Research Article

Predictive Role of QTc Prolongation in Carbon Monoxide Poisoning-Related Delayed Neuropsychiatric Sequelae

Table 2

Demographic and clinical data of patients with and without DNS.

VariablesTotal  
(N = 466)
DNS  
(n = 62)
Non-DNS  
(n = 404)
P value

Male gender230 (49.4)35 (56.5)195 (48.3)0.275
Age (years)33 41 32 0.005
Psychiatric history82 (17.6)17 (27.4)65 (16.1)0.047
Pulse, beats/min100 96 100 0.346
Pulse > 100 beats/min216 (47.7)25 (41.0)191 (48.7)0.273
Glasgow Coma Score (GCS)15 14 15 <0.001
GCS less than 962 (13.3)19 (30.6)43 (10.6)<0.001
Triage scale0.014
 1, resuscitation74 (15.9)18 (29.0)56 (13.9)
 2, emergent290 (62.2)33 (53.2)257 (63.6)
 3, urgent94 (20.2)9 (14.5)85 (21.0)
 4/5 less urgent/not urgent8 (1.7)2 (3.2)6 (1.5)
Transferred from outside institution223 (47.9)37 (59.7)186 (46.0)0.056
Attempted suicide190 (40.8)42 (67.7)148 (36.6)<0.001
Source of CO poisoning<0.001
 Charcoal burning196 (42.1)45 (72.6)151 (37.4)
 Inappropriately ventilated gas heating appliances238 (51.1)13 (21.0)225 (55.7)
 Others32 (6.9)4 (6.5)28 (6.9)
Concomitant use with tranquilizer63 (13.5)15 (24.2)48 (11.9)0.015
Transient loss of consciousness292 (62.7)55 (88.7)237 (58.7)<0.001
Duration of loss of consciousness<0.001
 < 6 hours210 (71.9)25 (45.5)185 (78.1)
 6-12 hours28 (9.6)5 (9.1)23 (9.7)
 13-24 hours20 (6.8)13 (23.6)7 (3.0)
 > 24 hours16 (5.5)10 (18.2)6 (2.5)
 > 48 hours18 (6.2)2 (3.6)16 (6.8)
Leukocytosis245 (56.5)43 (74.1)202 (53.7)0.004
Metabolic acidosis67 (19.1)9 (19.6)58 (19.1)1.000
COHb, %10.1 7.4 10.9 0.095
Troponin I, ng/mL0.20 0.93 0.14 0.001
Evidence of myocardial injury64 (18.0)21 (42.9)43 (14.0)<0.001
Time from CO exposure to ED (hours)4.0 9.8 4.0 <0.001
Time from CO exposure to ECG recording (hours)5.1 8.3 4.8 <0.001
QTc prolongation149 (42.1)37 (69.8)112 (37.2)<0.001
Brain CT imaging study at first medical institution131 (28.1)40 (64.5)91 (22.5)<0.001
HBOT279 (59.9)47 (75.8)232 (57.4)0.008
Number of HBOT sessions3 4 2 <0.001
Length of hospital stay (days)1 5 1 <0.001
ICU stay (days)26 (5.6)10 (16.1)16 (4.0)0.001
Lucid interval, duration from exposure to DNS (days)NA10 NANA

Continuous data were expressed as median ( and percentiles); categorical data were presented as frequency (proportion).