Arid
DOI10.1016/j.jss.2021.03.045
Pediatric Snakebites: Comparing Patients in Two Geographic Locations in the United States
Chotai, Pranit N.; Watlington, James; Lewis, Samara; Pyo, Thomas; Abdelgawad, Amr A.; Huang, Eunice Y.
通讯作者Huang, EY (corresponding author), Vanderbilt Univ, Dept Pediat Surg, Med Ctr, 2200 Childrens Way,Suite 7100, Nashville, TN 37232 USA.
来源期刊JOURNAL OF SURGICAL RESEARCH
ISSN0022-4804
EISSN1095-8673
出版年2021
卷号265页码:297-302
英文摘要Background: Management of children with snakebites may vary based on subjective criteria, geographic, and climatic factors. We reviewed the incidence and management of snakebite injuries in children at two tertiary referral centers in separate geographic and climatic location to assess differences in management and outcomes of these patients. Methods: After institutional review board approval, a retrospective chart review was performed for patients <18 years with snakebite injuries at emergency departments (ED) of two American College of Surgeons verified trauma centers (2006-2013). One center is in southeast US and experiences a sub-tropical climate whereas the other is in southwest US and experiences a semi-arid climate. Demographic and clinical parameters were extracted. Results: A total of 108 patients (59% male), median age of 9 y (1 y-17 y), were included. Snake type was identified by bystanders in 55.5% cases; copperhead was the most common (37%) subtype. Approximately 30% of patients received antivenom. One quarter of all patients were discharged from the ED. Two patients received surgical intervention in the first 48 hours after presentation. Compared to patients who sustained a snakebite in semi-tropical regions, patients in semi-arid areas had shorter bite-to-ED time, presented directly to the referral center, were more frequently bitten by a rattlesnake, had longer lengths of hospital stay, required antivenom more frequently and at higher doses, and were more frequently admitted to the ICU. No differences were seen in gender, age at presentation, severity of wound, location of bite, abnormalities in coagulation profile or rate of admission to hospital amongst the two sites. Conclusions: Patients sustaining snakebites in semi-arid climates were more commonly exposed to dangerous snake types, resulting in higher antivenom requirement, as well as longer hospital stays and need for intensive monitoring. Although no fatalities were re-ported in our study, our data supports early transfer of snakebite victims to higher levels of care, especially in semi-arid or high-risk areas. (c) 2021 Elsevier Inc. All rights reserved.
英文关键词Pediatric snakebite Antivenom Copperhead Snakebite Pediatric trauma
类型Article
语种英语
收录类别SCI-E
WOS记录号WOS:000667222700040
WOS关键词MANAGEMENT
WOS类目Surgery
WOS研究方向Surgery
来源机构University of California, Los Angeles
资源类型期刊论文
条目标识符http://119.78.100.177/qdio/handle/2XILL650/351011
作者单位[Chotai, Pranit N.; Huang, Eunice Y.] Vanderbilt Univ, Dept Surg, Med Ctr, Nashville, TN 37232 USA; [Watlington, James] Univ Tennessee, Coll Med, Memphis, TN USA; [Lewis, Samara] Univ Oklahoma, Dept Surg, Oklahoma City, OK USA; [Pyo, Thomas] Univ Calif Los Angeles, Olive View Psychiat, Los Angeles, CA USA; [Abdelgawad, Amr A.] Maimonides Hosp, Dept Orthoped Surg, Brooklyn, NY 11219 USA; [Chotai, Pranit N.; Watlington, James; Huang, Eunice Y.] Univ Tennessee, Ctr Hlth Sci, Dept Surg, Le Bonheur Childrens Hosp, Memphis, TN 38163 USA
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Chotai, Pranit N.,Watlington, James,Lewis, Samara,et al. Pediatric Snakebites: Comparing Patients in Two Geographic Locations in the United States[J]. University of California, Los Angeles,2021,265:297-302.
APA Chotai, Pranit N.,Watlington, James,Lewis, Samara,Pyo, Thomas,Abdelgawad, Amr A.,&Huang, Eunice Y..(2021).Pediatric Snakebites: Comparing Patients in Two Geographic Locations in the United States.JOURNAL OF SURGICAL RESEARCH,265,297-302.
MLA Chotai, Pranit N.,et al."Pediatric Snakebites: Comparing Patients in Two Geographic Locations in the United States".JOURNAL OF SURGICAL RESEARCH 265(2021):297-302.
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