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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Frontiers Media S.A.
2024-04-01
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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. |
first_indexed | 2024-04-24T08:10:42Z |
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language | English |
last_indexed | 2024-04-24T08:10:42Z |
publishDate | 2024-04-01 |
publisher | Frontiers Media S.A. |
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series | Frontiers in Public Health |
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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