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Effectiveness of repeated antivenom therapy for snakebite-related systemic complications

Title
Effectiveness of repeated antivenom therapy for snakebite-related systemic complications
Author
최혁중
Keywords
Snakebite; antivenom; length of stay; repeated therapy; mamushi; venom-induced consumption coagulopathy; rhabdomyolysis
Issue Date
2019-10
Publisher
SAGE PUBLICATIONS LTD
Citation
JOURNAL OF INTERNATIONAL MEDICAL RESEARCH, v. 47, no. 10, Page. 4808-4814
Abstract
Objective This study aimed to determine the effect of repeated antivenom therapy compared with that of single antivenom therapy for treating snakebite-related systemic complications. Methods A retrospective medical record review from January 2008 to September 2016 was performed. Patients with snakebite injury who visited the Emergency Department in one tertiary center of Korea were included. The primary outcome was the survival rate. The secondary outcome was the effect of repeated antivenom therapy for treating snakebite-related systemic complications compared with that of single antivenom therapy on hospital length of stay. Results A total of 110 patients with snakebites were included. All patients survived to discharge. Twenty-nine (26.4%) patients had snakebite-related systemic complications. Of these, nine patients received repeated antivenom therapy and 20 patients received single antivenom therapy. The length of stay was significantly longer in those who received repeated antivenom therapy compared with those who received single antivenom therapy (10.0 [4.0-11.0] vs. 3.5 [0-7.0] days). Conclusion We were unable to demonstrate any superiority of repeated versus single antivenom therapy. However, repeated antivenom therapy is associated with a longer hospital stay. The reason for this finding is unknown.
URI
https://journals.sagepub.com/doi/10.1177/0300060519870012https://repository.hanyang.ac.kr/handle/20.500.11754/154590
ISSN
0300-0605; 1473-2300
DOI
10.1177/0300060519870012
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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