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Related Experiment Videos

Mortality in elderly patients with thermoregulatory failure.

M R Kramer1, J Vandijk, A J Rosin

  • 1Geriatrics Department, Shaare Zedek Medical Center, Jerusalem, Israel.

Archives of Internal Medicine
|July 1, 1989
PubMed
Summary

Thermoregulatory failure in elderly patients, often linked to sepsis, can occur even in warm weather. Prompt sepsis treatment is crucial due to the high mortality rate associated with hypothermia in seniors.

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Area of Science:

  • Geriatrics
  • Internal Medicine
  • Critical Care

Background:

  • Thermoregulatory failure is a significant concern in the elderly population.
  • Hypothermia in older adults can be associated with various underlying medical conditions and medications.
  • The environmental temperature does not always correlate with the occurrence of hypothermia in this demographic.

Purpose of the Study:

  • To retrospectively evaluate elderly patients with thermoregulatory failure.
  • To identify common causes, associated conditions, and environmental factors contributing to hypothermia.
  • To analyze outcomes and mortality rates in this patient group.

Main Methods:

  • Retrospective evaluation of 54 elderly patients diagnosed with thermoregulatory failure.

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  • Analysis of medical records to identify underlying causes, comorbidities, medications, and environmental factors.
  • Comparison of outcomes between patients presenting with hypothermia from outside versus within the hospital.
  • Main Results:

    • Sepsis was the most common cause (78%), followed by hypoproteinemia (50%), cachexia (30%), and neuroleptic medications (21%).
    • Digoxin toxicity was present in 20% of cases.
    • Hypothermia occurred in warm months (one-third) and in-hospital (half); out-of-hospital cases had lower temperatures, more bradycardia, hemoconcentration, and faster mortality.
    • Overall mortality was high (74%) and unaffected by age, sex, or hypothermia severity.

    Conclusions:

    • Thermoregulatory failure in the elderly can occur in any environment, not just cold climates.
    • Hypothermia in elderly patients warrants prompt evaluation and treatment for sepsis due to the high mortality risk.
    • Early diagnosis and management of underlying conditions are critical for improving prognosis.