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1477 Prognostic Value of Initial Arterial Lactate Levels of Acute Carbon Monoxide Poisoning in Children
  1. S Sahin
  1. Eskisehir Osmangazi University, Eskisehir, Turkey

Abstract

Aim The present study was aimed to compare the prognostic values of lactate and carboxyhemoglobin levels on clinical neurological and cardiac involvement in children with carbon monoxide poisoning.

Methods Totally 77 children aged to 1 month and 17 years who referred to Paediatric Emergency Department (PED) between 1 April 2009 and 30 April 2011 and diagnosed with carbon monoxide intoxication were assessed for age, gender, symptoms, clinical findings, blood gas lactate levels, carboxyhemoglobin levels, morbidity and mortality.

Results There was a significant positive correlation between initial lactate levels in blood gas analysis and early and late complications, neurological and cardiac involvements and morbidity compared to carboxyhemoglobin levels.

Discussion The initial lactate levels have higher prognostic value for cardiac involvement and late neurological sequelae compared to carboxyhemoglobin and it may be helpful for treatment.

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