Universität zu Köln

Kraemer, C., Pfister, R., Boekels, T. and Michels, G. (2016). Cardiac monitoring always required after electrical injuries? Med. Klin.-Intensivmed Notfallmed., 111 (8). S. 708 - 715. NEW YORK: SPRINGER. ISSN 2193-6218

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Abstract

Controversy still exists regarding inpatient monitoring of patients exposed to electrical injuries. In a monocentric retrospective study, we evaluated the medical records of 169 patients admitted to the University Hospital of Cologne from January 2000 to January 2014 because of electrical trauma. The electrocardiogram (ECG) data of 40 patients were missing. Patients in our collective were predominantly young men (60 %) with an average age of 17.5 +/- 17 years (1 year to 73 years). The electrical trauma occurred occupational (20 %), domestic (65 %), and during leisure time (15 %). In the high-voltage (aeyen 1000 V) group (n = 7; 71 % male; 40.0 +/- 19.4 years) one death was reported, related to an open intracranial injury and cardiac arrest. Of the six surviving patients five showed normal ECGs and one a sinus tachycardia. In the low-voltage (< 1000 V) group (n = 162, 56 % male; 5.0 +/- 4.3 years) the ECG findings were as follows: 104 normal, 5 sinus tachycardia, 3 sinus arrhythmia, 6 ST segment changes, 3 premature atrial contraction, 1 premature ventricular contraction, 1 atrio-ventricular (AV)-Block and 1 delta wave. In all, one patient showed a self-limiting supraventricular tachycardia. Asymptomatic and stable patients without any risk factors and with a normal initial ECG need no inpatient cardiac monitoring after an electrical injury.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Kraemer, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Pfister, R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Boekels, T. UNSPECIFIED UNSPECIFIED UNSPECIFIED Michels, G. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-256983
DOI:	10.1007/s00063-015-0107-y
Journal or Publication Title:	Med. Klin.-Intensivmed Notfallmed.
Volume:	111
Number:	8
Page Range:	S. 708 - 715
Date:	2016
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	2193-6218
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ELECTROCUTION; CHILDREN Multiple languages Medicine, General & Internal Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/25698