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Our aim was to analyze clinical and laboratory findings, outcomes, and variables associated with the severity of patients treated for crotalic accidents at a reference center in Brazil.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective cohort study included consecutive patients treated at a referral center in Minas Gerais state, Brazil, between January 2011 and December 2022. Data were collected from medical records. Descriptive analyses, as well as univariate and multivariate logistic regression analyses, were performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 415 patients were included (median age 41; interquartile range [IQR] 23\u201356; 79.5% male). Of these, 67.5% were admitted within 6\u2009h of the incident, and 73.7% of the incidents occurred in rural areas. The median length of hospital stay was 3 days (IQR 2\u20134); 44.1% of the cases were identified as severe, and four patients died. Factors associated with severity included age \u2264\u200920 years (OR 2.99; 95% CI 1.65\u20135.50) or \u2265\u200950 years (OR 1.79; 95% CI 1.08\u20132.96), unidentified or unconfirmed snake species (OR 4.18; 95% CI 2.06\u20138.77 and OR 2.60; 95% CI 1.54\u20134.44, respectively), and treatment delays &gt;\u20096\u2009h (OR 4.04; 95% CI 2.46\u20136.72).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study highlights the burden of crotalic snakebite accidents and the need for targeted prevention and timely access to healthcare, particularly for rural populations. Addressing delays in treatment and improving snake identification can reduce the risk of severe outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/bmri\/7761982","type":"journal-article","created":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T05:30:14Z","timestamp":1782451814000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Decoding Severity in Crotalic Snakebite Cases: Findings From a Decade of Cohort Analysis in Brazil"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8736-0268","authenticated-orcid":false,"given":"Luciana Reis da","family":"Silveira","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-4182-1016","authenticated-orcid":false,"given":"Aloisio Joaquim Freitas","family":"Ribeiro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9058-2803","authenticated-orcid":false,"given":"Victor Schulthais","family":"Chagas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1370-9073","authenticated-orcid":false,"given":"Patryk Marques da Silva","family":"Rosa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-4077-2544","authenticated-orcid":false,"given":"Julia Alpino de Castro","family":"Silva","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1716-8470","authenticated-orcid":false,"given":"Victoria Fialho Baroni","family":"Neves","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0513-8477","authenticated-orcid":false,"given":"Adebal de","family":"Andrade Filho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4278-3771","authenticated-orcid":false,"given":"Milena Soriano","family":"Marcolino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,25]]},"reference":[{"key":"e_1_2_15_1_2","volume-title":"Snakebite Envenoming","author":"World Health Organization","year":"2023"},{"key":"e_1_2_15_2_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.0030150"},{"key":"e_1_2_15_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)31232-2"},{"key":"e_1_2_15_4_2","doi-asserted-by":"publisher","DOI":"10.1038\/nrdp.2017.63"},{"key":"e_1_2_15_5_2","volume-title":"Brasil totalizou mais de 32 mil acidentes envolvendo serpentes em 2023","author":"Minist\u00e9rio da Sa\u00fade (Brasil)","year":"2023"},{"key":"e_1_2_15_6_2","volume-title":"Aspectos epidemiol\u00f3gicos do ofidismo no Brasil em","author":"Minist\u00e9rio da Sa\u00fade (Brasil)","year":"2022"},{"key":"e_1_2_15_7_2","volume-title":"Fiocruz Brasil","author":"Minist\u00e9rio da Sa\u00fade (Brasil)","year":"2001"},{"key":"e_1_2_15_8_2","doi-asserted-by":"publisher","DOI":"10.5935\/2238-3182.2022e32202"},{"key":"e_1_2_15_9_2","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/1345923"},{"key":"e_1_2_15_10_2","doi-asserted-by":"publisher","DOI":"10.1590\/S0036-46652013000500001"},{"key":"e_1_2_15_11_2","doi-asserted-by":"publisher","DOI":"10.1590\/0037-8682-0374-2023"},{"key":"e_1_2_15_12_2","doi-asserted-by":"publisher","DOI":"10.1590\/S0036-46651991000400002"},{"key":"e_1_2_15_13_2","volume-title":"Ending the Neglect to Attain the Sustainable Development Goals: A Road Map for Neglected Tropical Diseases 2021\u20132030","author":"World Health Organization (WHO)","year":"2024"},{"key":"e_1_2_15_14_2","volume-title":"BVMS Sa\u00fade","author":"Minist\u00e9rio da Sa\u00fade (Brasil)","year":"2010"},{"key":"e_1_2_15_15_2","first-page":"42","article-title":"Aplica\u00e7\u00f5es farmacol\u00f3gicas dos venenos de serpentes brasileiras enfoque para Crotalus durissus terrificus e Crotalus durissus ruruima","volume":"6","author":"Santos I. 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