Demographic and Clinical Characteristics of Rhabdomyolysis in Emergency Service: A Prospective Clinical Research

Objective: Rhabdomyolysis is a life-threatening syndrome caused by extracellular release of skeletal cell content in which various traumatic or nontraumatic causes may take part. The aim of this study is to show the frequency of adult patients that who admitted to the emergency room for various reasons and were diagnosed with rhabdomyolysis, the etiological and demographic factors, and the risk factors related to acute renal failure in these patients. Materials and Methods: Patients over 18 years old, who had presented to the emergency service within a period of 6 months, were included in the study. Patients with a serum level of creatine phosphokinase higher than five times than normal were regarded as individuals with rhabdomyolysis. The demographic, etiological, clinical characteristics thereof were recorded; the risk factors for acute renal failure therein were attempted. Results: Sixty-five patients were included in the study of which 45 were men and 20 were women. The most common factor was over-exercise; the most common symptoms were fatigue and muscle pain. An acute renal failure was found in 12.3% of patients. Conclusion: The etiological factors of rhabdomyolysis vary, such as muscle over-activity, injection, infection, dehydration, trauma, medicine. The male gender and muscle over-activity are critical factors for rhabdomyolysis. Patients with rhabdomyolysis caused by dehydration also showed ARF