Osborn wave in hypothermia and relation to mortality

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dc.contributor.authorEroğlu, Oğuz
dc.contributor.authorSerbest, Sancar
dc.contributor.authorKüfeciler, Tarkan
dc.contributor.authorKalkan, Asım
dc.date.accessioned2020-06-25T18:34:02Z
dc.date.available2020-06-25T18:34:02Z
dc.date.issued2019
dc.departmentKırıkkale Üniversitesi
dc.descriptionKalkan, Asim/0000-0002-5800-0201; Serbest, Sancar/0000-0003-2696-8303; eroglu, oguz/0000-0001-7033-8566
dc.description.abstractBackground & aim: The aim of this study was to compare hypothermia patients with and without an Osborn wave (OW) in terms of physical examination findings, laboratory results, and clinical survival. Methods: The study was carried out retrospectively on hypothermic patients. The hypothermic patients were divided into two groups. Group 1 comprised patients with OW on electrocardiogram (ECG), and Group 2 comprised patients without OW on ECG. The Mann-Whitney U test was used to compare the two groups, and the relationships between the variables and the presence of OW and mortality were analyzed with ANOVA. A value of p < 0.05 was considered statistically significant. Results: OW was detected on ECG of 41.9% of the patients (Group 1). The mean body temperature was 30.8 +/- 4.1 degrees C in Group 1 and 33.3 +/- 1.6 degrees C in Group 2 (p = 0.106). The mean creatinine level was 1.01 +/- 0.6 mg/dl in Group 1 and 0.73 +/- 0.5 mg/dl in Group 2 (p = 0.046). The mean bicarbonate level was 15.9 +/- 3.8 mmol/l in Group 1 and 18.6 +/- 3.5 mmol/l in Group 2 (p = 0.038). A relationship was determined between the presence of OW and pH, bicarbonate, and creatinine levels (p = 0.026; 0.013; 0.042, respectively). The mortality rate was 69.2% in Group 1 and 77.8% in Group 2 (p = 0.689). Conclusion: Although there is a relationship between the decrease in bicarbonate levels, changes in kidney functions that cause acidosis, and the presence of OW, it has no effect on mortality. The presence of OW in hypothermic patients is insufficient to make a decision regarding mortality. (C) 2018 Elsevier Inc. All rights reserved.en_US
dc.identifier.citationclosedAccessen_US
dc.identifier.doi10.1016/j.ajem.2018.08.049
dc.identifier.endpage1068en_US
dc.identifier.issn0735-6757
dc.identifier.issn1532-8171
dc.identifier.issue6en_US
dc.identifier.pmid30170934
dc.identifier.scopus2-s2.0-85054294078
dc.identifier.scopusqualityQ1
dc.identifier.startpage1065en_US
dc.identifier.urihttps://doi.org/10.1016/j.ajem.2018.08.049
dc.identifier.urihttps://hdl.handle.net/20.500.12587/7769
dc.identifier.volume37en_US
dc.identifier.wosWOS:000470109200011
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherW B Saunders Co-Elsevier Incen_US
dc.relation.ispartofAmerican Journal Of Emergency Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.titleOsborn wave in hypothermia and relation to mortalityen_US
dc.typeArticle

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