@article{ref1,
title="Predictive factors for determining the clinical severity of pediatric scorpion envenomation cases in southeastern Turkey",
journal="Wilderness and environmental medicine",
year="2015",
author="Çağlar, Aykut and Köse, Halil and Babayiğit, Aslan and Öner, Taliha and Duman, Murat",
volume="26",
number="4",
pages="451-458",
abstract="OBJECTIVE: The aim of this study was to define the epidemiological, clinical, and laboratory manifestations of scorpion envenomation and to identify factors that are predictive of severe cases. <br><br>METHODS: The medical files of 41 scorpion envenomation cases were reviewed retrospectively. The cases were classified as mild-moderate or severe. The epidemiological, clinical, and laboratory findings of patients were recorded. <br><br>RESULTS: There were 27 patients (65.9%) in the mild-moderate group and 14 patients (34.1%) in the severe group. The median age of all patients was 48 months. The most common systemic finding was cold extremities (41.5%). In all patients, the most commonly observed dysrhythmia was sinus tachycardia (34.1%). Two patients (4.9%) had pulseless ventricular tachycardia and died. Pulmonary edema and myocarditis were observed in 9 patients (22%). Median values of leukocyte and glucose levels were markedly increased in the severe group. Additionally, the mean thrombocyte level (540,857 ± 115,261 cells/mm(3)) in the severe group was significantly increased compared with the mild-moderate group (391,365 ± 150,017 cells/mm(3)). Thrombocyte levels exhibited a positive correlation with leukocyte and glucose values and a negative correlation with patient left ventricular ejection fraction. Multivariate analysis of laboratory parameters indicated that the most predictive factor for clinical severity is thrombocytosis (odds ratio 23.9; 95% CI: 1.6-353.5, P =.021). <br><br>CONCLUSIONS: Although our results share some similarities with those of other reports, thrombocytosis was markedly increased in the severe group and served as the most predictive laboratory factor of clinical severity.<p /> <p>Language: en</p>",
language="en",
issn="1080-6032",
doi="10.1016/j.wem.2015.04.005",
url="http://dx.doi.org/10.1016/j.wem.2015.04.005"
}