.ncbi.nlm.nih.gov/pubmed/36643300 http://dx.doi.org/10.1016/j.heliyon.2022.e12509 |
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