Screening patients for unintentional carbon monoxide exposure in the Emergency Department: a cross-sectional multi-centre study.
Background Low-level exposure to carbon monoxide (CO) is a significant health concern but is difficult to diagnose. This main study aim was to establish the prevalence of low-level CO poisoning in Emergency Department (ED) patients. Methods A prospective cross-sectional study of patients with sympto...
| Publicado en: | Journal of Public Health Vol. 45; no. 3; pp. 553 - 560 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Sep2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=171352045&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 171352045 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17413842 1CA0 jtl: Journal of Public Health issn: 17413842 maglogo: N pubinfo: dt: Sep2023 vid: 45 iid: 3 pid: 622 pub: Oxford University Press / USA artinfo: ui: 171352045 171352045 171352045 10.1093/pubmed/fdad007 171352045 ppf: 553 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Screening patients for unintentional carbon monoxide exposure in the Emergency Department: a cross-sectional multi-centre study. aug: au: Jarman, Heather Atkinson, Richard W Baramova, Desislava Gant, Timothy W Marczylo, Tim Myers, Isabella Price, Shirley Quinn, Tom affil: Emergency Department Clinical Research Group, St George's University Hospitals NHS Foundation Trust , London SW17 0QT , UK sug: subj: Health Screening Evaluation Carbon Monoxide Poisoning Diagnosis Environmental Exposure Risk Factors Emergency Service Psychosocial Factors Risk Assessment Human Male Cross Sectional Studies Multicenter Studies Emergency Patients Prospective Studies United Kingdom Descriptive Statistics Confidence Intervals Toxicology Public Health Patient Safety Funding Source Male ab: Background Low-level exposure to carbon monoxide (CO) is a significant health concern but is difficult to diagnose. This main study aim was to establish the prevalence of low-level CO poisoning in Emergency Department (ED) patients. Methods A prospective cross-sectional study of patients with symptoms of CO exposure was conducted in four UK EDs between December 2018 and March 2020. Data on symptoms, a CO screening tool and carboxyhaemoglobin were collected. An investigation of participants' homes was undertaken to identify sources of CO exposure. Results Based on an ED assessment of 4175 participants, the prevalence of suspected CO exposure was 0.62% (95% CI; 0.41–0.91%). CO testing in homes confirmed 1 case of CO presence and 21 probable cases. Normal levels of carboxyhaemoglobin were found in 19 cases of probable exposure and in the confirmed case. Conclusion This study provides evidence that ED patients with symptoms suggestive of CO poisoning but no history of CO exposure are at risk from CO poisoning. The findings suggest components of the CO screening tool may be an indicator of CO exposure over and above elevated COHb. Clinicians should have a high index of suspicion for CO exposure so that this important diagnosis is not missed. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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