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

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

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dc.contributor.author Dyląg, Katarzyna [SAP20014542] pl
dc.contributor.author Hodorowicz-Zaniewska, Diana [SAP20002197] pl
dc.contributor.author Zybaczynska, Justyna pl
dc.contributor.author Szczepanik, Antoni [SAP20001669] pl
dc.date.accessioned 2020-01-17T09:57:27Z
dc.date.available 2020-01-17T09:57:27Z
dc.date.issued 2018 pl
dc.identifier.issn 1232-1966 pl
dc.identifier.uri https://ruj.uj.edu.pl/xmlui/handle/item/142732
dc.language eng pl
dc.rights Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne 3.0 Polska *
dc.rights.uri http://creativecommons.org/licenses/by-nc/3.0/pl/legalcode *
dc.title Is coagulopathy a common consequence of a Vipera berus bite?: a retrospective single centre study pl
dc.type JournalArticle pl
dc.description.physical 630-634 pl
dc.abstract.en 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. pl
dc.subject.en Poland pl
dc.subject.en thrombocytopenia pl
dc.subject.en coagulopathy pl
dc.subject.en venom pl
dc.subject.en antivenom pl
dc.subject.en envenomation pl
dc.subject.en Vipera berus bite pl
dc.subject.en snake pl
dc.subject.en snakebite pl
dc.description.volume 25 pl
dc.description.number 4 pl
dc.description.points 30 pl
dc.identifier.doi 10.26444/aaem/75941 pl
dc.identifier.eissn 1898-2263 pl
dc.title.journal Annals of Agricultural and Environmental Medicine pl
dc.language.container eng pl
dc.affiliation Wydział Lekarski : Klinika Chirurgii Ogólnej, Onkologicznej i Gastroenterologicznej pl
dc.subtype Article pl
dc.rights.original CC-BY-NC; otwarte czasopismo; ostateczna wersja wydawcy; w momencie opublikowania; 0 pl
dc.identifier.project ROD UJ / OP pl
dc.cm.id 87930
dc.cm.date 2020-01-07
.pointsMNiSW [2018 A]: 30


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Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne 3.0 Polska Except where otherwise noted, this item's license is described as Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne 3.0 Polska