Is coagulopathy a common consequence of a Vipera berus bite?: a retrospective single centre study

2018
journal article
article
3
cris.lastimport.wos2024-04-09T23:21:16Z
dc.abstract.enIntroduction. The Vipera berus (common viper) is the only species of venomous snake found in Poland. The aim of this study was to determine to what extent coagulopathy has occurred as a post-bite complication. Materials and method. The medical records of 138 adult patients in the Sucha Beskidzka hospital with the diagnosis of snake bite between 2001–2014 were retrospectively analyzed. Demographic, clinical and laboratory data were collected. Antivenom was given to all patients, except one, with snake bites, but laboratory test were taken prior to administration of antivenom. Obtained results were compared to those of the control group, composed of 176 adults hospitalized in the same period for an elective laparoscopic cholecystectomy. Results. The mean platelet count in the study group was 239.94×109/L (SD=56.56) and 248.77×109/L (SD=57.82) in the control group. In 98% of the study group and 100% of the control group the platelet value (PLT) fell within laboratory norms (130 to 420×109/L), 2 patients after snake bites had a PLT lower than normal, and thrombocytosis was not observed in either group. A reference range of 0.85–1.3 INR below normal was found in 2 patients in the study group and 15 from the control group, while values above the normal range were found in 8 patients (6.7%) from the snake bite group and no patients from the control group. In the study group, the INR ranged from 0.78–1.43 with a mean of 1.046 (SD=0.14), while in the control group the range was from 0.79–1.28, with a mean of 0.95 (SD=0.08). There was a significant difference in INR between the study and control groups (p<0.0001). Conclusions. The bite from V. berus does not result in severe thrombocytopenia, with only a moderate increase in INR values observed in about 7% of patients.pl
dc.affiliationWydział Lekarski : Klinika Chirurgii Ogólnej, Onkologicznej i Gastroenterologicznejpl
dc.cm.date2020-01-07
dc.cm.id87930
dc.contributor.authorDyląg, Katarzyna - 139170 pl
dc.contributor.authorHodorowicz-Zaniewska, Diana - 129717 pl
dc.contributor.authorZybaczynska, Justynapl
dc.contributor.authorSzczepanik, Antoni - 133565 pl
dc.date.accessioned2020-01-17T09:57:27Z
dc.date.available2020-01-17T09:57:27Z
dc.date.issued2018pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.number4pl
dc.description.physical630-634pl
dc.description.points30pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume25pl
dc.identifier.doi10.26444/aaem/75941pl
dc.identifier.eissn1898-2263pl
dc.identifier.issn1232-1966pl
dc.identifier.projectROD UJ / OPpl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/142732
dc.languageengpl
dc.language.containerengpl
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne 3.0 Polska*
dc.rights.licenceCC-BY-NC
dc.rights.urihttp://creativecommons.org/licenses/by-nc/3.0/pl/legalcode*
dc.share.typeotwarte czasopismo
dc.subject.enPolandpl
dc.subject.enthrombocytopeniapl
dc.subject.encoagulopathypl
dc.subject.envenompl
dc.subject.enantivenompl
dc.subject.enenvenomationpl
dc.subject.enVipera berus bitepl
dc.subject.ensnakepl
dc.subject.ensnakebitepl
dc.subtypeArticlepl
dc.titleIs coagulopathy a common consequence of a Vipera berus bite?: a retrospective single centre studypl
dc.title.journalAnnals of Agricultural and Environmental Medicinepl
dc.typeJournalArticlepl
dspace.entity.typePublication
cris.lastimport.wos
2024-04-09T23:21:16Z
dc.abstract.enpl
Introduction. The Vipera berus (common viper) is the only species of venomous snake found in Poland. The aim of this study was to determine to what extent coagulopathy has occurred as a post-bite complication. Materials and method. The medical records of 138 adult patients in the Sucha Beskidzka hospital with the diagnosis of snake bite between 2001–2014 were retrospectively analyzed. Demographic, clinical and laboratory data were collected. Antivenom was given to all patients, except one, with snake bites, but laboratory test were taken prior to administration of antivenom. Obtained results were compared to those of the control group, composed of 176 adults hospitalized in the same period for an elective laparoscopic cholecystectomy. Results. The mean platelet count in the study group was 239.94×109/L (SD=56.56) and 248.77×109/L (SD=57.82) in the control group. In 98% of the study group and 100% of the control group the platelet value (PLT) fell within laboratory norms (130 to 420×109/L), 2 patients after snake bites had a PLT lower than normal, and thrombocytosis was not observed in either group. A reference range of 0.85–1.3 INR below normal was found in 2 patients in the study group and 15 from the control group, while values above the normal range were found in 8 patients (6.7%) from the snake bite group and no patients from the control group. In the study group, the INR ranged from 0.78–1.43 with a mean of 1.046 (SD=0.14), while in the control group the range was from 0.79–1.28, with a mean of 0.95 (SD=0.08). There was a significant difference in INR between the study and control groups (p<0.0001). Conclusions. The bite from V. berus does not result in severe thrombocytopenia, with only a moderate increase in INR values observed in about 7% of patients.
dc.affiliationpl
Wydział Lekarski : Klinika Chirurgii Ogólnej, Onkologicznej i Gastroenterologicznej
dc.cm.date
2020-01-07
dc.cm.id
87930
dc.contributor.authorpl
Dyląg, Katarzyna - 139170
dc.contributor.authorpl
Hodorowicz-Zaniewska, Diana - 129717
dc.contributor.authorpl
Zybaczynska, Justyna
dc.contributor.authorpl
Szczepanik, Antoni - 133565
dc.date.accessioned
2020-01-17T09:57:27Z
dc.date.available
2020-01-17T09:57:27Z
dc.date.issuedpl
2018
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.numberpl
4
dc.description.physicalpl
630-634
dc.description.pointspl
30
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
25
dc.identifier.doipl
10.26444/aaem/75941
dc.identifier.eissnpl
1898-2263
dc.identifier.issnpl
1232-1966
dc.identifier.projectpl
ROD UJ / OP
dc.identifier.uri
https://ruj.uj.edu.pl/xmlui/handle/item/142732
dc.languagepl
eng
dc.language.containerpl
eng
dc.rights*
Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne 3.0 Polska
dc.rights.licence
CC-BY-NC
dc.rights.uri*
http://creativecommons.org/licenses/by-nc/3.0/pl/legalcode
dc.share.type
otwarte czasopismo
dc.subject.enpl
Poland
dc.subject.enpl
thrombocytopenia
dc.subject.enpl
coagulopathy
dc.subject.enpl
venom
dc.subject.enpl
antivenom
dc.subject.enpl
envenomation
dc.subject.enpl
Vipera berus bite
dc.subject.enpl
snake
dc.subject.enpl
snakebite
dc.subtypepl
Article
dc.titlepl
Is coagulopathy a common consequence of a Vipera berus bite?: a retrospective single centre study
dc.title.journalpl
Annals of Agricultural and Environmental Medicine
dc.typepl
JournalArticle
dspace.entity.type
Publication
Affiliations

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