Abstract
Abstract
Purpose
The aim of this study was to assess the association between low body temperature and mortality in frail older adults in the emergency department (ED).
Methods
Inclusion criteria were: ≥ 75 years of age, Clinical Frailty Scale (CFS) score of 4–8, and temperature documented at ED admission. Patients were allocated to three groups by body temperature: low ≤ 36.0 °C, normal 36.1–38.0 and high ≥ 38.1. Odds ratios (OR) for 30-day and 90-day mortality were analysed.
Results
1577 patients, 61.2% female, were included. Overall mortalities were 85/1577 (5.4%) and 144/1557 (9.2%) in the 30-day and 90-day follow-ups, respectively. The ORs for low body temperature were 3.03 (1.72–5.35; P < 0.001) and 2.71 (1.68–4.38; P < 0.001) for 30-day and 90-day mortality, respectively. This association remained when adjusted for age, CFS score and gender. Mortality of the high-temperature group did not differ significantly when compared to the normal-temperature group.
Conclusions
Low body temperature in frail older ED patients was associated with significantly higher 30- and 90-day mortality.
Funder
Suomen Lääketieteen Säätiö
Helsingin ja Uudenmaan Sairaanhoitopiiri
Finnish Association for Emergency Medicine
University of Helsinki including Helsinki University Central Hospital
Publisher
Springer Science and Business Media LLC
Subject
Geriatrics and Gerontology,Aging
Cited by
3 articles.
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