Abstract
Objectives
To assess the prevalence of neurologic and neuropsychological symptoms in the short-term
and 1 year after an electric shock and to explore whether any of these were associated
with risk factors.
Methods
Patients presenting to one of 21 EDs between October 2000 and November 2004 were eligible
to be enrolled in a prospective observational study after an electric shock if they
had risk factors for late arrhythmias. Telephone follow-up was done to evaluate the
appearance of symptoms.
Results
A total of 30 (26%) of 114 patients complained of neurologic or neuropsychological
symptoms at a median of 52 days post–electric shock. At 1 year, 24 (28%) of 86 patients
complained of neurologic or neuropsychological symptoms. None of the risk factors
evaluated were associated with the symptoms.
Conclusion
The prevalence of the symptoms we observed should alarm all emergency physicians that
the effect of electricity can cause late neurologic and neuropsychological manifestations.
To read this article in full you will need to make a payment
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to The American Journal of Emergency MedicineAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Electrical injuries.Crit Care Med. 2002; 30: S424-S430
- Neurologic consequences of electrical burns.J Trauma. 1990; 30: 254-258
- Diffuse electrical injury: a study of 89 subjects reporting long-term symptomatology that is remote to the theoretical current pathway.IEEE Trans Biomed Eng. 2004; 51: 1449-1459
- Neurorehabilitation of lightning and electrical injuries.Sem Neurol. 1995; 15: 391-396
- Cognitive decline over time following electrical injury.Brain Inj. 2003; 17: 817-823
- The neurophysiological aspects of electrical injuries.Clin Encephal. 1989; 20: 111-120
- Cardiac monitoring of high-risk patients after an electrical injury: a prospective multicentre study.Emerg Med J. 2007; 24: 348-352
- Central nervous system complications of lightning and electrical injuries.Sem Neurol. 1995; 15: 233-240
- Electrical injury and lightning injury: a review of their mechanisms and neuropsychological, psychiatric, and neurological sequelae.Neuropsychol Rev. 2001; 11: 101-116
- The neurological sequalae of electrical injury.CMAJ. 1964; 91: 195-204
- The neuropsychological effects of electrical injury: new insights.Ann NY Acad Sci. 2004; 888: 140-149
- Life after electrical injury: risk factors for psychiatric sequalae.Ann NY Acad Sci. 1999; 888: 356-363
- Correlation between serum creatinine kinase levels and extent of muscle damage in electrical burns.Burns. 2004; 30: 680-683
Article Info
Publication History
Accepted:
June 28,
2007
Received in revised form:
June 22,
2007
Received:
May 12,
2007
Footnotes
☆This study was supported by a grant from Hydro-Québec.
Identification
Copyright
© 2008 Elsevier Inc. Published by Elsevier Inc. All rights reserved.