干旱区生态环境知识资源中心(Arid): Pediatric Snakebites: Comparing Patients in Two Geographic Locations in the United States

Arid

DOI	10.1016/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
ISSN	0022-4804
EISSN	1095-8673
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
推荐引用方式 GB/T 7714	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.