77 ADMISSION BODY TEMPERATURE AND MORTALITY IN PATIENTS HOSPITALIZED FOR HEART FAILURE
| Autor: | J. M. Foody, S. W. Casscells, E. P. Havranek, B. K. Nallamothu, Y. Wang, Fredrick A. Masoudi, S. Payvar, M. Kosiborod, H. M. Krumholz |
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| Rok vydání: | 2005 |
| Předmět: |
medicine.medical_specialty
Multivariate statistics business.industry General Medicine Thermoregulation medicine.disease Logistic regression General Biochemistry Genetics and Molecular Biology Surgery Heart failure Relative risk Internal medicine medicine Cardiology Population study In patient Risk assessment business |
| Zdroj: | Journal of Investigative Medicine. 53:S400.2-S400 |
| ISSN: | 1708-8267 1081-5589 |
| DOI: | 10.2310/6650.2005.00205.76 |
| Popis: | Purpose Patients with advanced heart failure have disordered thermoregulation. Whether lower body temperatures are associated with worse survival is uncertain. Methods We used data on 56,659 patients 65 years or older from the National Heart Care (NHC) Project. In addition to clinical data, admission body temperature was recorded. Patients were grouped a priori into 3 categories based on body temperature: 1) 38°C. Survey logistic regression and fractional polynomial logistic regression were used to determine the independent association of body temperature with in-hospital and one-year mortality. Results Mean body temperature in the study population was 36.5°C (± 0.005°C); 10,754 (18.5%) patients had body temperatures below 36°C while 1145 (1.9%) patients had body temperatures over 38°C. After multivariate adjustment, patients with body temperatures below 36°C had higher in-hospital (adjusted risk ratio [RR], 1.28; p Conclusions Admission body temperatures below 36°C are independently associated with worse survival in heart failure. Given that body temperature is easily measured and widely available, it may improve risk assessment in these patients. |
| Databáze: | OpenAIRE |
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