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

@article{Vassal2001SevereAH,
  title={Severe accidental hypothermia treated in an ICU: prognosis and outcome.},
  author={T. Vassal and B. Benoit-Gonin and F. Carrat and B. Guidet and E. Maury and G. 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… Expand
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Accidental hypothermia: rewarming treatments, complications and outcomes from one university medical centre.
TLDR
AH is a rare diagnosis in an inhomogeneous population, treated with a large variety of rewarming techniques, and most complications and death occurred late, after rewarming was completed. Expand
Hypothermia in a surgical intensive care unit
TLDR
The prevalence of patient hypothermia on ICU arrival was high andHypothermia at time of admission to the ICU was not an independent factor for mortality or for staying longer in ICU, while temperature monitoring, use of warming techniques and higher previous body temperature were significant protective factors against core Hypothermia. Expand
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. Expand
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. Expand
Prognostic factors for patients with accidental hypothermia: A multi‐institutional retrospective cohort study
TLDR
The independent prognostic factors associated with in‐hospital mortality of patients with moderate‐to‐severe AH in urban areas of Japan were age ≥ 75 years, need for assistance with ADL, hemodynamic instability, and hyperkalemia. Expand
Prognostic ability of the sequential organ failure assessment score in accidental hypothermia: a multi-institutional retrospective cohort study
TLDR
The SOFA score demonstrated better discrimination ability as a mortality predictor among all known prognostic factors in patients with AH, and the qSOFA and SIRS scores underestimated the severity, with low discrimination abilities for mortality. Expand
Hypothermia in a desert climate: severity score and mortality prediction.
TLDR
Hypothermia should not be overlooked in geographical areas with temperate climates and using a prognostication system based upon clinical and laboratory variables may identify hypothermia patients with increased risk of death. Expand
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. Expand
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. Expand
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. Expand
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References

SHOWING 1-10 OF 40 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. Expand
Treatment of accidental hypothermia: a prospective clinical study.
TLDR
Rewarming may be consistently and safely achieved irrespective of the cause of hypothermia, and normal body temperature may be regained as rapidly as is compatible with adequate tissue perfusion and oxygenation. Expand
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. Expand
[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. Expand
Multicenter hypothermia survey.
TLDR
The initial pulse, hemoglobin, and first-hour rewarming rate was lower in the deceased population, while the potassium, urea nitrogen, creatinine, and phosphorus were elevated. Expand
Prognostic markers in patients with severe accidental hypothermia and cardiocirculatory arrest.
TLDR
The data suggest that plasma potassium, central venous pH and ACT on admission can be used to identify hypothermic arrest victims in whom death preceded cooling, and these 3 parameters can help not to waste limited cardiopulmonary bypass facilities for patients with no hope of survival. Expand
Hypothermia: the Bellevue Experience.
  • J. White
  • Medicine
  • Annals of emergency medicine
  • 1982
TLDR
Prolonged hypothermia was uniformly associated with profound underlying medical disease and alcoholics hypothermic from exposure had excellent prognoses; however, temperatures less than 26 C were associated with a marked and statistically significant incidence of death. Expand
Urban accidental hypothermia: 135 cases.
TLDR
The arrival temperature and the presence of serious underlying disease, in addition to the method of rewarming, appear to be major determinants of prognosis. Expand
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. Expand
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. Expand
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