Heatstroke: a multicenter study in Southwestern China

BackgroundAn increase in Heatstroke cases occurred in southwest China in 2022 due to factors like global warming, abnormal temperature rise, insufficient power supply, and other contributing factors. This resulted in a notable rise in Heatstroke patients experiencing varying degrees of organ dysfunc...

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Main Authors: Lvyuan Shi, Bo Wang, Qin Wu, Jing Yang, Lietao Wang, Dingyuan Wan, Yucong Wang, Zhongxue Feng, Wei Zhang, Li Li, Wenhu Wang, Jun Chen, Xiaohua Ai, Jianwei Zheng, Zhongwei Zhang, Min He, Heat Stroke Research Group in Southwestern China
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-04-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2024.1349753/full
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author Lvyuan Shi
Bo Wang
Qin Wu
Jing Yang
Lietao Wang
Dingyuan Wan
Yucong Wang
Zhongxue Feng
Zhongxue Feng
Wei Zhang
Wei Zhang
Li Li
Wenhu Wang
Jun Chen
Xiaohua Ai
Jianwei Zheng
Zhongwei Zhang
Min He
Heat Stroke Research Group in Southwestern China
author_facet Lvyuan Shi
Bo Wang
Qin Wu
Jing Yang
Lietao Wang
Dingyuan Wan
Yucong Wang
Zhongxue Feng
Zhongxue Feng
Wei Zhang
Wei Zhang
Li Li
Wenhu Wang
Jun Chen
Xiaohua Ai
Jianwei Zheng
Zhongwei Zhang
Min He
Heat Stroke Research Group in Southwestern China
author_sort Lvyuan Shi
collection DOAJ
description BackgroundAn increase in Heatstroke cases occurred in southwest China in 2022 due to factors like global warming, abnormal temperature rise, insufficient power supply, and other contributing factors. This resulted in a notable rise in Heatstroke patients experiencing varying degrees of organ dysfunction. This descriptive study aims to analyze the epidemiology and clinical outcomes of Heatstroke patients in the ICU, providing support for standardized diagnosis and treatment, ultimately enhancing the prognosis of Heatstroke.MethodsA retrospective, multicenter, descriptive analysis was conducted on Heatstroke patients admitted to ICUs across 83 hospitals in southwest China. Electronic medical records were utilized for data collection, encompassing various aspects such as epidemiological factors, onset symptoms, complications, laboratory data, concurrent infections, treatments, and patient outcomes.ResultsThe dataset primarily comprised classic heatstroke, with 477 males (55% of total). The patient population had a median age of 72 years (range: 63–80 years). The most common initial symptoms were fever, mental or behavioral abnormalities, and fainting. ICU treatment involved respiratory support, antibiotics, sedatives, and other interventions. Among the 700 ICU admissions, 213 patients had no infection, while 487 were diagnosed with infection, predominantly lower respiratory tract infection. Patients presenting with neurological symptoms initially (n = 715) exhibited higher ICU mortality risk compared to those without neurological symptoms (n = 104), with an odds ratio of 2.382 (95% CI 1.665, 4.870) (p = 0.017).ConclusionIn 2022, the majority of Heatstroke patients in southwest China experienced classical Heatstroke, with many acquiring infections upon admission to the ICU. Moreover, Heatstroke can result in diverse complications.
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spelling doaj.art-889153552fc64462866ce3fb54900df42024-04-17T04:58:59ZengFrontiers Media S.A.Frontiers in Public Health2296-25652024-04-011210.3389/fpubh.2024.13497531349753Heatstroke: a multicenter study in Southwestern ChinaLvyuan Shi0Bo Wang1Qin Wu2Jing Yang3Lietao Wang4Dingyuan Wan5Yucong Wang6Zhongxue Feng7Zhongxue Feng8Wei Zhang9Wei Zhang10Li Li11Wenhu Wang12Jun Chen13Xiaohua Ai14Jianwei Zheng15Zhongwei Zhang16Min He17Heat Stroke Research Group in Southwestern ChinaDepartment of Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaDepartment of Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaDepartment of Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaDepartment of Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaDepartment of Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaDepartment of Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaDepartment of Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaDepartment of Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaDepartment of State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University and Collaborative Innovation Center of Biotherapy, Chengdu, ChinaDepartment of Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaDepartment of State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University and Collaborative Innovation Center of Biotherapy, Chengdu, ChinaDepartment of Critical Care Medicine, The Second People's Hospital of Neijiang City, Neijiang, Sichuan, ChinaDepartment of Critical Care Medicine, Zizhong County People's Hospital, Neijiang, Sichuan, ChinaDepartment of Critical Care Medicine, The People's Hospital of Jianyang City, Jianyang, Sichuan, ChinaDepartment of Critical Care Medicine, The People's Hospital of Zhongjiang, Deyang, Sichuan, ChinaDepartment of Critical Care Medicine, Hejiang People's Hospital, Luzhou, Sichuan, ChinaDepartment of Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaDepartment of Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaBackgroundAn increase in Heatstroke cases occurred in southwest China in 2022 due to factors like global warming, abnormal temperature rise, insufficient power supply, and other contributing factors. This resulted in a notable rise in Heatstroke patients experiencing varying degrees of organ dysfunction. This descriptive study aims to analyze the epidemiology and clinical outcomes of Heatstroke patients in the ICU, providing support for standardized diagnosis and treatment, ultimately enhancing the prognosis of Heatstroke.MethodsA retrospective, multicenter, descriptive analysis was conducted on Heatstroke patients admitted to ICUs across 83 hospitals in southwest China. Electronic medical records were utilized for data collection, encompassing various aspects such as epidemiological factors, onset symptoms, complications, laboratory data, concurrent infections, treatments, and patient outcomes.ResultsThe dataset primarily comprised classic heatstroke, with 477 males (55% of total). The patient population had a median age of 72 years (range: 63–80 years). The most common initial symptoms were fever, mental or behavioral abnormalities, and fainting. ICU treatment involved respiratory support, antibiotics, sedatives, and other interventions. Among the 700 ICU admissions, 213 patients had no infection, while 487 were diagnosed with infection, predominantly lower respiratory tract infection. Patients presenting with neurological symptoms initially (n = 715) exhibited higher ICU mortality risk compared to those without neurological symptoms (n = 104), with an odds ratio of 2.382 (95% CI 1.665, 4.870) (p = 0.017).ConclusionIn 2022, the majority of Heatstroke patients in southwest China experienced classical Heatstroke, with many acquiring infections upon admission to the ICU. Moreover, Heatstroke can result in diverse complications.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1349753/fullheatstrokeretrospectiveintensive care unitsmulticenterdescriptive studyepidemiological patterns
spellingShingle Lvyuan Shi
Bo Wang
Qin Wu
Jing Yang
Lietao Wang
Dingyuan Wan
Yucong Wang
Zhongxue Feng
Zhongxue Feng
Wei Zhang
Wei Zhang
Li Li
Wenhu Wang
Jun Chen
Xiaohua Ai
Jianwei Zheng
Zhongwei Zhang
Min He
Heat Stroke Research Group in Southwestern China
Heatstroke: a multicenter study in Southwestern China
Frontiers in Public Health
heatstroke
retrospective
intensive care units
multicenter
descriptive study
epidemiological patterns
title Heatstroke: a multicenter study in Southwestern China
title_full Heatstroke: a multicenter study in Southwestern China
title_fullStr Heatstroke: a multicenter study in Southwestern China
title_full_unstemmed Heatstroke: a multicenter study in Southwestern China
title_short Heatstroke: a multicenter study in Southwestern China
title_sort heatstroke a multicenter study in southwestern china
topic heatstroke
retrospective
intensive care units
multicenter
descriptive study
epidemiological patterns
url https://www.frontiersin.org/articles/10.3389/fpubh.2024.1349753/full
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