Comparison between carbon monoxide poisoning from hookah smoking versus other sources

Nguyen, Vincent; Salama, Maha M.; Fernandez, Denise; Sperling, Jeremy D.; Regina, Angela; Rivera, Robert; Wang, Jessica; Friedman, Benjamin W.; Smith, Silas W.

doi:10.1080/15563650.2020.1745225

Cited by 12 publications

(6 citation statements)

References 20 publications

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“…A single-center retrospective cohort study by Eichhorn et al found a significant number of CO poisoning cases related to waterpipe smoking, indicating that this source of CO poisoning should be considered in the emergency department, especially in young patients presenting with non-specific neurological symptoms [23]. This was also demonstrated in a retrospective analysis at a New York City HBO center, which found a significant increase in waterpipe-related carbon monoxide poisoning among young, otherwise healthy individuals, with waterpipe smoking becoming the leading cause of CO poisoning [24]. The increase in waterpipe-associated CO cases may be due to the rising popularity of hookah establishments [24].…”

Section: Discussionmentioning

confidence: 88%

Carbon monoxide intoxication with a CO-Hb of 30% while smoking waterpipe: a case report

Mohsen,

Kemmerer,

Eichhorn

2023

Int J Emerg Med

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Carbon monoxide (CO) poisoning is a significant public health issue and a considerable economic burden in developed countries. While the majority of non-fire-related CO poisonings are attributed to gas heating, there are several other less recognized sources that should be considered in the initial differential diagnosis.The patient in this case was a 21-year-old who experienced a brief episode of loss of consciousness and was subsequently admitted to the Emergency department. Upon evaluation, the patient was diagnosed with CO poisoning, which necessitated hyperbaric oxygen therapy to mitigate the effects of this toxic exposure.Despite exhibiting harmful symptoms initially, the patient stated in a phone interview two and a half years post-incident that they have not experienced any enduring effects such as cardiac arrhythmia or concentration deficits. While their understanding of the risks associated with waterpipe smoking has increased, it has not influenced any major changes in their waterpipe smoking habits.

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Section: Discussionmentioning

confidence: 88%

Carbon monoxide intoxication with a CO-Hb of 30% while smoking waterpipe: a case report

Mohsen,

Kemmerer,

Eichhorn

2023

Int J Emerg Med

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“…Contrary to widely held claims, a systematic review and metaanalysis demonstrated the accumulating scientific evidence associating hookah smoking with cancer, including oral cancer (odds ratio (OR) = 4.17; 95% CI = 2.53-6.89) and lung cancer (OR = 2.12; 95% CI = 1.32-3.42), as well as respiratory diseases, including chronic obstructive pulmonary disease (OR = 3.18, 95% CI = 1.25-8.08) and bronchitis (OR = 2.37, 95% CI = 1.49-3.77) [23]. In addition to tobacco combustion products, hookah smoking exposes users to high levels of charcoal combustion products, including carbon monoxide levels, which has been implicated in substantial increases in hookah-associated carbon monoxide poisoning cases [24,25]. A study utilizing smoking machines estimated that a typical one-hour hookah smoking session emits 30 times the carbon monoxide levels of a single cigarette in the side-stream [26].…”

Section: Introductionmentioning

confidence: 99%

Disparities in Substance Co-Use among Sexual Minority and Heterosexual Adult Hookah Smokers: Findings from Wave 4 (2016–2018) and Wave 5 (2018–2019) of the Population Assessment of Tobacco and Health Study

Sakthi,

Adolfo,

Warda

et al. 2024

Psychoactives

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Heavily advertised as a harmless tobacco alternative, hookah (i.e., waterpipe)-flavored tobacco smoking has contributed to the wider epidemic of smoking, especially amongst marginalized sexual minority (SM) populations. Evidence regarding the concurrent use of substances and other drugs, among SM current hookah smokers, is scarce. We utilized nationally representative data from the Population Assessment of Tobacco and Health (PATH) Study (2016–2019) to examine patterns of the concurrent use of substances (i.e., marijuana, painkillers, sedatives, tranquilizers, cocaine, stimulants (specifically methamphetamines), and others), in SM adult hookah smokers and their heterosexual counterparts. Current hookah smoking is higher among SM adults (Wave 4: 4.22% [95% CI = 2.94–5.94] and Wave 5: 2.65% [95% CI = 1.81–3.48]) than heterosexuals (Wave 4: 1.31% [95% CI = 1.13–1.50] and Wave 5: 1.07% [95% CI = 0.89–1.25]). Among current SM hookah users, the co-use of substances, including alcohol, marijuana, and cocaine, is comparable to heterosexuals (p = ns). Adjusting for gender alone and all covariates, including age, sex, race/ethnicity, education, income, and education, no differences in concurrent substance use were observed between SM and heterosexual hookah users. While the co-use of substances is comparable between SM and heterosexual hookah smoker adults, the prevalence of current hookah use more than doubled among SM individuals than heterosexual individuals during 2018–2019. Our findings highlight the critical value of prevention efforts directed to increase education and awareness about hookah smoking use and known health effects, particularly tailored towards sexual minorities.

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“…Dennoch ist der Shisha-Konsum wie das Rauchen generell mit Gesundheitsrisiken assoziiert [4]. Hinzu kommt das Risiko einer akuten Kohlenmonoxid-Vergiftung durch unvollständiges Verglimmen im Zusammenhang mit der zumeist verwendeten Shisha-Kohle [5]. Insgesamt ist umstritten, wie hoch das Schadenspotenzial relativ gesehen ist.…”

Section: Introductionunclassified

Wer raucht eigentlich Shisha?

et al. 2023

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ZusammenfassungDer Konsum von orientalischen Wasserpfeifen (Shishas) ist seit Mitte der 2000er Jahre nicht mehr nur unter migrantischen Populationen ein Thema, sondern auch unter deutschen Jugendlichen und jungen Erwachsenen im Allgemeinen verbreitet. Über die Ergebnisse der jüngeren Prävalenzforschung hinausgehend ist jedoch über Konsumgewohnheiten und Motive deutscher Shisha-Konsumierender nichts bekannt. Im folgenden Beitrag wird folglich zunächst ein Überblick über Verbreitung, Trendentwicklungen und soziodemographische Charakteristika von Personen mit Konsumerfahrungen und aktuellem Gebrauch präsentiert. Aus der internationalen Fachliteratur skizzieren wir zudem einige Erkenntnisse über Motivkonstellationen für den Shisha-Konsum. Angesichts des Forschungsdefizits zum Thema im deutschsprachigen Raum sind Konsummotive zentraler Fokus eines neuen Projektes (Shisha-M), das gegen Ende dieses Artikels kurz vorgestellt wird. In der abschließenden Diskussion werden die vorliegenden Erkenntnisse vor dem Hintergrund von Prävention und Schadensminderung erörtert und die Aktualität des Phänomens Wasserpfeife für die öffentliche Gesundheit diskutiert.

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Comparison between carbon monoxide poisoning from hookah smoking versus other sources

Cited by 12 publications

References 20 publications

Carbon monoxide intoxication with a CO-Hb of 30% while smoking waterpipe: a case report

Carbon monoxide intoxication with a CO-Hb of 30% while smoking waterpipe: a case report

Disparities in Substance Co-Use among Sexual Minority and Heterosexual Adult Hookah Smokers: Findings from Wave 4 (2016–2018) and Wave 5 (2018–2019) of the Population Assessment of Tobacco and Health Study

Wer raucht eigentlich Shisha?

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