Objective: This study aimed to retrospectively determine which laboratory
data on arrival for patients with mamushi bites was useful to predict the severity of
mamushi bites.Materials and Methods: The subjects were divided into the following two
groups: the mild group included subjects with mamushi bites Grades I and II, while the
severe group included subjects with mamushi bites Grades III, IV, and V. The subjects’
variables were compared between the two groups.Results: There were no significant differences between the two groups
regarding the levels of hematocrit, total protein, alanine aminotransferase, aspartate
aminotransferase, creatinine phosphokinase, blood urea nitrogen, creatinine, and
international normalized ratio of prothrombin time on arrival. Moreover, white blood cell
count and platelet count on arrival in the mild group were significantly lower than those
in the severe group. Furthermore, activated partial thromboplastin time on arrival was
significantly higher in the mild group than in the severe group. Multivariate analysis
using white blood cell count and platelet count and level of activated partial
thromboplastin time revealed the following significant prognostic indicators of severity
of mamushi bites: white blood cell count (Log Worth, 2.1; p<0.01) and platelet count
(Log Worth, 1.6; p<0.05).Conclusion: White blood cell count and platelet count on arrival of patients
with mamushi bites are considered significant prognostic indicators in determining the
severity of mamushi bites.