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KMID : 0360720120250040196
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Journal of the Korean Society Traumatology
2012 Volume.25 No. 4 p.196 ~ p.202
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Clinical Study of Patients with Elevated Troponin-I in Near-hanging Injury
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Shin Hyun-Goo
Park Joon-Bum
Kim Chang-Sun
Oh Jae-Hoon
Cho Young-Suk
Park Sae-Hoonn
Je Sang-Mo
Choi Hyuk-Joong
Kang Bo-Seung
Lim Tae-Ho
Kang Hyung-Goo
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Abstract
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Purpose: This study aimed to recognize the frequency of near-hanging patients with elevated Troponin-I (Tn-I), to obtain information necessary for treatment and prediction of prognosis by analyzing the clinical feature of near-hanging patients, and to evaluate the relevance of elevated Tn-I to abnormal result of other cardiacrelated examinations.
Methods: A retrospective review for the near-hanging patients, clinical record was conducted at two urban training hospitals between April, 2001 and December, 2011. We divided included patients into two groups, which one with elevated Tn-I level (Tn-I≥0.1 ng/dL) and one without it, and compared the differences in initial vital signs, cardiac enzyme tests, an electrocardiogram, echocardiography, chest X-ray, and the clinical outcomes.
Results: A total of 39 patients were included, out of them, 14 patients showed rise in Tn-I level. The length of hospital stay and ICU hospitalization was more prolonged in the patient group with elevated Tn-I level than non-elevated group. As well as the incidence of endotracheal intubation and abnormal findings in echocardiography or chest X-ray was higher in the Tn-I elevated group, which is statistically significant.
Conclusion: The rising of serum Tn-I level in near-hanging patients were not uncommonly observed. We believe that the cardiac-related test including Tn-I is necessary for near-hanging patients, and those who are shown abnormal result in cardiac-related test may need close observation and intensive care.
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KEYWORD
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Cardiomyopathy, Hanging, Troponin
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