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Scorpion envenomation in the emergency department: predictive factors of hospitalization

2025/04/29 by F. MEDHIOUB KAANICHE, D. DLENSI, H. BEN HASSEN +5
#Hospitalization #Predictive factors #Scorpion envenomation

paper · doi:10.71776/pist-jims-197005

Abstract

Problem: Scorpion envenomation is a common reason for consultations in the emergency room. Objective: To analyze the population seeking medical attention for scorpion envenomation and identify predictive factors for hospitalization. Patients and Methods: This was a prospective descriptive and analytical study conducted in the emergency department over a period of 12 months. All patients presenting with scorpion envenomation were included. Results: Age under 14 years (p=0.001) and consultations during the night (p=0.01) were identified as significant predictive factors for hospitalization. Symptoms such as sweating, vomiting, dyspnea, chest pain, and agitation were significantly more frequent in hospitalized patients (p<0.05). Additionally, shock, crackling rattles, acute pulmonary edema, hypertension, and priapism were predictive factors for hospitalization (p<0.05). Hyperproteinemia and positive Troponin Ic were also significantly more common in hospitalized patients (p=0.01 and p=0.001, respectively). Conclusion: Scorpion envenomation is a common summer risk, particularly in rural areas. It is important for the emergency department to have access to additional diagnostic tests to aid in the management of these cases.

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