Moderate or severe scorpion sting: identification of risk factors.
Carina Akemi Takehara, José Luiz Tatagiba Lamas, Renata Cristina Gasparino and 1 others
PMID 37902581WHAT IT FOUND
Patients aged 19 or younger and those first seen at another service were more likely to have moderate or severe scorpion stings.
Average time from sting to CIATox care was similar for mild and moderate/severe cases.
Key findings
01Age 19 years or younger was associated with moderate or severe scorpion sting classification, with adjusted prevalence ratio 8.21 (95% CI 4.47 to 15.10).
02Previous care at another service was associated with moderate or severe scorpion sting classification, with adjusted prevalence ratio 8.76 (95% CI 4.72 to 16.25).
03Mean time from scorpion accident to CIATox care was 119.84 minutes for moderate/severe cases and 197.38 minutes for mild cases, with no significant difference (p = 0.3845).
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study used medical records collected for clinical care, not research, so missing or inaccurate information is possible. Age was recorded in 753 medical records, while 754 cases were analyzed. The scorpion was not identified in 562 cases (75.54%), so species-specific risk is limited. It was a single specialized referral centre in Campinas, so results may not apply to other regions or the whole country. Studies use different age ranges, which limits comparison with other research.
The easy way to misread this
Do not conclude that age or previous care caused moderate or severe stings. This was a retrospective record study at one specialized referral centre, so it shows association, not cause.