Clinical relevance of impaired consciousness in accidental hypothermia: a Japanese multicenter retrospective study
Aim This study aimed to investigate the association between level of impaired consciousness and severe hypothermia (<28°C) and to evaluate the association between level of impaired consciousness and inhospital mortality among accidental hypothermia patients. Methods This was a multicenter retrosp...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Acute Medicine & Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/ams2.730 |
| _version_ | 1797976116594475008 |
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| author | Masahiro Fukuda Masahiro Nozawa Yohei Okada Sachiko Morita Naoki Ehara Nobuhiro Miyamae Takaaki Jo Yasuyuki Sumida Nobunaga Okada Makoto Watanabe Ayumu Tsuruoka Yoshihiro Fujimoto Yoshiki Okumura Tetsuhisa Kitamura Tasuku Matsuyama |
| author_facet | Masahiro Fukuda Masahiro Nozawa Yohei Okada Sachiko Morita Naoki Ehara Nobuhiro Miyamae Takaaki Jo Yasuyuki Sumida Nobunaga Okada Makoto Watanabe Ayumu Tsuruoka Yoshihiro Fujimoto Yoshiki Okumura Tetsuhisa Kitamura Tasuku Matsuyama |
| author_sort | Masahiro Fukuda |
| collection | DOAJ |
| description | Aim This study aimed to investigate the association between level of impaired consciousness and severe hypothermia (<28°C) and to evaluate the association between level of impaired consciousness and inhospital mortality among accidental hypothermia patients. Methods This was a multicenter retrospective study using the J‐Point registry database, which includes data regarding patients whose core body temperature was 35.0°C or less and who were treated as accidental hypothermia in emergency departments between April 1, 2011 and March 31, 2016. We estimated adjusted odds ratios of the level of impaired consciousness for severe hypothermia less than 28°C and inhospital mortality using a logistic regression model. Results The study included 505 of 572 patients in the J‐Point registry. Relative to mildly impaired consciousness (Glasgow Coma Scale [GCS] 13–15), the adjusted odds ratios for severe hypothermia less than 28°C were: moderate (GCS 9–12), 3.26 (95% confidence interval [CI], 1.69–6.25); and severe (GCS < 9), 4.68 (95% CI, 2.40–9.14). Relative to mildly impaired consciousness (GCS 13–15), the adjusted odds ratios for inhospital mortality were: moderate (GCS9–12), 1.65 (95% CI, 0.95–2.88); and severe (GCS < 9), 2.10 (95% CI, 1.17–3.78). Conclusion The level of impaired consciousness in patients with accidental hypothermia was associated with severe hypothermia and inhospital mortality. |
| first_indexed | 2024-04-11T04:46:14Z |
| format | Article |
| id | doaj.art-065cd804bfe64a208cd3426f1848cc36 |
| institution | Directory Open Access Journal |
| issn | 2052-8817 |
| language | English |
| last_indexed | 2024-04-11T04:46:14Z |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Acute Medicine & Surgery |
| spelling | doaj.art-065cd804bfe64a208cd3426f1848cc362022-12-27T12:22:50ZengWileyAcute Medicine & Surgery2052-88172022-01-0191n/an/a10.1002/ams2.730Clinical relevance of impaired consciousness in accidental hypothermia: a Japanese multicenter retrospective studyMasahiro Fukuda0Masahiro Nozawa1Yohei Okada2Sachiko Morita3Naoki Ehara4Nobuhiro Miyamae5Takaaki Jo6Yasuyuki Sumida7Nobunaga Okada8Makoto Watanabe9Ayumu Tsuruoka10Yoshihiro Fujimoto11Yoshiki Okumura12Tetsuhisa Kitamura13Tasuku Matsuyama14Department of Emergency and Critical Care Medicine Saiseikai Shiga Hospital Ritto JapanDepartment of Emergency and Critical Care Medicine Saiseikai Shiga Hospital Ritto JapanDepartment of Emergency and Critical Care Medicine Japanese Red Cross Society Kyoto Daini Hospital Kyoto JapanSenri Critical Care Medical Center Saiseikai Senri Hospital Suita JapanDepartment of Emergency Medicine Japanese Red Cross Society Kyoto Daiichi Red Cross Hospital Kyoto JapanDepartment of Emergency Medicine Rakuwa‐kai Otowa Hospital Kyoto JapanDepartment of Emergency Medicine Uji‐Tokushukai Medical Center Uji JapanDepartment of Emergency Medicine North Medical Center Kyoto Prefectural University of Medicine Kyoto JapanDepartment of Emergency Medicine Kyoto Prefectural University of Medicine Kyoto JapanDepartment of Emergency Medicine Kyoto Prefectural University of Medicine Kyoto JapanDepartment of Emergency and Critical Care Medicine Kyoto Min‐Iren Chuo Hospital Kyoto JapanDepartment of Emergency Medicine, Yodogawa Christian Hospital Osaka JapanDepartment of Emergency Medicine Fukuchiyama City Hospital Fukuchiyama JapanDivision of Environmental Medicine and Population Sciences Department of Social and Environmental Medicine Graduate School of Medicine Osaka University Osaka JapanDepartment of Emergency Medicine Kyoto Prefectural University of Medicine Kyoto JapanAim This study aimed to investigate the association between level of impaired consciousness and severe hypothermia (<28°C) and to evaluate the association between level of impaired consciousness and inhospital mortality among accidental hypothermia patients. Methods This was a multicenter retrospective study using the J‐Point registry database, which includes data regarding patients whose core body temperature was 35.0°C or less and who were treated as accidental hypothermia in emergency departments between April 1, 2011 and March 31, 2016. We estimated adjusted odds ratios of the level of impaired consciousness for severe hypothermia less than 28°C and inhospital mortality using a logistic regression model. Results The study included 505 of 572 patients in the J‐Point registry. Relative to mildly impaired consciousness (Glasgow Coma Scale [GCS] 13–15), the adjusted odds ratios for severe hypothermia less than 28°C were: moderate (GCS 9–12), 3.26 (95% confidence interval [CI], 1.69–6.25); and severe (GCS < 9), 4.68 (95% CI, 2.40–9.14). Relative to mildly impaired consciousness (GCS 13–15), the adjusted odds ratios for inhospital mortality were: moderate (GCS9–12), 1.65 (95% CI, 0.95–2.88); and severe (GCS < 9), 2.10 (95% CI, 1.17–3.78). Conclusion The level of impaired consciousness in patients with accidental hypothermia was associated with severe hypothermia and inhospital mortality.https://doi.org/10.1002/ams2.730Body temperatureconsciousnessemergency medical service |
| spellingShingle | Masahiro Fukuda Masahiro Nozawa Yohei Okada Sachiko Morita Naoki Ehara Nobuhiro Miyamae Takaaki Jo Yasuyuki Sumida Nobunaga Okada Makoto Watanabe Ayumu Tsuruoka Yoshihiro Fujimoto Yoshiki Okumura Tetsuhisa Kitamura Tasuku Matsuyama Clinical relevance of impaired consciousness in accidental hypothermia: a Japanese multicenter retrospective study Acute Medicine & Surgery Body temperature consciousness emergency medical service |
| title | Clinical relevance of impaired consciousness in accidental hypothermia: a Japanese multicenter retrospective study |
| title_full | Clinical relevance of impaired consciousness in accidental hypothermia: a Japanese multicenter retrospective study |
| title_fullStr | Clinical relevance of impaired consciousness in accidental hypothermia: a Japanese multicenter retrospective study |
| title_full_unstemmed | Clinical relevance of impaired consciousness in accidental hypothermia: a Japanese multicenter retrospective study |
| title_short | Clinical relevance of impaired consciousness in accidental hypothermia: a Japanese multicenter retrospective study |
| title_sort | clinical relevance of impaired consciousness in accidental hypothermia a japanese multicenter retrospective study |
| topic | Body temperature consciousness emergency medical service |
| url | https://doi.org/10.1002/ams2.730 |
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