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Is there any relationship between initial hematological parameters and severity of scorpion envenomation?

Authors
  • Horoz, Özden Özgür1
  • Yıldızdaş, Dinçer1
  • Aslan, Nagehan1
  • Gökay, Sinem Sarı2
  • Ekinci, Faruk1
  • Erdem, Sevcan3
  • Haytoğlu, Zeliha4
  • Sertdemir, Yaşar5
  • Yılmaz, Hayri Levent2
  • 1 Divisions of Pediatric Intensive Care Unit, Çukurova University Faculty of Medicine, Adana, Turkey. , (Turkey)
  • 2 Divisions of Pediatric Emergency, Çukurova University Faculty of Medicine, Adana, Turkey. , (Turkey)
  • 3 Divisions of Pediatric Cardiology,Çukurova University Faculty of Medicine, Adana, Turkey. , (Turkey)
  • 4 Department of Pediatric, Çukurova University Faculty of Medicine, Adana, Turkey. , (Turkey)
  • 5 Department of Biostatistics, Çukurova University Faculty of Medicine, Adana, Turkey. , (Turkey)
Type
Published Article
Journal
The Turkish Journal of Pediatrics
Publisher
The Turkish Journal of Pediatrics
Publication Date
Jan 01, 2020
Volume
62
Issue
3
Pages
394–404
Identifiers
DOI: 10.24953/turkjped.2020.03.006
PMID: 32558413
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Most cases of severe scorpion envenomation occur in children and are associated with significant morbidity and mortality. Excessive systemic inflammatory response, which leads to multiple organ involvement, is an emerging challenge during severe envenomation. The aim of this study was to investigate if there was any relationship between initial hematological parameters and severe envenomation in pediatric patients presenting with scorpion envenomation. This study was performed retrospectively, at the pediatric emergency unit and pediatric intensive care unit of the Çukurova University Medical School in Turkey. Two hundred and fifty-seven cases with scorpion envenomation, and a control group consisting of one hundred and fifteen healthy children were included in the study. White blood cell, neutrophil, lymphocyte, platelet, neutrophil/lymphocyte ratio (NLR), platelet/ lymphocyte ratio (PLR) and PDW values of patients were higher than the controls (p < 0.05). Mean NLR was 3.8 ± 4.7 in patients. Patients were analyzed with the help of the decision tree model, and it was seen that in patients who had applied to hospital in less than an hour after the scorpion sting, 87.5% of the patients whose NLR value was between the 0.519-1.969 interval (below 2.1 which we found as the cut-off value) did not need to be hospitalized in the intensive care unit, 54.1% of the patients whose NLR value was higher than 1.969 needed to be hospitalized at the intensive care unit. Severe envenomation is associated with mortality and morbidity in children. Our findings showed that NLR seems to be a useful tool in predicting severe envenomation.

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