The effect of plasmapheresis therapy on management of patients with snakebite

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dc.contributor.authorBıcakcıoğlu, Murat
dc.contributor.authorKalkan, Serkan
dc.contributor.authorDoğan, Zafer
dc.contributor.authorTogal, Turkan
dc.contributor.authorYucel, Neslihan
dc.contributor.authorDemircan, Selcuk
dc.contributor.authorDuzenci, Deccane
dc.date.accessioned2024-08-04T19:42:44Z
dc.date.available2024-08-04T19:42:44Z
dc.date.issued2023
dc.departmentİnönü Üniversitesien_US
dc.description.abstractAim: The aim of the study was to evaluate the effectiveness of plasmapheresis therapy in patients with snakebite who were admitted to intensive care unit in the setting of tertiary referral hospital. Materials and Methods: The retrospective study involved 114 adult patients with snakebite who were admitted to a referral hospital’s intensive care unit between January 2012 and December 2022. The patients were divided into four groups according to the treatments. Group AV performed antivenom (Group AV) alone. Group PP performed plasmapheresis alone. Group AV+PP performed antivenom and plasmapheresis. Group GST performed only general supportive therapy. Results: Fifty two of 114 were included in Group GST, 31 in Group AV, 18 in Group PP and 13 in Group AV+PP. APACHE score, SOFA score, GCS, stage of the bite, length of stay in the intensive care unit, acute kidney injury, and hematological disorders were higher while the platelet count at admission was lower in Group PP and Group AV+PP compared to Group AV and Group GST (p< 0.05). Conclusion: Antivenom and plasmapheresis are not alternatives to each other, antivenom should be performed to patients according to the severity of the bite, and plasmapheresis should be performed without delay in those with severe hematological effects.en_US
dc.identifier.doi10.5455/annalsmedres.2023.08.223
dc.identifier.endpage1148en_US
dc.identifier.issn2636-7688
dc.identifier.issue9en_US
dc.identifier.startpage1144en_US
dc.identifier.trdizinid1205597en_US
dc.identifier.urihttps://doi.org/10.5455/annalsmedres.2023.08.223
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/1205597
dc.identifier.urihttps://hdl.handle.net/11616/88630
dc.identifier.volume30en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.relation.ispartofAnnals of Medical Researchen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.titleThe effect of plasmapheresis therapy on management of patients with snakebiteen_US
dc.typeArticleen_US

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