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Related Experiment Videos

Hypothermia: the Bellevue Experience

J D White

    Annals of Emergency Medicine
    |August 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Hypothermia significantly correlates with mortality, especially in severe cases or with altered mental status. However, factors like season, age over 40, or infection do not predict mortality in hypothermic patients.

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    Area of Science:

    • Internal Medicine
    • Critical Care Medicine
    • Environmental Health

    Background:

    • Hypothermia, or core body temperature below 35°C, is a critical condition with significant mortality risks.
    • Understanding predictors of mortality in hypothermia is crucial for effective clinical management.
    • Previous studies have explored various factors associated with hypothermia outcomes.

    Purpose of the Study:

    • To identify statistically significant correlations between hypothermia and mortality in adult patients.
    • To determine factors that can and cannot predict mortality in hypothermia.
    • To investigate the impact of specific clinical variables on hypothermia outcomes.

    Main Methods:

    • Retrospective study of 102 adult patients presenting with core temperatures < 35°C over one year (1978).

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  • Analysis of clinical data including mental status, vital signs, laboratory results, and patient history.
  • Statistical correlation analysis to identify predictors of mortality.

    • Main Results:

    • Significant correlations between hypothermia and mortality were found with altered mental status, hypoxia, hypotension, hyperamylasemia, hypothermia duration/severity, and alcohol ingestion.
    • Mortality was not predictable by season, age > 40, sex, infection, or presenting temperature > 26°C.
    • Ventricular arrhythmias caused 50% of deaths in patients with temperatures < 26°C. Diabetic patients had poor outcomes, often in ketoacidosis or hyperosmolar states.

    Conclusions:

    • Hypothermia severity, associated clinical conditions (hypoxia, hypotension), and specific patient factors (alcohol ingestion) are key determinants of mortality.
    • Certain factors, such as mild hypothermia (temperature > 26°C) or presence of infection, do not reliably predict mortality.
    • Profound hypothermia (< 26°C) presents a high risk, often linked to underlying disease and cardiac arrhythmias.