TY - JOUR PY - 2020// TI - Association of body temperature with in-hospital mortality among paediatric trauma patients: an analysis of a nationwide observational trauma database in Japan JO - BMJ open A1 - Okada, Asami A1 - Okada, Yohei A1 - Narumiya, Hiromichi A1 - Ishii, Wataru A1 - Kitamura, Tetsuhisa A1 - Osamura, Toshio A1 - Iiduka, Ryoji SP - e033822 EP - e033822 VL - 10 IS - 11 N2 - 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.

Language: en

LA - en SN - 2044-6055 UR - http://dx.doi.org/10.1136/bmjopen-2019-033822 ID - ref1 ER -