Severe accidental hypothermia treated in an ICU: prognosis and outcome.

@article{Vassal2001SevereAH,
  title={Severe accidental hypothermia treated in an ICU: prognosis and outcome.},
  author={Thierry Vassal and B Benoit-Gonin and Fabrice Carrat and Bertrand Guidet and Eric Maury and Georges Offenstadt},
  journal={Chest},
  year={2001},
  volume={120 6},
  pages={
          1998-2003
        }
}
STUDY OBJECTIVES To assess the characteristics and outcomes of patients admitted to an ICU for severe accidental hypothermia, and to identify risk factors for mortality. METHODS All consecutive patients admitted to an ICU between January 1, 1979, and July 31, 1998, with a temperature of < or = 32 degrees C were retrospectively analyzed. Rewarming was always conducted passively with survival blankets and conventional covers. Prognostic factors were studied by means of univariate analysis (Mann… 

Figures and Tables from this paper

Hypothermia in a surgical intensive care unit
TLDR
Temperature monitoring, use of warming techniques and higher previous body temperature were significant protective factors against core hypothermia and Hypothermia at time of admission to the ICU was not an independent factor for mortality or for staying longer in ICU.
Characteristics and outcomes of accidental hypothermia in Japan: the J-Point registry
TLDR
Active prevention and intervention should occur for in-hospital mortality and severity of hypothermia in Japan, and particularly severe AH.
Hypothermia in a desert climate: severity score and mortality prediction.
Hypothermic Cardiac Arrest - retrospective cohort study from the International Hypothermia Registry.
Successful Treatment of Accidental Hypothermia with Injury - A Case Report -
TLDR
A 66 year-old man with history of cerebrovascular accident was rescued in the mountains and his Glasgow coma scale was 3, core temperature was 25.2 o C and he had a right lateral malleolar fracture.
Epidemiology of accidental hypothermia in polytrauma patients: An analysis of 15,230 patients of the TraumaRegister DGU
TLDR
The epidemiology of AH in major trauma considering the preclinical and clinical course is described and certain predictors exist, that is, female gender, which facilitate a body core temperature of 33°C, which demonstrates the severity of injury.
Hemodialysis for the Treatment of Severe Accidental Hypothermia
TLDR
A case where hemodialysis was used to treat accidental hypothermia in a patient with an initial temperature of 23.5°C is described and the advantages of HD when compared with CBP are that it is more widely and readily available, less invasive, less expensive, and can correct associated acidosis and electrolyte abnormalities commonly seen in patients with severe Hypothermia.
Clinical course and prognostic factors of patients in severe accidental hypothermia with circulatory instability rewarmed with veno-arterial ECMO - an observational case series study
TLDR
In this preliminary study more pronounced markers of cardiocirculatory instability and organ hypoperfusion were observed in non-survivors and short term (<6 h) treatment in severe hypothermic, non-arrested patients seems to be not clinically appropriate.
Accidental Hypothermia: 2021 Update
TLDR
In hypothermic patients, the chances of survival and good neurological outcome are higher than for normothermic Patients for witnessed, unwitnessed and asystolic cardiac arrest.
...
...

References

SHOWING 1-10 OF 38 REFERENCES
Accidental hypothermia: incidence, risk factors and clinical course of patients admitted to hospital.
TLDR
It is concluded thatHYPNOTSUBS and HYPSUB are different groups of patients with respect to demographic data, risk factors and prognostic factors, and old age is an important unfavourable prognostic factor in HYPNOTSUB but not inHYPSUB.
Hyperkalemia. A prognostic factor during acute severe hypothermia.
TLDR
Extreme hyperkalemia during acute hypothermia appears to be a reliable marker of death and might be used to select those patients in whom heroic resuscitation efforts can be useful.
[Accidental hypothermia in Switzerland (1980-1987)--case reports and prognostic factors].
TLDR
This retrospective study comprises 234 cases of accidental hypothermia hospitalized in 95 Swiss clinics between 1980 and 1987, where out of the 234 patients 68 died and the longest cardiac arrest with a favourable outcome lasted 4.75 hours.
Multicenter hypothermia survey.
Hypothermia: the Bellevue Experience.
  • J. White
  • Medicine
    Annals of emergency medicine
  • 1982
Urban accidental hypothermia: 135 cases.
Hypothermia outcome score: development and implications.
TLDR
The likelihood ratio was used to develop and validate an empiric Hypothermia outcome score that can be used in future hypothermia treatment studies to account for differences of patient presentation.
Continuous arteriovenous rewarming: rapid reversal of hypothermia in critically ill patients.
TLDR
A rewarming method that is significantly faster than SR was developed and associated with an improved survival after moderately severe injury, and a significant reduction in blood and fluid requirements, organ failures, and length of ICU stay.
Outcome of Survivors of Accidental Deep Hypothermia and Circulatory Arrest Treated with Extracorporeal Blood Warming
TLDR
It is shown that young, otherwise healthy people can survive accidental deep hypothermia with no or minimal cerebral impairment, even with prolonged circulatory arrest, and cardiopulmonary bypass appears to be an efficacious rewarming technique.
Prognostic factors in severe accidental hypothermia: experience from the Mt. Hood tragedy.
TLDR
The May 1986 Mt. Hood climbing disaster presented Portland area hospitals the opportunity to initiate a trial of extracorporeal rewarming using cardiopulmonary bypass in ten severely hypothermic patients (two survivors), and prognostic indicators of survival in cases of accidental hypothermia were demonstrated.
...
...