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Neuropsychiatric disorders and risk factors in carbon monoxide intoxication.
Toxicol Ind Health 2011; 27(5):397-406TI

Abstract

Neuropsychiatric sequelae may be observed in the late phases of carbon monoxide (CO) intoxication. Establishing a link between CO-related neuropsychiatric disorders and associated risk factors may decrease morbidity and mortality by means of appropriate treatment and counseling. The aim of the present study was to determine the relationship between neuropsychiatric outcomes of CO intoxication and demographic and clinical variables. Thirty patients who presented with CO intoxication and had no known neuropsychiatric disease, and 30 healthy controls were included. Physical examinations and laboratory tests were performed. Following the 1st therapy, they underwent mental and psychiatric tests 5 times (the time of discharge, during the 1st week, and during the 1st, 3rd, and 6th months). They underwent cerebral magnetic resonance imaging (MRI) at the end of the 1st month. They were evaluated by cognitive function tests at the 6th month. Lesions relevant to CO intoxication were detected in 46.7% of the patients via cranial computed tomography and in 13.3% via MRI. Evaluation of psychiatric tests revealed a clear decrease in cognitive functions, such as immediate memory, learning, reaching the criterion, spontaneous recall, attention, visual memory, and logical memory. It was found that the patients had anxiety within the 1st month, and the frequency of anxiety reached to the value of the control group by the end of the 6th month. In conclusion, we suggested that CO intoxication might lead to neuropsychiatric disorders. Our results emphasized that in addition to standard treatment, neuropsychiatric evaluation should also be performed in patients with CO intoxication.

Authors+Show Affiliations

Ankara Teaching and Research Hospital, Emergency Medicine, Ankara, Turkey.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21088053

Citation

Katirci, Yavuz, et al. "Neuropsychiatric Disorders and Risk Factors in Carbon Monoxide Intoxication." Toxicology and Industrial Health, vol. 27, no. 5, 2011, pp. 397-406.
Katirci Y, Kandis H, Aslan S, et al. Neuropsychiatric disorders and risk factors in carbon monoxide intoxication. Toxicol Ind Health. 2011;27(5):397-406.
Katirci, Y., Kandis, H., Aslan, S., & Kirpinar, I. (2011). Neuropsychiatric disorders and risk factors in carbon monoxide intoxication. Toxicology and Industrial Health, 27(5), pp. 397-406. doi:10.1177/0748233710387632.
Katirci Y, et al. Neuropsychiatric Disorders and Risk Factors in Carbon Monoxide Intoxication. Toxicol Ind Health. 2011;27(5):397-406. PubMed PMID: 21088053.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Neuropsychiatric disorders and risk factors in carbon monoxide intoxication. AU - Katirci,Yavuz, AU - Kandis,Hayati, AU - Aslan,Sahin, AU - Kirpinar,Ismet, Y1 - 2010/11/18/ PY - 2010/11/20/entrez PY - 2010/11/20/pubmed PY - 2011/9/13/medline SP - 397 EP - 406 JF - Toxicology and industrial health JO - Toxicol Ind Health VL - 27 IS - 5 N2 - Neuropsychiatric sequelae may be observed in the late phases of carbon monoxide (CO) intoxication. Establishing a link between CO-related neuropsychiatric disorders and associated risk factors may decrease morbidity and mortality by means of appropriate treatment and counseling. The aim of the present study was to determine the relationship between neuropsychiatric outcomes of CO intoxication and demographic and clinical variables. Thirty patients who presented with CO intoxication and had no known neuropsychiatric disease, and 30 healthy controls were included. Physical examinations and laboratory tests were performed. Following the 1st therapy, they underwent mental and psychiatric tests 5 times (the time of discharge, during the 1st week, and during the 1st, 3rd, and 6th months). They underwent cerebral magnetic resonance imaging (MRI) at the end of the 1st month. They were evaluated by cognitive function tests at the 6th month. Lesions relevant to CO intoxication were detected in 46.7% of the patients via cranial computed tomography and in 13.3% via MRI. Evaluation of psychiatric tests revealed a clear decrease in cognitive functions, such as immediate memory, learning, reaching the criterion, spontaneous recall, attention, visual memory, and logical memory. It was found that the patients had anxiety within the 1st month, and the frequency of anxiety reached to the value of the control group by the end of the 6th month. In conclusion, we suggested that CO intoxication might lead to neuropsychiatric disorders. Our results emphasized that in addition to standard treatment, neuropsychiatric evaluation should also be performed in patients with CO intoxication. SN - 1477-0393 UR - https://www.unboundmedicine.com/medline/citation/21088053/Neuropsychiatric_disorders_and_risk_factors_in_carbon_monoxide_intoxication_ L2 - http://journals.sagepub.com/doi/full/10.1177/0748233710387632?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -