Accidental Hypothermia in the Largest Emergency Hospital in North-Eastern Romania

• Published in: Romanian Journal of Internal Medicine Vol. 62; no. 3; pp. 295 - 306
• Main Authors: Ionescu, Lidia, Morariu, Paula Cristina, Dascălu, Cristina Gena, Iov, Diana Elena, Oancea, Alexandru Florinel, Chiriac, Cristina Petronela, Sîrbu, Oana, Timofte, Daniel Vasile, Rezuş, Ciprian, Șorodoc, Laurenţiu, Şorodoc, Victoriţa, Baroi, Genoveva Livia, Tanase, Daniela Maria, Floria, Mariana
• Format: Journal Article
• Language: English
• Published: Germany Sciendo 01.09.2024
• Subjects: accidental hypothermia; emergency medicine; intensive care; mortality; prognosis; mortality; intensive care; accidental hypothermia; emergency medicine; prognosis
• ISSN: 2501-062X
• DOI: 10.2478/rjim-2024-0010

Accidental hypothermia (AH) presents a significant mortality risk, even in individuals with good health. Early recognition of the parameters associated with negative prognosis could save more lives. This was a pilot, retrospective observational study, conducted in the largest Emergency Hospital in North Eastern Romania, which included all patients with AH (defined as body temperature below 35°C), hospitalized and treated in our hospital between 2019 and 2022. A total of 104 patients with AH were included in our study, 90 of whom had data collected and statistically analyzed. The clinical, biological, and therapeutic parameters associated with negative outcomes were represented by a reduced GCS score (p=0.024), diminished systolic and diastolic blood pressure (p=0.007 respectively, 0.013), decreased bicarbonate (p=0.043) and hemoglobin levels (p=0.002), the presence of coagulation disorders (p=0.007), as well as the need for administration of inotropic or vasopressor medications (p=0.04). In this pilot, retrospective, observational study, the negative outcomes observed in patients with AH hospitalized in the largest Emergency Hospital in North-Eastern Romania were associated with several clinical, biochemical, and therapeutic factors, which are easy to identify in clinical practice. Recognizing the significance of these associated factors empowers healthcare practitioners to intervene at an early stage to save more lives.