Correlation Between Serum Glucose/Potassium Ratio and The Severity of Mushroom Poisoning at The Time of Admission to The Emergency Departments

Yusuf Tekin; Erdal Demirtaş; İlhan Korkmaz; Yeltekin Demirel; Gülaçan Tekin; Naim Nur

doi:10.7197/cmj.1068418

EN

Correlation Between Serum Glucose/Potassium Ratio and The Severity of Mushroom Poisoning at The Time of Admission to The Emergency Departments

Abstract

Exposure to wild mushrooms can lead to serious toxicity and death. It is accepted that patients who ingest potentially lethal mushrooms typically develop toxicity signs after six hours. However, clinical manifestations of poisoning that occur less than six hours after ingestion do not exclude the potential for life-threatening toxicity, especially when more than one type of mushroom has been eaten. Whereas there are not any clinical parameters that help to establish the severity of mushroom poisoning. In this study, we aimed to determine the relationship of serum glucose/potassium ratio and the clinical severity of mushroom poisoning cases.This is a retrospective study which includes the mushroom poisoning 510 cases between the years 2007 - 2018. Data consisted of age, gender, clinical history of mushroom poisoning including time from consumption to first symptoms, date of presentation, discharge time and laboratory results including complete blood cell count, biochemistry tests for liver and renal function, and coagulation profile. Patients included in this study were classified as mild-moderate and severe mushroom poisoning groups according to laboratory and clinical characteristics. Glucose, BUN, Creatinine, ALT, AST mean values and glucose/potassium ratio were significantly higher in the clinically severe group patients (p=0.008, p=0.01, p=0.039, p=0.037, p=0.046 and p=0.036 respectively). The sensitivity, specificity and area under curve for glucose/potassium ratio were as follows; 0.68, 0.57 (AUC %95CI) was 0.0647. Glucose/potassium ratio can predict the severity in mushroom poisonings according to our results which can helpful by management in mushroom poisonings as a laboratory result.

Keywords

References

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Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Research Article

Authors

Yusuf Tekin ^*
0000-0001-8047-4836
Türkiye

Erdal Demirtaş
0000-0003-0853-0623
Türkiye

İlhan Korkmaz
0000-0001-5182-3136
Türkiye

Yeltekin Demirel
0000-0002-6105-0293
Türkiye

Gülaçan Tekin
0000-0002-1355-9298
Türkiye

Naim Nur
0000-0002-7675-9342
Türkiye

Publication Date

March 30, 2022

Submission Date

February 4, 2022

Acceptance Date

March 25, 2022

Published in Issue

Year 2022 Volume: 44 Number: 1

DOI

https://doi.org/10.7197/cmj.1068418

IZ

https://izlik.org/JA92FR73JT

Cite

RIS / Bibtex

AMA

1.Tekin Y, Demirtaş E, Korkmaz İ, Demirel Y, Tekin G, Nur N. Correlation Between Serum Glucose/Potassium Ratio and The Severity of Mushroom Poisoning at The Time of Admission to The Emergency Departments. CMJ. 2022;44(1):104-109. doi:10.7197/cmj.1068418

Öz

Correlation Between Serum Glucose/Potassium Ratio and The Severity of Mushroom Poisoning at The Time of Admission to The Emergency Departments

Abstract

Keywords

References

Details

Primary Language

Subjects

Journal Section

Authors

Publication Date

Submission Date

Acceptance Date

Published in Issue

DOI

IZ

Cite