Current status of active cooling, deep body temperature measurement, and face mask wearing in heat stroke and heat exhaustion patients in Japan: a nationwide observational study based on the Heatstroke STUDY 2020 and 2021
Aim The study aimed to determine the current status of face mask use, deep body temperature measurement, and active cooling in patients suffering from heat stroke and heat exhaustion in Japan. Methods This was a prospective, observational, multicenter study using data from the Heatstroke STUDY 2020–...
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Acute Medicine & Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/ams2.820 |
| _version_ | 1797374354817810432 |
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| author | Jun Kanda Yasufumi Miyake Daiki Tanaka Tadashi Umehara Maiko Yamazaki Naoshige Harada Motoki Fujita Kei Hayashida Hitoshi Kaneko Tatsuho Kobayashi Yukari Miyoshi Yuki Kishihara Yohei Okada Yuichi Okano Jotaro Tachino Shuhei Takauji Junko Yamaguchi Atsuo Maeda Hiroyuki Yokota Shoji Yokobori |
| author_facet | Jun Kanda Yasufumi Miyake Daiki Tanaka Tadashi Umehara Maiko Yamazaki Naoshige Harada Motoki Fujita Kei Hayashida Hitoshi Kaneko Tatsuho Kobayashi Yukari Miyoshi Yuki Kishihara Yohei Okada Yuichi Okano Jotaro Tachino Shuhei Takauji Junko Yamaguchi Atsuo Maeda Hiroyuki Yokota Shoji Yokobori |
| author_sort | Jun Kanda |
| collection | DOAJ |
| description | Aim The study aimed to determine the current status of face mask use, deep body temperature measurement, and active cooling in patients suffering from heat stroke and heat exhaustion in Japan. Methods This was a prospective, observational, multicenter study using data from the Heatstroke STUDY 2020–2021, a nationwide periodical registry of heat stroke and heat exhaustion patients. Based on the Bouchama heatstroke criteria, we classified the patients into two groups: severe and mild‐to‐moderate. We compared the outcomes between the two groups and reclassified them into two subgroups according to the severity of the illness, deep body temperature measurements, and face mask use. Cramer's V was used to determine the effect sizes for a comparison between groups. Results Almost all patients in this study were categorized as having degree III based on the Japanese Association for Acute Medicine heatstroke criteria (JAAM‐HS). However, the severe group was significantly worse than the mild‐to‐moderate group in outcomes like in‐hospital death and modified Rankin Scale scores, when discharged. Heat strokes had significantly higher rates of active cooling and lower mortality rates than heat stroke‐like illnesses. Patients using face masks often use them during labor, sports, and other exertions, had less severe conditions, and were less likely to be young male individuals. Conclusions It is suggested that severe cases require a more detailed classification of degree III in the JAAM‐HS criteria, and not measuring deep body temperature could have been a factor in the nonperformance of active cooling and worse outcomes. |
| first_indexed | 2024-03-08T19:04:38Z |
| format | Article |
| id | doaj.art-4e850c88d9b048e18365fab5d5d602f5 |
| institution | Directory Open Access Journal |
| issn | 2052-8817 |
| language | English |
| last_indexed | 2024-03-08T19:04:38Z |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Acute Medicine & Surgery |
| spelling | doaj.art-4e850c88d9b048e18365fab5d5d602f52023-12-28T00:28:39ZengWileyAcute Medicine & Surgery2052-88172023-01-01101n/an/a10.1002/ams2.820Current status of active cooling, deep body temperature measurement, and face mask wearing in heat stroke and heat exhaustion patients in Japan: a nationwide observational study based on the Heatstroke STUDY 2020 and 2021Jun Kanda0Yasufumi Miyake1Daiki Tanaka2Tadashi Umehara3Maiko Yamazaki4Naoshige Harada5Motoki Fujita6Kei Hayashida7Hitoshi Kaneko8Tatsuho Kobayashi9Yukari Miyoshi10Yuki Kishihara11Yohei Okada12Yuichi Okano13Jotaro Tachino14Shuhei Takauji15Junko Yamaguchi16Atsuo Maeda17Hiroyuki Yokota18Shoji Yokobori19Japan Association of Acute Medicine Heatstroke and Hypothermia Surveillance Committee Tokyo JapanJapan Association of Acute Medicine Heatstroke and Hypothermia Surveillance Committee Tokyo JapanDepartment of Emergency Medicine Teikyo University School of Medicine Tokyo JapanDepartment of Emergency Medicine Teikyo University School of Medicine Tokyo JapanDepartment of Emergency Medicine Teikyo University School of Medicine Tokyo JapanJapan Association of Acute Medicine Heatstroke and Hypothermia Surveillance Committee Tokyo JapanJapan Association of Acute Medicine Heatstroke and Hypothermia Surveillance Committee Tokyo JapanJapan Association of Acute Medicine Heatstroke and Hypothermia Surveillance Committee Tokyo JapanJapan Association of Acute Medicine Heatstroke and Hypothermia Surveillance Committee Tokyo JapanJapan Association of Acute Medicine Heatstroke and Hypothermia Surveillance Committee Tokyo JapanJapan Association of Acute Medicine Heatstroke and Hypothermia Surveillance Committee Tokyo JapanJapan Association of Acute Medicine Heatstroke and Hypothermia Surveillance Committee Tokyo JapanJapan Association of Acute Medicine Heatstroke and Hypothermia Surveillance Committee Tokyo JapanJapan Association of Acute Medicine Heatstroke and Hypothermia Surveillance Committee Tokyo JapanJapan Association of Acute Medicine Heatstroke and Hypothermia Surveillance Committee Tokyo JapanJapan Association of Acute Medicine Heatstroke and Hypothermia Surveillance Committee Tokyo JapanJapan Association of Acute Medicine Heatstroke and Hypothermia Surveillance Committee Tokyo JapanJapan Association of Acute Medicine Heatstroke and Hypothermia Surveillance Committee Tokyo JapanJapan Association of Acute Medicine Heatstroke and Hypothermia Surveillance Committee Tokyo JapanJapan Association of Acute Medicine Heatstroke and Hypothermia Surveillance Committee Tokyo JapanAim The study aimed to determine the current status of face mask use, deep body temperature measurement, and active cooling in patients suffering from heat stroke and heat exhaustion in Japan. Methods This was a prospective, observational, multicenter study using data from the Heatstroke STUDY 2020–2021, a nationwide periodical registry of heat stroke and heat exhaustion patients. Based on the Bouchama heatstroke criteria, we classified the patients into two groups: severe and mild‐to‐moderate. We compared the outcomes between the two groups and reclassified them into two subgroups according to the severity of the illness, deep body temperature measurements, and face mask use. Cramer's V was used to determine the effect sizes for a comparison between groups. Results Almost all patients in this study were categorized as having degree III based on the Japanese Association for Acute Medicine heatstroke criteria (JAAM‐HS). However, the severe group was significantly worse than the mild‐to‐moderate group in outcomes like in‐hospital death and modified Rankin Scale scores, when discharged. Heat strokes had significantly higher rates of active cooling and lower mortality rates than heat stroke‐like illnesses. Patients using face masks often use them during labor, sports, and other exertions, had less severe conditions, and were less likely to be young male individuals. Conclusions It is suggested that severe cases require a more detailed classification of degree III in the JAAM‐HS criteria, and not measuring deep body temperature could have been a factor in the nonperformance of active cooling and worse outcomes.https://doi.org/10.1002/ams2.820active coolingdeep body temperatureface maskheat exhaustionheat strokeHeatstroke STUDY |
| spellingShingle | Jun Kanda Yasufumi Miyake Daiki Tanaka Tadashi Umehara Maiko Yamazaki Naoshige Harada Motoki Fujita Kei Hayashida Hitoshi Kaneko Tatsuho Kobayashi Yukari Miyoshi Yuki Kishihara Yohei Okada Yuichi Okano Jotaro Tachino Shuhei Takauji Junko Yamaguchi Atsuo Maeda Hiroyuki Yokota Shoji Yokobori Current status of active cooling, deep body temperature measurement, and face mask wearing in heat stroke and heat exhaustion patients in Japan: a nationwide observational study based on the Heatstroke STUDY 2020 and 2021 Acute Medicine & Surgery active cooling deep body temperature face mask heat exhaustion heat stroke Heatstroke STUDY |
| title | Current status of active cooling, deep body temperature measurement, and face mask wearing in heat stroke and heat exhaustion patients in Japan: a nationwide observational study based on the Heatstroke STUDY 2020 and 2021 |
| title_full | Current status of active cooling, deep body temperature measurement, and face mask wearing in heat stroke and heat exhaustion patients in Japan: a nationwide observational study based on the Heatstroke STUDY 2020 and 2021 |
| title_fullStr | Current status of active cooling, deep body temperature measurement, and face mask wearing in heat stroke and heat exhaustion patients in Japan: a nationwide observational study based on the Heatstroke STUDY 2020 and 2021 |
| title_full_unstemmed | Current status of active cooling, deep body temperature measurement, and face mask wearing in heat stroke and heat exhaustion patients in Japan: a nationwide observational study based on the Heatstroke STUDY 2020 and 2021 |
| title_short | Current status of active cooling, deep body temperature measurement, and face mask wearing in heat stroke and heat exhaustion patients in Japan: a nationwide observational study based on the Heatstroke STUDY 2020 and 2021 |
| title_sort | current status of active cooling deep body temperature measurement and face mask wearing in heat stroke and heat exhaustion patients in japan a nationwide observational study based on the heatstroke study 2020 and 2021 |
| topic | active cooling deep body temperature face mask heat exhaustion heat stroke Heatstroke STUDY |
| url | https://doi.org/10.1002/ams2.820 |
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