@article{ref1,
title="Association of body temperature with in-hospital mortality among paediatric trauma patients: an analysis of a nationwide observational trauma database in Japan",
journal="BMJ open",
year="2020",
author="Okada, Asami and Okada, Yohei and Narumiya, Hiromichi and Ishii, Wataru and Kitamura, Tetsuhisa and Osamura, Toshio and Iiduka, Ryoji",
volume="10",
number="11",
pages="e033822-e033822",
abstract="OBJECTIVES: To examine the association between body temperature (BT) on hospital arrival and in-hospital mortality among paediatric trauma patients.   DESIGN: A retrospective cohort study.   SETTING: Japan Trauma Data Bank (JTDB, which is a nationwide, prospective, observational trauma registry with data from 235 hospitals).   PARTICIPANTS: Paediatric trauma patients <16 years old who were transferred directly from the scene of injury to the hospital and registered in the JTDB from January 2004 to December 2017 were included. We excluded patients >16 years old and those who developed cardiac arrest before or on hospital arrival.   PRIMARY OUTCOME: The association between BT on hospital arrival and in-hospital mortality. We conducted multivariate logistic regression analyses to calculate the adjusted ORs, with their 95% CIs, of the association between BT and in-hospital mortality.   RESULTS: A total of 9012 patients were included (median age: 9 years (IQR, 6.0-13.0 years), mortality: 2.5% (mortality number was 226 in total 9012 patients)). In the multivariate logistic regression analysis, the corresponding adjusted ORs of BT <36.0°C and BT ≥37.0°C, relative to a BT of 36°C-36.9°C, for in-hospital mortality were 2.83 (95% CI: 1.85 to 4.33) and 0.93 (95% CI: 0.53 to 1.63), respectively.   CONCLUSIONS: In paediatric patients with hypothermia (BT <36.0°C) on hospital arrival, a clear association with in-hospital mortality was observed; no such association was observed between higher BT values (≥37.0°C) and outcomes.<p /> <p>Language: en</p>",
language="en",
issn="2044-6055",
doi="10.1136/bmjopen-2019-033822",
url="http://dx.doi.org/10.1136/bmjopen-2019-033822"
}