ArticleDeutsches Arzteblatt international2014
Carbon monoxide poisoning following use of a water pipe/hookah.
Article in Deutsches Arzteblatt international, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.
- S2k guideline diagnosis and treatment of carbon monoxide poisoning.German medical science : GMS e-journal · 2021Guideline
- Review
- Waterpipe tobacco smoking in healthcare students in the University of Jordan.Frontiers in public health · 2025Article
- Water-pipe Tobacco Components and their Association with Oxidative Stress.Addiction & health · 2024Review
- Discussion of waterpipe tobacco smoking on reddit.Heliyon · 2022Article
- Comparing Immediate Physiological Responses and Future Intentions of Use between Combustible and Electronic Waterpipe Users.Addictive behaviors · 2021Article
- The adverse health effects of waterpipe smoking in adolescents and young adults: A narrative review.Tobacco induced diseases · 2021Review
- Smoking practices in relation to exhaled carbon monoxide in an occupational cohort.BMC public health · 2020Article
- The effect of flavoured and non-flavoured tobacco on subjective experience, topography and toxicant exposure among waterpipe smokers.Tobacco control · 2020Article
- Evidence of compensation among waterpipe smokers using harm reduction components.Tobacco control · 2020Article
- Waterpipe smoking: the pressing need for risk communication.Expert review of respiratory medicine · 2019Review
- The effects of hookah/waterpipe smoking on general health and the cardiovascular system.Environmental health and preventive medicine · 2019Review
- Flavored Versus Nonflavored Waterpipe Tobacco: A Comparison of Toxicant Exposure, Puff Topography, Subjective Experiences, and Harm Perceptions.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2019Article
- Tobacco hookah smoking-induced carbon monoxide poisoning: A case report of non-ambient exposure.Clinical case reports · 2019Article
- Water Pipe (Hookah) Smoking and Cardiovascular Disease Risk: A Scientific Statement From the American Heart Association.Circulation · 2019Review
- The Diagnosis and Treatment of Carbon Monoxide Poisoning.Deutsches Arzteblatt international · 2018Review
- Increasing popularity of waterpipe tobacco smoking and electronic cigarette use: Implications for oral healthcare.Journal of periodontal research · 2017Review
- Effects of hookah smoking on indoor air quality in homes.Tobacco control · 2016Article
- Waterpipe tobacco smoking: A new smoking epidemic among the young?Current pulmonology reports · 2015Article
- The Effect of Waterpipe Tobacco Smoke Exposure on Learning and Memory Functions in the Rat Model.Journal of molecular neuroscience : MN · 2015Article
Corrections and comments
- Commented on byCase report.2015
- Commented on byIn reply.2015
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWater pipe (hookah) smoking has become a common activity in Germany, particularly among adolescents and young adults; in 2011, its lifetime prevalence was as high as 68.8%. Similar trends can be seen in other European countries. Water-pipe smokers are exposed to the same health-endangering substances as cigarette smokers, and the inhaled amount of carbon monoxide (CO) can be as much as ten times as high. In CO intoxication, carboxyhemoglobin is formed and causes direct injury at the cellular level, leading to hypoxia and nonspecific neuro logical manifestations. There have only been ten reported cases around the world of CO intoxication due to the use of a water pipe, and none of these were fatal. It should be recalled, however, that accidental CO intoxication is common and is associated with high morbidity and mortality. CASE PRESENTATION AND COURSE: We present a series of four young adults, aged 16 to 21, three of whom were hospitalized because of transient unconsciousness. The carboxyhemoglobin (CO-Hb) content of the blood in the symptomatic patients ranged from 20.1% to 29.6%, while the asymptomatic patient had a CO-Hb content of 16.7%. Water-pipe smoking was the cause of CO intoxication in all four cases. The CO-Hb values were successfully brought down by the administration of highly concentrated oxygen and all patients were discharged in asymptomatic condition.
conclusionThis case series reveals that CO intoxication due to water-pipe smoking is probably more common than is generally realized. Emergency room staff should be aware of this problem and inquire specifically about water-pipe smoking in patients with nonspecific neurological manifestations.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.