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Ionescu L, Morariu PC, Dascălu CG, Iov DE, Oancea AF, Chiriac CP, Sîrbu O, Timofte DV, Rezuş C, Șorodoc L, Şorodoc V, Baroi GL, Tanase DM, Floria M. Accidental Hypothermia in the Largest Emergency Hospital in North-Eastern Romania. ROMANIAN JOURNAL OF INTERNAL MEDICINE = REVUE ROUMAINE DE MEDECINE INTERNE 2024; 0:rjim-2024-0010. [PMID: 38470364 DOI: 10.2478/rjim-2024-0010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/12/2023] [Indexed: 03/13/2024]
Abstract
INTRODUCTION 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. METHODS 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. RESULTS 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). CONCLUSION 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.
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Affiliation(s)
- Lidia Ionescu
- 1University of Medicine and Pharmacy "Grigore T. Popa", 16 University Street, 700115 Iasi, Romania
- 2Surgery Clinic, "Sfântul Spiridon" Emergency Hospital, 700111 Iasi, Romania
| | - Paula Cristina Morariu
- 1University of Medicine and Pharmacy "Grigore T. Popa", 16 University Street, 700115 Iasi, Romania
- 3Medical Clinic, "Sfântul Spiridon" Emergency Hospital 700111 Iasi, Romania
| | - Cristina Gena Dascălu
- 1University of Medicine and Pharmacy "Grigore T. Popa", 16 University Street, 700115 Iasi, Romania
- 4Department of Medical Informatics and Biostatistics; University of Medicine and Pharmacy "Grigore T. Popa", 16 University Street, 700115 Iasi, Romania
| | - Diana Elena Iov
- 1University of Medicine and Pharmacy "Grigore T. Popa", 16 University Street, 700115 Iasi, Romania
- 3Medical Clinic, "Sfântul Spiridon" Emergency Hospital 700111 Iasi, Romania
| | - Alexandru Florinel Oancea
- 1University of Medicine and Pharmacy "Grigore T. Popa", 16 University Street, 700115 Iasi, Romania
- 5Cardiology Clinic, "Sfântul Spiridon" Emergency Hospital, 700111 Iasi, Romania
| | - Cristina Petronela Chiriac
- 1University of Medicine and Pharmacy "Grigore T. Popa", 16 University Street, 700115 Iasi, Romania
- 3Medical Clinic, "Sfântul Spiridon" Emergency Hospital 700111 Iasi, Romania
| | - Oana Sîrbu
- 1University of Medicine and Pharmacy "Grigore T. Popa", 16 University Street, 700115 Iasi, Romania
- 3Medical Clinic, "Sfântul Spiridon" Emergency Hospital 700111 Iasi, Romania
| | - Daniel Vasile Timofte
- 1University of Medicine and Pharmacy "Grigore T. Popa", 16 University Street, 700115 Iasi, Romania
- 2Surgery Clinic, "Sfântul Spiridon" Emergency Hospital, 700111 Iasi, Romania
| | - Ciprian Rezuş
- 1University of Medicine and Pharmacy "Grigore T. Popa", 16 University Street, 700115 Iasi, Romania
- 3Medical Clinic, "Sfântul Spiridon" Emergency Hospital 700111 Iasi, Romania
| | - Laurenţiu Șorodoc
- 1University of Medicine and Pharmacy "Grigore T. Popa", 16 University Street, 700115 Iasi, Romania
- 3Medical Clinic, "Sfântul Spiridon" Emergency Hospital 700111 Iasi, Romania
| | - Victoriţa Şorodoc
- 1University of Medicine and Pharmacy "Grigore T. Popa", 16 University Street, 700115 Iasi, Romania
- 3Medical Clinic, "Sfântul Spiridon" Emergency Hospital 700111 Iasi, Romania
| | - Genoveva Livia Baroi
- 1University of Medicine and Pharmacy "Grigore T. Popa", 16 University Street, 700115 Iasi, Romania
- 2Surgery Clinic, "Sfântul Spiridon" Emergency Hospital, 700111 Iasi, Romania
| | - Daniela Maria Tanase
- 1University of Medicine and Pharmacy "Grigore T. Popa", 16 University Street, 700115 Iasi, Romania
- 3Medical Clinic, "Sfântul Spiridon" Emergency Hospital 700111 Iasi, Romania
| | - Mariana Floria
- 1University of Medicine and Pharmacy "Grigore T. Popa", 16 University Street, 700115 Iasi, Romania
- 3Medical Clinic, "Sfântul Spiridon" Emergency Hospital 700111 Iasi, Romania
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Green RS, Erdogan M. Are outcomes worse in patients who develop post-intubation hypotension? CAN J EMERG MED 2022; 24:465-466. [PMID: 35917027 DOI: 10.1007/s43678-022-00340-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2022] [Accepted: 06/07/2022] [Indexed: 11/28/2022]
Affiliation(s)
- Robert S Green
- Nova Scotia Health Trauma Program, Nova Scotia Health, Halifax, NS, Canada. .,Departments of Emergency Medicine, Critical Care, and Surgery, Dalhousie University, Halifax, NS, Canada.
| | - Mete Erdogan
- Nova Scotia Health Trauma Program, Nova Scotia Health, Halifax, NS, Canada
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