{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T23:38:44Z","timestamp":1792453124628,"version":"4.5.0"},"reference-count":33,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2015,12,1]],"date-time":"2015-12-01T00:00:00Z","timestamp":1448928000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Wilderness &amp; Environmental Medicine"],"published-print":{"date-parts":[[2015,12]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p> The aim of this study was to define the epidemiological, clinical, and laboratory manifestations of scorpion envenomation and to identify factors that are predictive of severe cases. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> The medical files of 41 scorpion envenomation cases were reviewed retrospectively. The cases were classified as mild-moderate or severe. The epidemiological, clinical, and laboratory findings of patients were recorded. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> There were 27 patients (65.9%) in the mild-moderate group and 14 patients (34.1%) in the severe group. The median age of all patients was 48 months. The most common systemic finding was cold extremities (41.5%). In all patients, the most commonly observed dysrhythmia was sinus tachycardia (34.1%). Two patients (4.9%) had pulseless ventricular tachycardia and died. Pulmonary edema and myocarditis were observed in 9 patients (22%). Median values of leukocyte and glucose levels were markedly increased in the severe group. Additionally, the mean thrombocyte level (540,857 \u00b1 115,261 cells\/mm<jats:sup>3<\/jats:sup>) in the severe group was significantly increased compared with the mild-moderate group (391,365 \u00b1 150,017 cells\/mm<jats:sup>3<\/jats:sup>). Thrombocyte levels exhibited a positive correlation with leukocyte and glucose values and a negative correlation with patient left ventricular ejection fraction. Multivariate analysis of laboratory parameters indicated that the most predictive factor for clinical severity is thrombocytosis (odds ratio 23.9; 95% CI: 1.6\u2013353.5, P = .021). <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p> Although our results share some similarities with those of other reports, thrombocytosis was markedly increased in the severe group and served as the most predictive laboratory factor of clinical severity. <\/jats:p><\/jats:sec>","DOI":"10.1016\/j.wem.2015.04.005","type":"journal-article","created":{"date-parts":[[2015,10,2]],"date-time":"2015-10-02T07:21:58Z","timestamp":1443770518000},"page":"451-458","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":17,"title":["Predictive Factors for Determining the Clinical Severity of Pediatric Scorpion Envenomation Cases in Southeastern Turkey"],"prefix":"10.1177","volume":"26","author":[{"given":"Aykut","family":"\u00c7a\u011flar","sequence":"first","affiliation":[{"name":"Department of Pediatric Emergency Care, Dokuz Eylul University Faculty of Medicine, Izmir, Turkey (Drs \u00c7a\u011flar and Duman)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Halil","family":"K\u00f6se","sequence":"additional","affiliation":[{"name":"Department of Pediatric Emergency Care, Dokuz Eylul University Faculty of Medicine, Izmir, Turkey (Drs \u00c7a\u011flar and Duman)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aslan","family":"Babayi\u011fit","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, \u015eanl\u0131urfa Children\u2019s Hospital, \u015eanl\u0131urfa, Turkey (Drs Babayi\u011fit and K\u00f6se)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taliha","family":"\u00d6ner","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology, Department of Pediatrics, \u015eanl\u0131urfa Children\u2019s Hospital, \u015eanl\u0131urfa, Turkey (Dr \u00d6ner)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murat","family":"Duman","sequence":"additional","affiliation":[{"name":"Department of Pediatric Emergency Care, Dokuz Eylul University Faculty of Medicine, Izmir, Turkey (Drs \u00c7a\u011flar and 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