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Risk of Venous Thromboembolism After Carbon Monoxide Poisoning: A Nationwide Population-Based Study.

Title
Risk of Venous Thromboembolism After Carbon Monoxide Poisoning: A Nationwide Population-Based Study.
Author
오재훈
Keywords
PLASMATIC COAGULATION; EMERGENCY-DEPARTMENT; THROMBUS; HYPERCOAGULATION; FIBRINOLYSIS; MANAGEMENT; PATIENT; HEART
Issue Date
2020-05
Publisher
MOSBY-ELSEVIER
Citation
ANNALS OF EMERGENCY MEDICINE, v. 75, no. 5, Page. 587-596
Abstract
Study objective: Few studies have investigated the association between carbon monoxide (CO) poisoning and risk of venous thromboembolism. We aim to identify the risk of pulmonary embolism and deep venous thrombosis after CO poisoning. Methods: We conducted a nationwide cohort-crossover study using administrative claims data in Korea. We compared the risk of venous thromboembolism (pulmonary embolism or deep venous thrombosis) in the cohort period after CO poisoning to that of the same period 1 year later (crossover period), using conditional logistic regression analysis. Results: We included 22,699 patients with a diagnosis of CO poisoning during the study period between 2004 and 2015. The risk of venous thromboembolism was significantly elevated during days 0 to 90 after CO poisoning (odds ratio 3.96; 95% confidence interval 2.50 to 6.25). However, this risk was not significantly elevated during subsequent postexposure periods through 360 days. During days 0 to 30 after CO poisoning, the risks of pulmonary embolism (odds ratio 22.00; 95% confidence interval 5.33 to 90.75) and deep venous thrombosis (odds ratio 10.33; 95% confidence interval 3.16 to 33.80) were significantly elevated. Conclusion: We found that the risk of venous thromboembolism persisted for up to 90 days after CO poisoning. The risk was increased 22-fold for pulmonary embolism and 10-fold for deep venous thrombosis, especially in the first month after CO poisoning. Patients should be monitored for venous thromboembolism risk after CO poisoning.
URI
https://www.sciencedirect.com/science/article/pii/S0196064419311436?via%3Dihubhttps://repository.hanyang.ac.kr/handle/20.500.11754/155121
ISSN
0196-0644; 1097-6760; 1097-6760
DOI
10.1016/j.annemergmed.2019.08.454
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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