JOCS
Journal of Comprehensive Surgery

The aim of the Comprehensive Surgery is to publish original research articles of the highest scientific and clinical value at the international level in all surgical fields.

eISSN: 2980-0862
Creative Commons CC BY-NC-ND 4.0 International License.
EndNote Style

Online Manuscript System

Index
Original Article
Cardiopulmonary complications and critical care in scorpion envenomation: a bibliometric analysis
Abstract
Aims: This study aimed to characterize publication and citation patterns in the literature on cardiopulmonary complications and critical care in scorpion envenomation and to map its thematic and intellectual structure.
Methods: The Web of Science Core Collection was searched on September 24, 2026. Records were screened against predefined eligibility criteria. Descriptive bibliometric indicators were calculated, and author-keyword co-occurrence (minimum three occurrences) and cited-reference co-citation (cited by at least 20 included records) networks were mapped using VOSviewer version 1.6.21.
Results: Of 462 retrieved records, 239 published between 1982 and 2026 were included; the 2026 count was partial. The records had received 5,346 citations (median, 10; h-index, 41). Toxicon was the leading source (n = 37), and India was the most frequently represented affiliation country (n = 44). The author-keyword map, based on 162 records with author keywords, contained 28 terms in eight clusters. The co-citation map included 38 cited references in three clusters: foundational cardiovascular toxicity, myocardial injury and severity, and treatment and syntheses.
Conclusion: The literature is organized around acute cardiac and pulmonary injury, pediatric envenomation, and treatment-related themes. Combined keyword and co-citation mapping provides clinicians and researchers with a structured entry point to mechanistic, severity, assessment, and treatment literature and can guide focused evidence synthesis, without estimating complication incidence or comparative treatment effectiveness.

Keywords : Shock, cardiogenic, pulmonary edema, scorpion stings, critical care, bibliometrics

Download Article
Ethical Statement

The study analyzed bibliographic records and did not involve human participants, animals, or identifiable patient-level data. Ethics committee approval and informed consent were not applicable.

Informed Consent

Since the study was conducted without the participation of any living being, no written consent form was obtained.

Author Contributions

The author is solely responsible for the entirety of conception, execution, analysis, and writing of the manuscript.

Conflict of Interest

The author declares no conflicts of interest related to this study.

Financial Disclosure

The author received no financial support for the conduct or publication of this research.


1. Chippaux JP, Goyffon M. Epidemiology of scorpionism: a global appraisal. Acta Trop. 2008;107(2):71-79. doi:10.1016/j.actatropica.2008.05.021
2. Isbister GK, Bawaskar HS. Scorpion envenomation. N Engl J Med. 2014; 371(5):457-463. doi:10.1056/NEJMra1401108
3. Bahloul M, Chaari A, Dammak H, et al. Pulmonary edema following scorpion envenomation: mechanisms, clinical manifestations, diagnosis and treatment. Int J Cardiol. 2013;162(2):86-91. doi:10.1016/j.ijcard.2011.10.013
4. Abroug F, Ouanes-Besbes L, Tilouche N, Elatrous S. Scorpion envenomation: state of the art. Intensive Care Med. 2020;46(3):401-410. doi:10.1007/s00134-020-05924-8
5. Godoy DA, Badenes R, Seifi S, Salehi S, Seifi A. Neurological and systemic manifestations of severe scorpion envenomation. Cureus. 2021; 13(4):e14715. doi:10.7759/cureus.14715
6. Chippaux JP. Emerging options for the management of scorpion stings. Drug Des Devel Ther. 2012;6:165-173. doi:10.2147/DDDT.S24754
7. Ismail M. The scorpion envenoming syndrome. Toxicon. 1995;33(7):825-858. doi:10.1016/0041-0101(95)00005-7
8. Fereidooni R, Shirzadi S, Ayatizadeh SH, et al. Scorpion envenomation-associated myocarditis: a systematic review. PLoS Negl Trop Dis. 2023; 17(4):e0011219. doi:10.1371/journal.pntd.0011219
9. Abroug F, ElAtrous S, Nouira S, Haguiga H, Touzi N, Bouchoucha S. Serotherapy in scorpion envenomation: a randomised controlled trial. Lancet. 1999;354(9182):906-909. doi:10.1016/S0140-6736(98)12083-4
10. Boyer LV, Theodorou AA, Berg RA, et al. Antivenom for critically ill children with neurotoxicity from scorpion stings. N Engl J Med. 2009; 360(20):2090-2098. doi:10.1056/NEJMoa0808455
11. Rodrigo C, Gnanathasan A. Management of scorpion envenoming: a systematic review and meta-analysis of controlled clinical trials. Syst Rev. 2017;6:74. doi:10.1186/s13643-017-0469-8
12. Almeida JS, Gomez Ravetti C, de Melo Andrade MV, et al. Use of point-of-care ultrasound to assess the severity of scorpion stings in hospitalized patients. Clin Toxicol (Phila). 2024;62(3):145-151. doi:10.1080/15563650.2024.2328346
13. Almeida JS, Ravetti CG, Nobre VA, Vassallo PF, Melo de Andrade MV. New biomarkers in scorpion stings. Toxicon. 2025;255:108258. doi:10.1016/j.toxicon.2025.108258
14. Leite e Silva MH, Almeida JS, Reis SV, et al. Scorpion envenomation: an intensive care unit transfer prediction score. Rev Soc Bras Med Trop. 2026;59:e0052-2026. doi:10.1590/0037-8682-0052-2026
15. Violino AI, Lozano MA, Garcia Moralez R, Ricarte-Bratti JP, Lozita J, Ravinovich EY. Cardiogenic shock requiring VA-ECMO therapy in scorpionism-induced myocarditis. ESC Heart Fail. 2025;12(5):3780-3784. doi:10.1002/ehf2.15368
16. Merbouh M, Sarhaoui HE, Idrissi Iliass E, Mouaffak Y, Younous S. Hemodynamic assessment of pediatric scorpion envenomation using the non-invasive cardiac output monitor (ICON). Glob Pediatr. 2025;14: 100300. doi:10.1016/j.gpeds.2025.100300
17. Costa MF, da Silva AV, de Vasconcelos RN. A bibliometric analysis of scorpionism epidemiology in tropical health. J Scientometric Res. 2025; 14(1):142-159. doi:10.5530/jscires.20251090
18. Di Fabio JL, Cortés Castillo MÁ, Griffiths E. Landscape of research, production, and regulation in venoms and antivenoms: a bibliometric analysis. Rev Panam Salud Publica. 2021;45:e55. doi:10.26633/RPSP.2021.55
19. Tricco AC, Lillie E, Zarin W, et al. PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018;169(7):467-473. doi:10.7326/M18-0850
20. van Eck NJ, Waltman L. Software survey: VOSviewer, a computer program for bibliometric mapping. Scientometrics. 2010;84(2):523-538. doi:10.1007/s11192-009-0146-3
21. Donthu N, Kumar S, Mukherjee D, Pandey N, Lim WM. How to conduct a bibliometric analysis: an overview and guidelines. J Bus Res. 2021;133: 285-296. doi:10.1016/j.jbusres.2021.04.070
22. Brasil. Ministério da Saúde. Clinical Protocol and Therapeutic Guidelines for Scorpion Accidents. Ministério da Saúde; 2026.
23. Guerra-Duarte C, Saavedra-Langer R, Matavel A, Oliveira-Mendes BBR, Chávez-Olórtegui C, Paiva ALB. Scorpion envenomation in Brazil: current scenario and perspectives for containing an increasing health problem. PLoS Negl Trop Dis. 2023;17(2):e0011069. doi:10.1371/journal.pntd.0011069
Article available in :
Volume 4, Issue 4, 2026
Page : 98-105
https://doi.org/10.51271/JOCS-0085
Article Information
Received : 26 Eyl 2026
Accepted : 26 Eki 2026
Published : 28 Eki 2026
Corresponding Author :

Yusuf Furkan Güneş: Department of Anesthesiology and Reanimation, Kahta State Hospital, Adıyaman, Turkiye

[email protected]
Citation : Güneş YF. Cardiopulmonary complications and critical care in scorpion envenomation: a bibliometric analysis. J Compr Surg. 2026;4(4):98-105. doi:10.51271/JOCS-0085

Read: 5
Download : 0
Cited: 0
_Footer