Association of triage hypothermia with in-hospital mortality among patients in the emergency department with suspected sepsis
Journal of Critical Care Jul 21, 2020
Ramgopal S, et al. - Researchers investigated whether triage hypothermia (<36.0 °C) was independently related to mortality in emergency department (ED) encounters with sepsis. They evaluated data from a multi-stage probability sample survey of visits to US EDs between 2007 and 2015, employing two inclusion approaches. There were 1.2 billion ED encounters, of those, 3.1 million satisfied the explicit sepsis definition; 7.4% had triage hypothermia. The adjusted odds ratio for hypothermia for in-hospital death was estimated to be 6.82. Overall 3.5 million encounters were detected using severe sepsis definition; 30.3% had triage hypothermia. Overall, triage hypothermia was identified in up to one in three patients with sepsis, and was shown to be independently related to mortality. Absence of other vital sign abnormalities was evident in 10–20% of patients with hypothermic sepsis.
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