심근효소 상승 유무에 따른 목맴 환자들의 임상적 특성Clinical Study of Patients with Elevated Troponin-I in Near-hanging Injury
- Other Titles
- Clinical Study of Patients with Elevated Troponin-I in Near-hanging Injury
- Authors
- 신현구; 강형구; 박준범; 김창선; 오재훈; 조영석; 박세훈; 제상모; 최혁중; 강보승; 임태호
- Issue Date
- Dec-2012
- Publisher
- 대한외상학회
- Keywords
- Cardiomyopathy; Hanging; Troponin
- Citation
- 대한외상학회지, v.25, no.4, pp.196 - 202
- Indexed
- KCI
OTHER
- Journal Title
- 대한외상학회지
- Volume
- 25
- Number
- 4
- Start Page
- 196
- End Page
- 202
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/163923
- ISSN
- 1738-8767
- Abstract
- Purpose: This study aimed to recognize the frequency of near-hanging patients with elevated Troponin-I (Tn-I), to obtain information necessary for treatment and prediction of prognosis by analyzing the clinical feature of near-hanging patients, and to evaluate the relevance of elevated Tn-I to abnormal result of other cardiacrelated examinations.
Methods: A retrospective review for the near-hanging patients, clinical record was conducted at two urban training hospitals between April, 2001 and December, 2011. We divided included patients into two groups,which one with elevated Tn-I level (Tn-I≥0.1 ng/dL) and one without it, and compared the differences in initial vital signs, cardiac enzyme tests, an electrocardiogram, echocardiography, chest X-ray, and the clinical outcomes.
Results: A total of 39 patients were included, out of them, 14 patients showed rise in Tn-I level. The length of hospital stay and ICU hospitalization was more prolonged in the patient group with elevated Tn-I level than non-elevated group. As well as the incidence of endotracheal intubation and abnormal findings in echocardiography or chest X-ray was higher in the Tn-I elevated group, which is statistically significant.
Conclusion: The rising of serum Tn-I level in near-hanging patients were not uncommonly observed. We believe that the cardiac-related test including Tn-I is necessary for near-hanging patients, and those who are shown abnormal result in cardiac-related test may need close observation and intensive care.
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