Alakare, J., Kemp, K., Strandberg, T. et al. Low body temperature and mortality in older patients with frailty in the emergency department. Aging Clin Exp Res 34, 1453–1457 (2022). https://doi.org/10.1007/s40520-022-02098-9
Low body temperature and mortality in older patients with frailty in the emergency department
|Author:||Alakare, Janne1,2; Kemp, Kirsi1; Strandberg, Timo3,4;|
1Department of Emergency Medicine and Services, Helsinki University Hospital and University of Helsinki, Helsinki, Finland
2Department of Geriatric Acute Care, Espoo Hospital, PL 2550, 02070, City of Espoo, Finland
3Clinicum, and Helsinki University Hospital, University of Helsinki, Helsinki, Finland
4Center for Life Course Health Research, University of Oulu, Oulu, Finland
5Department of Internal Medicine, Helsinki University Hospital and University of Helsinki, Helsinki, Finland
|Online Access:||PDF Full Text (PDF, 0.3 MB)|
|Persistent link:|| http://urn.fi/urn:nbn:fi-fe2022090657665
|Publish Date:|| 2022-09-06
Purpose: The aim of this study was to assess the association between low body temperature and mortality in frail older adults in the emergency department (ED).
Methods: Inclusion criteria were: ≥ 75 years of age, Clinical Frailty Scale (CFS) score of 4–8, and temperature documented at ED admission. Patients were allocated to three groups by body temperature: low ≤ 36.0 °C, normal 36.1–38.0 and high ≥ 38.1. Odds ratios (OR) for 30-day and 90-day mortality were analysed.
Results: 1577 patients, 61.2% female, were included. Overall mortalities were 85/1577 (5.4%) and 144/1557 (9.2%) in the 30-day and 90-day follow-ups, respectively. The ORs for low body temperature were 3.03 (1.72–5.35; P < 0.001) and 2.71 (1.68–4.38; P < 0.001) for 30-day and 90-day mortality, respectively. This association remained when adjusted for age, CFS score and gender. Mortality of the high-temperature group did not differ significantly when compared to the normal-temperature group.
Conclusions: Low body temperature in frail older ED patients was associated with significantly higher 30- and 90-day mortality.
Aging clinical and experimental research
|Pages:||1453 - 1457|
|Type of Publication:||
A1 Journal article – refereed
|Field of Science:||
3121 General medicine, internal medicine and other clinical medicine
Open Access funding provided by University of Helsinki including Helsinki University Central Hospital. This study was supported by state funding for university-level health research, granted by the Helsinki University Hospital, and by the Department of Emergency Medicine and Services, Helsinki University Hospital. JA and KK received personal grants for the study from the Finnish Association for Emergency Medicine and JA from the Finnish Medical Foundation.
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