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"Kyoung Chul Cha"

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"Kyoung Chul Cha"

Original Articles

Clinical Laboratory | Neurology

The usefulness of serum delta neutrophil index for differentiating bacterial and viral meningitis in the emergency department
Joon Woo Lee, Chan Ik Park, Hyung Il Kim, Oh Hyun Kim, Kyoung Chul Cha, Hyun Kim, Kang Hyun Lee, Sung Oh Hwang, Yong Sung Cha
Clin Exp Emerg Med 2016;3(2):95-99.   Published online June 30, 2016
DOI: https://doi.org/10.15441/ceem.15.095

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The usefulness of serum delta neutrophil index for differentiating bacterial and viral meningitis in the emergency department
Clin Exp Emerg Med. 2016;3(2):95-99.   Published online June 30, 2016
DOI: https://doi.org/10.15441/ceem.15.095
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The usefulness of serum delta neutrophil index for differentiating bacterial and viral meningitis in the emergency department
Clin Exp Emerg Med. 2016;3(2):95-99.   Published online June 30, 2016
DOI: https://doi.org/10.15441/ceem.15.095
Close
Objective
When managing patients with acute meningitis in an emergency department (ED), early diagnosis of the type of infection (bacterial or viral) considerably affects the clinical course and treatment because of the high mortality and morbidity associated with bacterial meningitis (BM). The serum delta neutrophil index (DNI), a new inflammatory marker, reflects the fraction of circulating immature granulocytes and is elevated in cases of bacterial infection. The objective of this study was to evaluate whether serum DNI can be used to differentiate between BM and viral meningitis (VM) in the ED.
Methods
This retrospective, observational study included 104 consecutive patients (aged >18 years) diagnosed with acute meningitis from January 2012 to November 2014 in a regional emergency center. White blood cell and neutrophil counts, C-reactive protein level, and DNI were evaluated regarding their usefulness for differentiating BM and VM.
Results
Serum DNI was not significantly higher in the BM group (n=12) than in the VM group (n=92) (0 [interquartile range, 0% to 2.73%] vs. 0 [interquartile range, 0 to 0%], P=0.057). However, the white blood cell count and C-reactive protein level were statistically higher in the BM group (P=0.034 and P=0.026, respectively). Serum DNI was not found to be a statistically useful differential diagnostic parameter (area under the curve, 0.628; 95% confidence interval, 0.438 to 0.818).
Conclusion
Currently, there is no evidence that the serum DNI aids in differentiating acute BM from acute VM in the ED.

Citations

Citations to this article as recorded by  Crossref logo
  • Ability of Procalcitonin and C‐Reactive Protein for Discriminating between Bacterial and Enteroviral Meningitis in Children Using Decision Tree
    Dmitriy Babenko, Aliya Seidullayeva, Dinagul Bayesheva, Bayan Turdalina, Baurzhan Omarkulov, Aigul Almabayeva, Marina Zhanaliyeva, Almagul Kushugulova, Samat Kozhakhmetov, Alireza Baghban
    BioMed Research International.2021;[Epub]     CrossRef
  • Time series analysis of delta neutrophil index as the predictor of sepsis in patients with acute poisoning
    SJ Park, J Park, MJ Lee, JS Seo, JY Ahn, JW Cho
    Human & Experimental Toxicology.2020; 39(1): 86.     CrossRef
  • The value of delta neutrophil index in neonatal sepsis diagnosis, follow-up and mortality prediction
    Istemi Han Celik, Ilter Arifoglu, Zehra Arslan, Gonul Aksu, Ahmet Yagmur Bas, Nihal Demirel
    Early Human Development.2019; 131: 6.     CrossRef
  • Delta neutrophil index as an early predictive marker of severe acute pancreatitis in the emergency department
    Tae Y Kim, Sun J Kim, Yoon S Kim, Jong W Lee, Eung J Park, Seok J Lee, Kyong J Lee, Yong S Cha
    United European Gastroenterology Journal.2019; 7(4): 488.     CrossRef
  • Value of the Delta Neutrophil Index for Predicting 28-Day Mortality in Patients With Acute Pulmonary Embolism in the Emergency Department
    Taeyoung Kong, Yoo Seok Park, Hye Sun Lee, Sinae Kim, Jong Wook Lee, Gina Yu, Claire Eun, Je Sung You, Hyun Soo Chung, Incheol Park, Sung Phil Chung
    Shock.2018; 49(6): 649.     CrossRef
  • The utility of delta neutrophil index in differentiation of pulmonary tuberculosis from community acquired pneumonia
    Byung Woo Jhun, Yun Su Sim, Tae Rim Shin, Dong-Gyu Kim
    Scientific Reports.2018;[Epub]     CrossRef
  • Usefulness of the Delta Neutrophil Index as a Promising Prognostic Marker of Acute Cholangitis in Emergency Departments
    Hyunchul Kim, Taeyoung Kong, Sung Phil Chung, Jung Hwa Hong, Jong Wook Lee, Youngseon Joo, Dong Ryul Ko, Je Sung You, Incheol Park
    Shock.2017; 47(3): 303.     CrossRef
  • 13,253 View
  • 155 Download
  • 7 Web of Science
  • 7 Crossref

Toxicology

Clinical outcomes of adverse cardiovascular events in patients with acute dapsone poisoning
Kyung Sik Kang, Hyung Il Kim, Oh Hyun Kim, Kyoung Chul Cha, Hyun Kim, Kang Hyun Lee, Sung Oh Hwang, Yong Sung Cha
Clin Exp Emerg Med 2016;3(1):41-45.   Published online March 31, 2016
DOI: https://doi.org/10.15441/ceem.15.088

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Clinical outcomes of adverse cardiovascular events in patients with acute dapsone poisoning
Clin Exp Emerg Med. 2016;3(1):41-45.   Published online March 31, 2016
DOI: https://doi.org/10.15441/ceem.15.088
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Clinical outcomes of adverse cardiovascular events in patients with acute dapsone poisoning
Clin Exp Emerg Med. 2016;3(1):41-45.   Published online March 31, 2016
DOI: https://doi.org/10.15441/ceem.15.088
Close
Objective
Adverse cardiovascular events (ACVEs) account for a large proportion of the morbidities and mortalities associated with drug overdose emergencies. However, there are no published reports regarding outcomes of ACVEs associated with acute dapsone poisoning. Here, the authors retrospectively analyzed ACVEs reported within 48 hours of treatment in patients with acute dapsone poisoning and assessed the significance of ACVEs as early predictors of mortality.
Methods
Sixty-one consecutive cases of acute dapsone poisoning that were diagnosed and treated at a regional emergency center between 2006 and 2014 were included in the study. An ACVE was defined as myocardial injury, shock, ventricular dysrhythmia, cardiac arrest, or any combination of these occurring within the first 48 hours of treatment for acute dapsone poisoning.
Results
Nineteen patients (31.1%) had evidence of myocardial injury (elevation of serum troponin-I level or electrocardiography signs of ischemia) after dapsone overdose, and there were a total of 19 ACVEs (31.1%), including one case of shock (1.6%). Fourteen patients (23.0%) died from pneumonia or multiple organ failure, and the incidence of ACVEs was significantly higher among non-survivors than among survivors (64.3% vs. 21.3%, P=0.006). ACVE was a significant predictor of mortality (odds ratio, 5.690; 95% confidence interval, 1.428 to 22.675; P=0.014).
Conclusion
The incidence of ACVE was significantly higher among patients who died after acute dapsone poisoning. ACVE is a significant predictor of mortality after dapsone overdose, and evidence of ACVE should be carefully sought in these patients.

Citations

Citations to this article as recorded by  Crossref logo
  • Bullous pemphigoid: Pathogenesis and therapeutic correlates
    Ryan S.Q. Geng, Siddhartha Sood, Jensen Yeung, Asfandyar Mufti
    JAAD Reviews.2026; 8: 137.     CrossRef
  • Management of Bullous Pemphigoid in Special Populations: A Narrative Review of the Literature
    Giulia Gasparini, Roberto Russo, Laura Calabrese, Martina D’Onghia, Giovanni Di Zenzo, Dario Didona, Martina Merli, Pietro Quaglino, Roberto Maglie, Emiliano Antiga, Marzia Caproni, Clara De Simone, Luisa Boeti, Gianluca Avallone, Luca Valtellini, Angelo
    Dermatologic Therapy.2025;[Epub]     CrossRef
  • Development of a risk-prediction nomogram for in-hospital adverse cardiovascular events in acute cardiotoxic agents poisoning
    Heba I. Lashin, Fatma M. Elgazzar, Sara I. El sharkawy, Sally M. Elsawaf, Zahraa Khalifa Sobh
    Toxicology Reports.2024; 13: 101826.     CrossRef
  • Dapsone for the treatment of acne vulgaris: do the risks outweigh the benefits?
    Selami Aykut Temiz, Munise Daye
    Cutaneous and Ocular Toxicology.2022; 41(1): 60.     CrossRef
  • Specific Treatment Exists for SARS-CoV-2 ARDS
    Badar Kanwar, Chul Joong Lee, Jong-Hoon Lee
    Vaccines.2021; 9(6): 635.     CrossRef
  • The Neuroinflammasome in Alzheimer’s Disease and Cerebral Stroke
    Jong-hoon Lee, Chul Joong Lee, Jungwuk Park, So Jeong Lee, Su-hee Choi
    Dementia and Geriatric Cognitive Disorders Extra.2021; 11(2): 159.     CrossRef
  • A Bitter Taste in Your Heart
    Conor J. Bloxham, Simon R. Foster, Walter G. Thomas
    Frontiers in Physiology.2020;[Epub]     CrossRef
  • 4,4′-Diaminodiphenyl Sulfone (DDS) as an Inflammasome Competitor
    Jong-hoon Lee, Ha Kyeu An, Mun-Gi Sohn, Paul Kivela, Sangsuk Oh
    International Journal of Molecular Sciences.2020; 21(17): 5953.     CrossRef
  • The usefulness of the SOFA and APACHE II scoring systems for the early prediction of mortality in patients with dapsone poisoning
    Y Lee, SJ Kim, YS Kim, H Kim, DK Lee, J Lee, TH Go, YS Cha
    Human & Experimental Toxicology.2019; 38(3): 280.     CrossRef
  • Analysis of Patients with Acute Toxic Exposure between 2009 and 2013: Data from the Korea Health Insurance Review and Assessment Service and the National Emergency Department Information System
    Young-Hoon Yoon, Jung-Youn Kim, Sung-Hyuk Choi
    Journal of Korean Medical Science.2018;[Epub]     CrossRef
  • Therapeutic effect of ascorbic acid on dapsone-induced methemoglobinemia in rats
    Changwoo Kang, Dong Hoon Kim, Taeyun Kim, Soo Hoon Lee, Jin Hee Jeong, Sang Bong Lee, Jin Hyun Kim, Myeong Hee Jung, Kyung-woo Lee, In Sung Park
    Clinical and Experimental Emergency Medicine.2018; 5(3): 192.     CrossRef
  • Dapsone overdose

    Reactions Weekly.2016; 1629(1): 99.     CrossRef
  • 13,726 View
  • 144 Download
  • 9 Web of Science
  • 12 Crossref

Resuscitation

Outcome and current status of therapeutic hypothermia after out-of-hospital cardiac arrest in Korea using data from the Korea Hypothermia Network registry
Byung Kook Lee, Kyu Nam Park, Gu Hyun Kang, Kyung Hwan Kim, Giwoon Kim, Won Young Kim, Jin Hong Min, Yooseok Park, Jung Bae Park, Gil Joon Suh, Yoo Dong Son, Jonghwan Shin, Joo Suk Oh, Yeon Ho You, Dong Hoon Lee, Jong Seok Lee, Hoon Lim, Tae Chang Jang, Gyu Chong Cho, In Soo Cho, Kyoung Chul Cha, Seung Pill Choi, Wook Jin Choi, Chul Han, The Korean Hypothermia Network Investigators
Clin Exp Emerg Med 2014;1(1):19-27.   Published online September 30, 2014
DOI: https://doi.org/10.15441/ceem.14.007

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Outcome and current status of therapeutic hypothermia after out-of-hospital cardiac arrest in Korea using data from the Korea Hypothermia Network registry
Clin Exp Emerg Med. 2014;1(1):19-27.   Published online September 30, 2014
DOI: https://doi.org/10.15441/ceem.14.007
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
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Outcome and current status of therapeutic hypothermia after out-of-hospital cardiac arrest in Korea using data from the Korea Hypothermia Network registry
Clin Exp Emerg Med. 2014;1(1):19-27.   Published online September 30, 2014
DOI: https://doi.org/10.15441/ceem.14.007
Close
Objective

Therapeutic hypothermia (TH) has become the standard strategy for reducing brain damage in the postresuscitation period. The aim of this study was to investigate current TH performance and outcomes in out-of-hospital cardiac arrest (OHCA) survivors using data from the Korean Hypothermia Network (KORHN) registry.

 Methods

We used the KORHN registry, a web-based multicenter registry that includes 24 participating hospitals throughout the Republic of Korea. Adult comatose OHCA survivors treated with TH between 2007 and 2012 were included. The primary outcomes were neurological outcome at hospital discharge and in-hospital mortality. The secondary outcomes were TH performance and adverse events during TH.

 Results

A total of 930 patients were included, of whom 556 (59.8%) survived to discharge and 249 (26.8%) were discharged with good neurologic outcomes. The median time from return of spontaneous circulation (ROSC) to the start of TH was 101 minutes (interquartile range [IQR], 46 to 200 minutes). The induction, maintenance, and rewarming durations were 150 minutes (IQR, 80 to 267 minutes), 1,440 minutes (IQR, 1,290 to 1,440 minutes), and 708 minutes (IQR, 420 to 900 minutes), respectively. The time from the ROSC to coronary angiography was 1,045 hours (IQR, 121 to 12,051 hours). Hyperglycemia (46.3%) was the most frequent adverse event.

 Conclusion

More than one-quarter of the OHCA survivors (26.8%) were discharged with good neurologic outcomes. TH performance was appropriately managed in terms of the factors related to its timing, including cooling start time and rewarming duration.

Citations

Citations to this article as recorded by  Crossref logo
  • Association Between the Timing of Coronary Angiography, Targeted Temperature Management, and Neurological Outcomes After Out‐of‐Hospital Cardiac Arrest: A Nationwide Population‐Based Registry Study in Korea
    Sang Hoon Oh, Han Joon Kim, Kyu Nam Park, Chun Song Youn, Jee Yong Lim, Hyo Joon Kim, Hyo Jin Bang
    Journal of the American Heart Association.2025;[Epub]     CrossRef
  • Feasibility of Magnetic Resonance-Based Conductivity Imaging as a Tool to Estimate the Severity of Hypoxic-Ischemic Brain Injury in the First Hours After Cardiac Arrest
    Yong Hun Jung, Hyoung Youn Lee, Byung Kook Lee, Bup Kyung Choi, Tae-Hoon Kim, Jin Woong Kim, Hyun Chul Kim, Hyung Joong Kim, Kyung Woon Jeung
    Neurocritical Care.2024; 40(2): 538.     CrossRef
  • Brain Death and Its Prediction in Out-of-Hospital Cardiac Arrest Patients Treated with Targeted Temperature Management
    Hwan Song, Sang Hoon Oh, Hye Rim Woo
    Diagnostics.2022; 12(5): 1190.     CrossRef
  • Ultra-early neurologic outcome prediction of out-of-hospital cardiac arrest survivors using combined diffusion-weighted imaging findings and quantitative analysis of apparent diffusion coefficient
    Jung Soo Park, Yong Nam In, Yeon Ho You, Jin Hong Min, Hong Joon Ahn, In Sool Yoo, Seung Whan Kim, Jin Woong Lee, Seung Ryu, Won Joon Jeong, Yong Chul Cho, Se Kwang Oh, Sung Uk Cho, Chang Shin Kang, In Ho Lee, Byung Kook Lee, Dong Hun Lee, Dong Hoon Lee
    Resuscitation.2020; 148: 39.     CrossRef
  • Mortality and Neurological Outcomes in Out-of-Hospital Cardiac Arrest Patients With and Without Targeted Temperature Management in a Multiethnic Asian Population
    Wan Jing Tay, Huihua Li, Andrew FW Ho, Ching Hui Sia, Georgina GJ Kwek, Sohil Pothiawala, Nur Shahidah, Kenneth BK Tan, Aaron SL Aaron SL Wong, Duu Wen Sewa, Eric TS Lim, Chee Tang Chin, Marcus EH Marcus EH Ong
    Annals of the Academy of Medicine, Singapore.2020; 49(3): 127.     CrossRef
  • Outcome and status of postcardiac arrest care in Korea: results from the Korean Hypothermia Network prospective registry
    Soo Hyun Kim, Kyu Nam Park, Chun Song Youn, Minjung Kathy Chae, Won Young Kim, Byung Kook Lee, Dong Hoon Lee, Tae Chang Jang, Jae Hoon Lee, Yoon Hee Choi, Je Sung You, In Soo Cho, Su Jin Kim, Jong-Seok Lee, Yong Hwan Kim, Min Seob Sim, Jonghwan Shin, Yoo
    Clinical and Experimental Emergency Medicine.2020; 7(4): 250.     CrossRef
  • Factors Predicting Bacterial Infection in Out-of-Hospital Cardiac Arrest Patients Undergoing Targeted Temperature Management
    Seung Mok Ryoo, Seung Joon Yoo, Joon Sung Kim, Gina Yu, Sungmin Jung, Youn-Jung Kim, Chang Hwan Sohn, Won Young Kim
    Therapeutic Hypothermia and Temperature Management.2019; 9(3): 190.     CrossRef
  • Recovery from acute kidney injury as a potent predictor of survival and good neurological outcome at discharge after out-of-hospital cardiac arrest
    Yoo Seok Park, Yoon Hee Choi, Je Hyeok Oh, In Soo Cho, Kyoung-Chul Cha, Byung-Sun Choi, Je Sung You
    Critical Care.2019;[Epub]     CrossRef
  • Association between acute kidney injury and neurological outcome or death at 6 months in out-of-hospital cardiac arrest: A prospective, multicenter, observational cohort study
    Je Hyeok Oh, Dong Hoon Lee, In Soo Cho, Chun Song Youn, Byung Kook Lee, Jung Hee Wee, Kyoung-Chul Cha, Minjung Kathy Chae, Jonghwan Shin
    Journal of Critical Care.2019; 54: 197.     CrossRef
  • Prognostic Factors for Re-Arrest with Shockable Rhythm during Target Temperature Management in Out-Of-Hospital Shockable Cardiac Arrest Patients
    Seung Mok Ryoo, Dong Hun Lee, Byung Kook Lee, Chun Song Youn, Youn-Jung Kim, Su Jin Kim, Yong Hwan Kim, Won Young Kim
    Journal of Clinical Medicine.2019; 8(9): 1360.     CrossRef
  • Quantitative analysis of relative volume of low apparent diffusion coefficient value can predict neurologic outcome after cardiac arrest
    Hyung Ki Moon, Jinhee Jang, Kyu Nam Park, Soo Hyun Kim, Byung Kook Lee, Sang Hoon Oh, Kyung Woon Jeung, Seung Pill Choi, In Soo Cho, Chun Song Youn
    Resuscitation.2018; 126: 36.     CrossRef
  • Optic nerve sheath diameter measured using early unenhanced brain computed tomography shows no correlation with neurological outcomes in patients undergoing targeted temperature management after cardiac arrest
    Dong Hoon Lee, Sun Hwa Lee, Je Hyeok Oh, In Soo Cho, Young Hwan Lee, Chul Han, Wook Jin Choi, You Dong Sohn
    Resuscitation.2018; 128: 144.     CrossRef
  • Neurologic outcome after out-of-hospital cardiac arrest could be predicted with the help of bispectral-index during early targeted temperature management
    Jeong Ho Park, Jae Hun Oh, Seung Pill Choi, Jung Hee Wee
    Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine.2018;[Epub]     CrossRef
  • Continuous neuromuscular blockade infusion for out-of-hospital cardiac arrest patients treated with targeted temperature management: A multicenter randomized controlled trial
    Byung Kook Lee, In Soo Cho, Joo Suk Oh, Wook Jin Choi, Jung Hee Wee, Chang Sun Kim, Won Young Kim, Chun Song Youn, Salvatore De Rosa
    PLOS ONE.2018; 13(12): e0209327.     CrossRef
  • The association of body mass index with outcomes and targeted temperature management practice in cardiac arrest survivors
    Yong Hun Jung, Byung Kook Lee, Dong Hun Lee, Sung Min Lee, Yong Soo Cho, Kyung Woon Jeung
    The American Journal of Emergency Medicine.2017; 35(2): 268.     CrossRef
  • Predictors of good neurologic outcome after resuscitation beyond 30 min in out-of-hospital cardiac arrest patients undergoing therapeutic hypothermia
    Shin Ahn, Byung Kook Lee, Chun Song Youn, Youn-Jung Kim, Chang Hwan Sohn, Dong-Woo Seo, Won Young Kim
    Internal and Emergency Medicine.2017;[Epub]     CrossRef
  • Prognostic value of gray matter to white matter ratio in hypoxic and non-hypoxic cardiac arrest with non-cardiac etiology
    Byung Kook Lee, Won Young Kim, Jonghwan Shin, Joo Suk Oh, Jung Hee Wee, Kyoung Chul Cha, Yooseok Park, Jae Hyung Choi, Kyung Woon Jeung
    The American Journal of Emergency Medicine.2016; 34(8): 1583.     CrossRef
  • Treatment of acute carbon monoxide poisoning with induced hypothermia
    Byoung-Joon Oh, Yong-Gyun Im, Eunjung Park, Young-Gi Min, Sang-Cheon Choi
    Clinical and Experimental Emergency Medicine.2016; 3(2): 100.     CrossRef
  • The duration of cardiopulmonary resuscitation in emergency departments after out-of-hospital cardiac arrest is associated with the outcome: A nationwide observational study
    Won Chul Cha, Eui Jung Lee, Seung-sik Hwang
    Resuscitation.2015; 96: 323.     CrossRef
  • Adverse events associated with poor neurological outcome during targeted temperature management and advanced critical care after out-of-hospital cardiac arrest
    Young-Min Kim, Chun Song Youn, Soo Hyun Kim, Byung Kook Lee, In Soo Cho, Gyu Chong Cho, Kyung Woon Jeung, Sang Hoon Oh, Seung Pill Choi, Jong Hwan Shin, Kyoung-Chul Cha, Joo Suk Oh, Hyeon Woo Yim, Kyu Nam Park
    Critical Care.2015;[Epub]     CrossRef
  • Prognostic values of gray matter to white matter ratios on early brain computed tomography in adult comatose patients after out-of-hospital cardiac arrest of cardiac etiology
    Byung Kook Lee, Kyung Woon Jeung, Kyoung Hwan Song, Yong Hun Jung, Wook Jin Choi, Soo Hyun Kim, Chun Sung Youn, In Soo Cho, Dong Hun Lee
    Resuscitation.2015; 96: 46.     CrossRef
  • A survey-based study on the protocols for therapeutic hypothermia in cardiac arrest patients in Korea: focusing on the differences between level 1 and 2 centers
    Tae Gwan Oh, Won Chul Cha, Ik Joon Jo, Mun Ju Kang, Dong Woo Lee
    Clinical and Experimental Emergency Medicine.2015; 2(4): 210.     CrossRef
  • Continuous Amplitude-Integrated Electroencephalographic Monitoring Is a Useful Prognostic Tool for Hypothermia-Treated Cardiac Arrest Patients
    Sang Hoon Oh, Kyu Nam Park, Young-Min Shon, Young-Min Kim, Han Joon Kim, Chun Song Youn, Soo Hyun Kim, Seung Pill Choi, Seok Chan Kim
    Circulation.2015; 132(12): 1094.     CrossRef
  • 19,092 View
  • 190 Download
  • 21 Web of Science
  • 23 Crossref
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CEEM : Clinical and Experimental Emergency Medicine