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Impact of hypothermia in the rural, pediatric trauma patient

Brett H Waibel1, Chris A Durham, Mark A Newell

  • 1Department of Surgery, Division of Trauma and Surgical Critical Care, The Brody School of Medicine, East Carolina University, Greenville, NC, USA. Brett.Waibel@pcmh.com

Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
|October 2, 2009
PubMed

Insights

Hypothermia in pediatric trauma patients increases mortality risk and bleeding issues but lowers pneumonia odds. Length of stay was not significantly impacted after controlling for confounders.

Area of Science:

  • Pediatric Trauma Care
  • Critical Care Medicine
  • Hypothermia Research

Background:

  • Hypothermia is a known mortality predictor in adult trauma.
  • The impact of hypothermia on pediatric trauma outcomes remains understudied.

Purpose of the Study:

  • To investigate hypothermia as a factor in pediatric trauma mortality.
  • To assess hypothermia's association with complications and hospital stay among pediatric trauma survivors.

Main Methods:

  • Retrospective analysis of a prospectively collected trauma registry (5-year period).
  • Inclusion of 1,629 pediatric patients admitted with traumatic injuries.
  • Multivariate regression models to analyze associations.

Main Results:

  • 11.1% of pediatric trauma patients were hypothermic on admission.
  • Hypothermia significantly increased mortality odds (AOR 2.41).
  • Hypothermia was associated with increased odds of bleeding diathesis and decreased odds of pneumonia.

Conclusions:

  • Hypothermia is a prevalent issue in pediatric trauma admissions.
  • Hypothermia is linked to higher mortality and bleeding complications in pediatric trauma.
  • No significant association found between hypothermia and hospital/ICU/ventilator days in survivors after adjustments.
Abstract

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