身体温度作为多重创伤患者死亡率的预测指标:一项前性单中心队列研究
Robert Blasco Mariño1,2, Miguel Ángel González Posada3,4, Iñigo Soteras Martínez5,6
1Faculty of Medicine, Autonomous University of Barcelona, Barcelona, Spain. roblasc.rb@gmail.com.
Scientific reports
|January 23, 2026
概括
创伤患者体温较低 (BT) 面临更高的死亡风险. 低于36°C的BT显著增加了死亡的可能性,突出了创伤护理中温度管理的重要性.
科学领域:
- 创伤学 创伤学 创伤学
- 关键护理医学 关键护理医学
- 生理学 生理学 生理学
背景情况:
- 创伤是工作年龄人群死亡的主要原因.
- 意外低温是创伤患者的常见并发症,与不良临床结果相关.
- 维持正常的体温对于创伤患者的生存至关重要.
研究的目的:
- 调查多重创伤患者体温 (BT) 和死亡率之间的关联.
- 为了确定BT低于36°C是否可以独立预测创伤患者的死亡率.
主要方法:
- 在3级创伤中心进行的前性队列研究.
- 收集的人口和临床数据,将BT分类为<35°C,35-35.9°C,36-37°C和>37°C.
- 使用单变量,多变量逻辑回归和灵敏度分析,BT值为<36°C.
主要成果:
- 在334名患者中,整体死亡率为10.4%.
- 低温 (<35°C) 在11.7%的患者中存在,死亡率为23%.
- BT<36°C (43.4%的队列) 是死亡率的独立预测指标 (OR 3.29),每降低BT1°C,死亡率增加72%.
结论:
- 身体温度是多重创伤患者死亡率的重要和独立预测因素.
- 较低的体温,特别是低于36°C,与死亡率的增加密切相关.
- 在创伤患者中及时识别和管理低温症对于改善生存率至关重要.
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