Hypothermia in trauma victims at first arrival of ambulance personnel: an observational study with assessment of risk factors
| Autor: | Dominique Savary, François Xavier Koch, Armelle Alhéritière, Michel Galinski, Karim Tazarourte, Jean-Luc Sebbah, James Couvreur, Frédéric Adnet, Frédéric Lapostolle |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Emergency Medical Services medicine.medical_specialty Ambulances Prehospital settings Poison control Hypothermia Critical Care and Intensive Care Medicine Trauma Occupational safety and health 03 medical and health sciences 0302 clinical medicine Risk Factors Injury prevention medicine Emergency medical services Humans Body temperature Prospective Studies 030212 general & internal medicine Original Research business.industry Incidence (epidemiology) lcsh:Medical emergencies. Critical care. Intensive care. First aid 030208 emergency & critical care medicine lcsh:RC86-88.9 Odds ratio Middle Aged medicine.disease Emergency medicine Emergency Medicine Wounds and Injuries Female Observational study France Medical emergency medicine.symptom business |
| Zdroj: | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, Vol 25, Iss 1, Pp 1-6 (2017) |
| ISSN: | 1757-7241 |
| DOI: | 10.1186/s13049-017-0349-1 |
| Popis: | Background Hypothermia is common in trauma victims and is associated with increased mortality, however its causes are little known. The objective of this study was to identify the risk factors associated with hypothermia in prehospital management of trauma victims. Methods This was an ancillary analysis of data recorded in the HypoTraum study, a prospective multicenter study conducted by the emergency medical services (EMS) of 8 hospitals in France. Inclusion criteria were: trauma victim, age over 18 years, and victim receiving prehospital care from an EMS team and transported to hospital by the EMS team in a medically equipped mobile intensive care unit. The following data were recorded: victim demographics, circumstances of the trauma, environmental factors, patient presentation, clinical data and time from accident to EMS arrival. Independent risk factors for hypothermia were analyzed in a multivariate logistic regression model. Results A total of 461 trauma patients were included in the study. Road traffic accidents (N = 261; 57%) and falls (N = 65; 14%) were the main causes of trauma. Hypothermia ( |
| Databáze: | OpenAIRE |
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