- Clinical Study of Patients with Elevated Troponin-I in Near-hanging Injury
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Hyun Goo Shin, Jun Bum Park, Chang Sun Kim, Jae Hoon Oh, Young Suk Cho, Sae Hoon Park, Sang Mo Je, Hyuk Joong Choi, Bo Seung Kang, Tae Ho Lim, Hyung Goo Kang
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J Trauma Inj. 2012;25(4):196-202.
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 Abstract
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- 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 cardiac-related 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> or =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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