Descriptive Study of Prognostic Factors of Exertional Heat Stroke in Military Personnel
Journal of the Korean Society of Emergency Medicine
;
: 409-414, 2003.
Artigo
em Coreano
| WPRIM
| ID: wpr-86448
ABSTRACT
PURPOSE:
This study was designed to evaluate the characteristics of exertional heat stroke between the non-survival and the survival groups.METHODS:
From January 1996 to December 2002, patients with exertional heat stroke who came to the emergency department of a military hospital were enrolled. Data on individual factors, atmospheric conditions, pre-hospital management, initial vital signs, laboratory findings, presence of seizure attack, and performance of intubation were reviewed retrospectively and compared between the nonsurvival and the survival groups.RESULTS:
During the study period, 22 patients were diagnosed as suffering from exertional heat stroke and 5 patients died. Most of the episodes occurred during the summer days with high ambient temperature (mean 30.6+/-3.0 degrees C) and humidity (mean 75.6+/-7.7%), and 13 patients were unacclimatized recruits. The non-survival group showed a lower initial systolic blood pressure, platelet count, arterial pH, and HCO3 - level, and a higher serum creatinine, ALT, and amylase level than did the survival group (p<0.05). However there were no significant differences in individual factors, atmospheric conditions, pre-hospital management, initial pulse rate, temperature, white blood cell count, hemoglobin count, and the sodium, potassium, BUN and AST levels between the two groups.CONCLUSION:
Initial systolic blood pressure, platelet count, and arterial pH, as well as HCO3 -, serum creatinine, ALT, and amylase levels seem to be important factors for the prognosis of exertional heat stroke.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Contagem de Plaquetas
/
Potássio
/
Prognóstico
/
Convulsões
/
Sódio
/
Pressão Sanguínea
/
Estudos Retrospectivos
/
Golpe de Calor
/
Creatinina
/
Serviço Hospitalar de Emergência
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Society of Emergency Medicine
Ano de publicação:
2003
Tipo de documento:
Artigo
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