Carbon monoxide poisoning from waterpipe smoking: a retrospective cohort study
Objective: Waterpipe smoking may increasingly account for unintentional carbon monoxide poisoning, a serious health hazard with high morbidity and mortality. We aimed at identifying waterpipe smoking as a cause for carbon monoxide poisoning in a large critical care database of a specialty care refer...
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| Published in | Clinical toxicology (Philadelphia, Pa.) Vol. 56; no. 4; pp. 264 - 272 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
England
Taylor & Francis
03.04.2018
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1556-3650 1556-9519 1556-9519 |
| DOI | 10.1080/15563650.2017.1375115 |
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| Abstract | Objective: Waterpipe smoking may increasingly account for unintentional carbon monoxide poisoning, a serious health hazard with high morbidity and mortality. We aimed at identifying waterpipe smoking as a cause for carbon monoxide poisoning in a large critical care database of a specialty care referral center.
Methods: This retrospective cohort study included patients with a history of exposure to waterpipe smoking and carbon monoxide blood gas levels >10% or presence of clinical symptoms compatible with CO poisoning admitted between January 2013 and December 2016. Patients' initial symptoms and carbon monoxide blood levels were retrieved from records and neurologic status was assessed before and after hyperbaric oxygen treatment.
Results: Sixty-one subjects with carbon monoxide poisoning were included [41 males, 20 females; mean age 23 (SD ± 6) years; range 13-45] with an initial mean carboxyhemoglobin of 26.93% (SD ± 9.72). Most common symptoms included syncope, dizziness, headache, and nausea; 75% had temporary syncope. Symptoms were not closely associated with blood COHb levels.
Conclusion: CO poisoning after waterpipe smoking may present in young adults with a wide variability of symptoms from none to unconsciousness. Therefore diagnosis should be suspected even in the absence of symptoms. |
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| AbstractList | Objective: Waterpipe smoking may increasingly account for unintentional carbon monoxide poisoning, a serious health hazard with high morbidity and mortality. We aimed at identifying waterpipe smoking as a cause for carbon monoxide poisoning in a large critical care database of a specialty care referral center.
Methods: This retrospective cohort study included patients with a history of exposure to waterpipe smoking and carbon monoxide blood gas levels >10% or presence of clinical symptoms compatible with CO poisoning admitted between January 2013 and December 2016. Patients' initial symptoms and carbon monoxide blood levels were retrieved from records and neurologic status was assessed before and after hyperbaric oxygen treatment.
Results: Sixty-one subjects with carbon monoxide poisoning were included [41 males, 20 females; mean age 23 (SD ± 6) years; range 13-45] with an initial mean carboxyhemoglobin of 26.93% (SD ± 9.72). Most common symptoms included syncope, dizziness, headache, and nausea; 75% had temporary syncope. Symptoms were not closely associated with blood COHb levels.
Conclusion: CO poisoning after waterpipe smoking may present in young adults with a wide variability of symptoms from none to unconsciousness. Therefore diagnosis should be suspected even in the absence of symptoms. Waterpipe smoking may increasingly account for unintentional carbon monoxide poisoning, a serious health hazard with high morbidity and mortality. We aimed at identifying waterpipe smoking as a cause for carbon monoxide poisoning in a large critical care database of a specialty care referral center. This retrospective cohort study included patients with a history of exposure to waterpipe smoking and carbon monoxide blood gas levels >10% or presence of clinical symptoms compatible with CO poisoning admitted between January 2013 and December 2016. Patients' initial symptoms and carbon monoxide blood levels were retrieved from records and neurologic status was assessed before and after hyperbaric oxygen treatment. Sixty-one subjects with carbon monoxide poisoning were included [41 males, 20 females; mean age 23 (SD ± 6) years; range 13-45] with an initial mean carboxyhemoglobin of 26.93% (SD ± 9.72). Most common symptoms included syncope, dizziness, headache, and nausea; 75% had temporary syncope. Symptoms were not closely associated with blood COHb levels. CO poisoning after waterpipe smoking may present in young adults with a wide variability of symptoms from none to unconsciousness. Therefore diagnosis should be suspected even in the absence of symptoms. Waterpipe smoking may increasingly account for unintentional carbon monoxide poisoning, a serious health hazard with high morbidity and mortality. We aimed at identifying waterpipe smoking as a cause for carbon monoxide poisoning in a large critical care database of a specialty care referral center.OBJECTIVEWaterpipe smoking may increasingly account for unintentional carbon monoxide poisoning, a serious health hazard with high morbidity and mortality. We aimed at identifying waterpipe smoking as a cause for carbon monoxide poisoning in a large critical care database of a specialty care referral center.This retrospective cohort study included patients with a history of exposure to waterpipe smoking and carbon monoxide blood gas levels >10% or presence of clinical symptoms compatible with CO poisoning admitted between January 2013 and December 2016. Patients' initial symptoms and carbon monoxide blood levels were retrieved from records and neurologic status was assessed before and after hyperbaric oxygen treatment.METHODSThis retrospective cohort study included patients with a history of exposure to waterpipe smoking and carbon monoxide blood gas levels >10% or presence of clinical symptoms compatible with CO poisoning admitted between January 2013 and December 2016. Patients' initial symptoms and carbon monoxide blood levels were retrieved from records and neurologic status was assessed before and after hyperbaric oxygen treatment.Sixty-one subjects with carbon monoxide poisoning were included [41 males, 20 females; mean age 23 (SD ± 6) years; range 13-45] with an initial mean carboxyhemoglobin of 26.93% (SD ± 9.72). Most common symptoms included syncope, dizziness, headache, and nausea; 75% had temporary syncope. Symptoms were not closely associated with blood COHb levels.RESULTSSixty-one subjects with carbon monoxide poisoning were included [41 males, 20 females; mean age 23 (SD ± 6) years; range 13-45] with an initial mean carboxyhemoglobin of 26.93% (SD ± 9.72). Most common symptoms included syncope, dizziness, headache, and nausea; 75% had temporary syncope. Symptoms were not closely associated with blood COHb levels.CO poisoning after waterpipe smoking may present in young adults with a wide variability of symptoms from none to unconsciousness. Therefore diagnosis should be suspected even in the absence of symptoms.CONCLUSIONCO poisoning after waterpipe smoking may present in young adults with a wide variability of symptoms from none to unconsciousness. Therefore diagnosis should be suspected even in the absence of symptoms. |
| Author | Tetzlaff, Kay Jüttner, Björn Eichhorn, Lars Michaelis, Dirk Kemmerer, Michael |
| Author_xml | – sequence: 1 givenname: Lars orcidid: 0000-0002-9769-0639 surname: Eichhorn fullname: Eichhorn, Lars email: lars.eichhorn@ukbonn.de organization: Department of Anesthesiology and Intensive Care Medicine, University Hospital of Bonn – sequence: 2 givenname: Dirk surname: Michaelis fullname: Michaelis, Dirk organization: Druckkammerzentrum RMT GmbH – sequence: 3 givenname: Michael surname: Kemmerer fullname: Kemmerer, Michael organization: Druckkammerzentrum RMT GmbH – sequence: 4 givenname: Björn surname: Jüttner fullname: Jüttner, Björn organization: Department of Anesthesiology, Hanover Medical School – sequence: 5 givenname: Kay surname: Tetzlaff fullname: Tetzlaff, Kay organization: Department of Sports Medicine, University of Tübingen |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/28906147$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1089/152308602753666316 10.1126/science.111.2894.652 10.3109/08958378.2010.524265 10.1016/j.pbb.2004.10.026 10.1136/emj.2009.077214 10.1542/peds.2008-1663 10.1164/rccm.201207-1284CI 10.1016/j.pbb.2004.06.005 10.1146/annurev.pa.15.040175.002205 10.2310/8000.2011.110431 10.1016/j.annemergmed.2007.10.012 10.1080/14622200701825023 10.1136/tobaccocontrol-2014-051908 10.5694/mja14.01264 10.1056/NEJMoa013121 10.1016/j.drugalcdep.2004.04.007 10.1136/bcr-2013-200665 10.1093/clinchem/20.1.83 10.1056/NEJMcp0808891 10.1177/102490791101800412 10.1136/bcr-2013-009526 10.1016/S1607-551X(10)70040-1 10.1016/j.jemermed.2016.05.046 10.1038/jes.2014.19 10.1007/s13181-013-0368-x 10.1186/1471-2458-11-244 10.1186/1471-2458-8-174 10.1177/0310057X9202000306 10.12659/AJCR.899590 10.1016/j.annemergmed.2016.11.003 10.3109/15563650.2011.598160 10.1136/tobaccocontrol-2014-051907 10.1017/S1049023X12001227 10.1016/j.jemermed.2007.12.004 10.1080/00039896.1970.10667215 10.1016/j.toxlet.2012.09.026 10.3109/00952990.2016.1167214 10.3109/15563650.2011.605367 10.1080/02699050802008075 10.1136/tc.2004.008169 10.1212/WNL.58.10.1525 10.1016/j.jemermed.2009.05.032 10.1016/B978-0-444-62627-1.00024-X 10.1016/j.addbeh.2017.01.032 10.1007/s12245-009-0097-8 10.2307/4576387 10.1093/ntr/ntq212 10.1007/s13665-015-0124-6 10.1016/j.chest.2017.03.049 10.1136/oem.59.10.708 10.1378/chest.117.3.801 |
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| SubjectTerms | Adolescent Adult Carbon Monoxide Poisoning - blood Carbon Monoxide Poisoning - diagnosis Carbon Monoxide Poisoning - etiology Carboxyhemoglobin - analysis Female hookah Humans Male Middle Aged Retrospective Studies shisha smoking Water Pipe Smoking - adverse effects waterpipe Young Adult |
| Title | Carbon monoxide poisoning from waterpipe smoking: a retrospective cohort study |
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