![]() Patients whose CFS score was assessed as nine were excluded, as this group is defined to have a short life expectancy without evident frailty. According to the ED’s routine protocol tympanic measurement was performed with an automatic digital thermometer. This secondary analysis included those patients whose body temperature class was documented as part of their initial National Early Warning Score 2 (NEWS2). In short, patient data were collected from electronic health records and case report forms. Methods for recruitment and data collection have been described in detail in a previous article. Patient visit data were prospectively collected between Decemand June 7, 2019. Patient inclusion criteria for the study were: ≥ 75 years of age, score of 4–9 on the Clinical Frailty Scale (CFS), and registered resident in the hospital district. Low body temperature in frail older ED patients was associated with significantly higher 30- and 90-day mortality.Ī prospective observational cohort study of frail older adult patients was performed in an academic ED in Finland with some 60,000 adult patient visits per year. Mortality of the high-temperature group did not differ significantly when compared to the normal-temperature group. This association remained when adjusted for age, CFS score and gender. Resultsġ577 patients, 61.2% female, were included. Odds ratios (OR) for 30-day and 90-day mortality were analysed. Patients were allocated to three groups by body temperature: low ≤ 36.0 ☌, normal 36.1–38.0 and high ≥ 38.1. Inclusion criteria were: ≥ 75 years of age, Clinical Frailty Scale (CFS) score of 4–8, and temperature documented at ED admission. Recovery is harder for babies and older, ill, or inactive adults.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). Most healthy people with mild to moderate hypothermia recover completely without permanent injury. This may happen when they are not dressed warmly enough and aren't prepared for colder temperatures. People who spend lots of time outdoors may also increase their risk of hypothermia. And some people have medical conditions or take medications that may increase their risk. This is because their bodies may not be able to control temperature as well. Very young children and older people can be at higher risk. What increases your risk?Īnyone can get hypothermia. Moderate to severe hypothermia generally is treated in the hospital, where doctors can use special techniques to warm the core body temperature. Treatment of mild hypothermia includes getting out of the cold or wet environment, using warm blankets, heaters, and hot water bottles. If you have mild hypothermia, home treatment may be enough to bring your body temperature back up to normal. Medical treatment for hypothermia depends on the severity of the hypothermia. If the person with the low body temperature is not ill, does not have any other problems, and is not an infant or an older adult, then evaluation usually is not needed. Sometimes a normal, healthy adult has a low body temperature, such as 36☌ (96☏). You need to quickly help the person get warm. If someone begins to shiver violently, stumble, or can't respond to questions, it may be hypothermia. ![]() ![]() Often a hiker or skier's body temperature will drop really low before others notice that something is wrong. It is very important to know the symptoms of hypothermia and get treatment quickly. Shivering, which may stop if body temperature drops below 32☌ (90☏).The trunk of the body is cold to the touch.Numb hands and fingers and problems performing tasks.Mild unsteadiness in balance or walking.If you're in water that is 15☌ (60☏) to 21☌ (70☏), you are also at risk for hypothermia.īut hypothermia can occur indoors, especially in babies and older or ill adults who are not dressed warmly enough. Your body temperature can drop even if it is warmer than 10☌ (50☏) if you are out in wet and windy weather. Your body temperature can drop to a low level at temperatures of 10☌ (50☏). Hypothermia can occur when you are exposed to cold air, water, wind, or rain. Hypothermia occurs when the body gets cold and loses heat faster than the body can make it.Ī body temperature below normal can be a sign of hypothermia.Ī rectal temperature is considered the most accurate body temperature.
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