Skip to main content

Table 4 Summary of clinical findings of patients receiving extracorporeal treatments for β-adrenergic antagonist removal

From: Extracorporeal treatment for poisoning to beta-adrenergic antagonists: systematic review and recommendations from the EXTRIP workgroup

 

Acebutolol (n = 4)

Atenolol

(n = 9)

Carvedilol

(n = 1)

Metoprolol

(n = 1)

Propranolol

(n = 9)

Sotalol

(n = 9)

Talinolol

(n = 4)

Patient characteristics

       

Age, years

20 (17–27)

45 (28–74)

21

49

31 (15–49)

66 (44–78)

21 (20–47)

Men, %

0

56

0

0

44

78

50

ESKD, %

0

11

0

0

0

44

0

Poisoning information

       

Intentional overdose, %

100

89

100

100

100

44

100

Dose if acute ingestion, g

8.4 (4.8–12)

4.5 (2.5–10)

1.8

0.5

3.1 (0.6–5.0)

8.0 (7.2–14.4)

2.5 (1.5–5.0)

Peak concentration, mg/L

14 (10–18)

14 (2.5–70)

0.6

2.8

1.5 (0.04–3)

17 (2.5–65)

5.5 (5.0–6.1)

Time from ingestion to admission, hours

2 (2–2)

6.5 (2–8)

 

0.8

2 (1–8)

2.5 (1–4)

6 (2–8)

Signs/ Symptoms / Labs

       

Coma, %

100

89

100

100

50

100

75

Altered consciousness, %

100

100

100

100

83

100

75

Bradycardia, %

100

100

100

100

100

50

100

Severe dysrhythmia, %

25

0

100

0

33

100

25

Hypotension, %

100

100

100

100

75

89

100

QRS complex duration, msec

260

128 (98–160)

N/A

N/A

104

120 (104–140)

420

Prolonged QRS complex duration, %

100

43

0

0

N/A

25

50

QT interval duration, msec

N/A

440 (400–448)

N/A

N/A

N/A

618 (509–880)

440

Prolonged QT interval, %

N/A

17

N/A

N/A

N/A

100

25

Acute kidney injury, %

100

87.5

100

0

0

38

0

Serum glucose, mmol/L

14.7

7.7 (2.2–19.2)

8.3

N/A

10.7

4.4 (1.4–7.4)

N/A

Serum bicarbonate, mmol/L

16

19 (10.8–21)

N/A

N/A

20 (15–25)

17

N/A

Serum lactate, mmol/L

1.9

4.6 (1.8–9.3)

4.7

N/A

7.6 (1.9–13.2)

1.9

N/A

Serum potassium, mmol/L

3.2

4.3 (< 0.8–8.5)

5.9

N/A

4.2 (3.7–4.7)

5.1 (3.8–7.1)

N/A

Other treatments

       

Gastric lavage, %

25

44

0

0

67

22

75

Activated charcoal, %

75

56

0

100

50

11

25

Vasopressors/ inotropes, %

100

100

100

100

50

75

75

Mechanical ventilation, %

100

100

0

100

17

75

75

Atropine, %

100

56

0

100

67

22

25

Lipid emulsion, %

0

11

0

0

16

0

0

Pacemaker, %

100

44

100

100

33

88

50

High-dose insulin euglycemic therapy, %

0

67

0

0

33

0

0

Glucagon, %

75

100

100

100

83

33

25

Extracorporeal life support (ECLS), %

25

22

100

0

0

0

0

Extracorporeal treatments

       

Hemodialysis, n

1

3

0

0

0

6

0

TPE, n

0

0

1

0

2

0

0

CKRT, n

0

3

0

0

0

1

0

More than 1 ECTR, n

0

2

0

0

0

0

0

HF-HP, n

1

0

0

0

0

0

0

HD-HP, n

1

1

0

0

3

1

1

HP, n

1

0

0

1

4

0

3

Outcome

       

Death, %

0

11

0

0

11

11

50

Sequelae, %

25

11

0

0

N/A

11

N/A

Length of stay, days

30 (7–49)

22 (12–32)

23

N/A

6 (5–32)

20

N/A

Length of ICU stay, days

2 (2–2)

9.5 (1.5–28)

8

3

8.5 (4–13)

3 (2–6)

N/A

Length of life-threatening dysrhythmia

N/A

N/A

N/A

N/A

56

16 (12–120)

N/A

Length of prolonged QT interval, msec

N/A

N/A

N/A

N/A

N/A

37 (30–120)

N/A

Length of bradycardia/hypotension, hours

25 (24–26)

48 (20–168)

120

18

67 (24–70)

36

9

  1. Results presented as medians and range. No range is presented when the number of values is one. When specific data was not reported, this was not included in the incidence
  2. ESKD, end-stage kidney disease; TPE, therapeutic plasma exchange; CKRT, continuous renal replacement therapy; ECTR, extracorporeal treatment; HF-HP, hemofiltration-hemoperfusion; HD-HP, hemodialysis and hemoperfusion in series; HP, hemoperfusion; ICU, intensive care unit; N/A, Not available