Impact of hypothermia in the rural, pediatric trauma patient*

• DOI: 10.1097/pcc.0b013e3181b80500
• Publication Date: 2010-03-02T06:51:07Z
• Authors: Brett H. Waibel; Chris A. Durham; Mark A. Newell; Lisa L. Schlitzkus; Scott G. Sagraves; Michael F. Rotondo
• Keywords: Pediatric trauma

Objective: Hypothermia is an independent predictor of mortality in adult trauma studies. However, the impact hypothermia on pediatric population has not been described. The purpose this study to evaluate as a cofactor mortality, complications, and among survivors, hospital length stay parameters population. Design: Retrospective review prospectively collected database (National Trauma Registry American College Surgeons) over 5-yr period (July 2002 June 2007). Setting: A rural, level I center. Patients: One thousand six hundred twenty-nine patients admitted with traumatic injury. Interventions: None. Measurements Main Results: Multivariate regression models were used association infectious organ dysfunction, parameters. Of 1,629 admitted, 182 (11.1%) hypothermic (temperature below 36°C) admission. had adjusted odds ratio (AOR) 2.41 (95% confidence interval [CI], 1.12–5.22, p = .025) for mortality. After controlling covariates, associations developing pneumonia (AOR, 0.185, 95% CI, 0.040–0.853; .031) bleeding diathesis 3.14, 1.04–9.44; .042). median days hospital, intensive care unit (ICU), ventilator longer cohort; however, after was associated differences days, ICU or days. Conclusions: common problem at admission patients. increase death development diathesis, while having decreased pneumonia. While indicators cohort no significant noted ICU, confounders.