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Low body temperature and mortality in older patients with frailty in the emergency department |
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| Author: | Alakare, Janne1,2; Kemp, Kirsi1; Strandberg, Timo3,4; |
| Organizations: |
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 |
| Format: | article |
| Version: | published version |
| Access: | open |
| Online Access: | PDF Full Text (PDF, 0.3 MB) |
| Persistent link: | http://urn.fi/urn:nbn:fi-fe2022090657665 |
| Language: | English |
| Published: |
Springer Nature,
2022
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| Publish Date: | 2022-09-06 |
| Description: |
AbstractPurpose: 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. see all
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| Series: |
Aging clinical and experimental research |
| ISSN: | 1594-0667 |
| ISSN-E: | 1720-8319 |
| ISSN-L: | 1594-0667 |
| Volume: | 34 |
| Issue: | 6 |
| Pages: | 1453 - 1457 |
| DOI: | 10.1007/s40520-022-02098-9 |
| OADOI: | https://oadoi.org/10.1007/s40520-022-02098-9 |
| Type of Publication: |
A1 Journal article – refereed |
| Field of Science: |
3121 General medicine, internal medicine and other clinical medicine |
| Subjects: | |
| Funding: |
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. |
| Copyright information: |
© The Author(s) 2022. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. |
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https://creativecommons.org/licenses/by/4.0/ |