בשל "הגנת זכויות יוצרים" מובא להלן קישור לתקציר המאמר. לקריאתו בטקסט מלא, אנא פנה/י לספרייה הרפואית הזמינה לך.
Carbon monoxide is a gas produced by the combustion of hydrocarbon products that binds to heme molecules, 240 times more than oxygen, producing carboxyhemoglobin (COHb).
As a result of its high affinity, there is shift of the oxyhemoglobin dissociation curve, compromising oxygen transport and delivery to tissues.
Our study aim was to evaluate COHb elevation on admission as a predictor of worse outcomes in burn patients.
This is a 10-year retrospective review of the American Burn Association Burn Registry from 2002 to 2011.
We stratified the patients into 2 groups: adult patients with normal COHb on admission (group 1) versus elevated COHb (group 2).
Elevated COHb levels were defined as greater than 10% on the first arterial blood gas.
Outcome measures included in-hospital mortality rate, hospital length of stay (LOS), intensive care unit LOS (ICU-LOS), and ventilator days. χ2 and t test analyses were used with significance defined as a P value of less than 0.05.