Association of body temperature with in-hospital mortality among paediatric trauma patients: An analysis of a nationwide observational trauma database in Japan

Okada, Asami; Okada, Yohei; Narumiya, Hiromichi; Ishii, Wataru; Kitamura, Tetsuhisa; Osamura, Toshio; Iiduka, Ryoji

doi:https://doi.org/10.1136/bmjopen-2019-033822

Association of body temperature with in-hospital mortality among paediatric trauma patients: An analysis of a nationwide observational trauma database in Japan

Okada, Asami; Okada, Yohei; Narumiya, Hiromichi et al.

BMJ Open, 2020, 10(11), e033822

アクセス数:672件（2025-10-24 08:27 集計）

固定URL: https://hdl.handle.net/11094/78280

閲覧可能ファイル

ファイル	フォーマット	利用条件	サイズ	閲覧回数	利用開始日	説明	information
bmjo_10_11_e033822	pdf	なし	874 KB	147	2021.01.15

Creative Commons : 表示 - 非営利

論文情報

ファイル出力 EndNote Basic出力 Mendeley出力

タイトル	Association of body temperature with in-hospital mortality among paediatric trauma patients: An analysis of a nationwide observational trauma database in Japan
著者	著者名 Okada, Asami
	著者名 Okada, Yohei
	著者名 Narumiya, Hiromichi
	著者名 Ishii, Wataru
	NRID 1000030639810 1000030639810 ORCID 0000-0003-0107-0580 0000-0003-0107-0580 researchmap permalink Kitamura_T Kitamura_T Scopus Author ID 22234282700 22234282700 著者名 Kitamura, Tetsuhisa
	著者名 Osamura, Toshio
	著者名 Iiduka, Ryoji
キーワード等	hypothermia
	paediatric
	prehospital
	trauma
内容	Okada A, Okada Y, Narumiya H, et alAssociation of body temperature with in-hospital mortality among paediatric trauma patients: an analysis of a nationwide observational trauma database in JapanBMJ Open 2020;10:e033822. doi: 10.1136/bmjopen-2019-033822.
抄録	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.
出版者	BMJ Publishing Group
収録物名	BMJ Open
巻(号)	10(11)
ページ	e033822
刊行年月	2020-11-09
言語	英語
ハンドルURL	https://hdl.handle.net/11094/78280
eISSN	20446055
関連情報 (isIdenticalTo)	DOI (出版社版) https://doi.org/10.1136/bmjopen-2019-033822
関連情報 (isIdenticalTo)	PMID 33168548
アクセス権	open access
権利情報	© 2020 Author(s) (or their employer(s)). This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
出版タイプ	Version of Record
カテゴリ	学術雑誌論文 Journal Article

資源タイプ	学術雑誌論文
ローカル資源タイプ	学術雑誌論文
DCMI資源タイプ	text
DCTERMS.bibliographicCitation	BMJ Open. 2020, 10(11), p. e033822
DC.title	Association of body temperature with in-hospital mortality among paediatric trauma patients: An analysis of a nationwide observational trauma database in Japan
DC.creator	Okada, Asami
	Okada, Yohei
	Narumiya, Hiromichi
	Ishii, Wataru
	Kitamura, Tetsuhisa
	Osamura, Toshio
	Iiduka, Ryoji
DC.publisher	BMJ Publishing Group
DC.language' scheme='DCTERMS.RFC1766	英語
DC.type' scheme='DCTERMS.DCMIType	text
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2020-11-09
DC.identifier	https://doi.org/10.1136/bmjopen-2019-033822
DC.subject	hypothermia
	paediatric
	prehospital
	trauma
DC.description	Okada A, Okada Y, Narumiya H, et alAssociation of body temperature with in-hospital mortality among paediatric trauma patients: an analysis of a nationwide observational trauma database in JapanBMJ Open 2020;10:e033822. doi: 10.1136/bmjopen-2019-033822.
DCTERMS.abstract	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.
DC.rights	© 2020 Author(s) (or their employer(s)). This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
DC.format	78280
citation_title	Association of body temperature with in-hospital mortality among paediatric trauma patients: An analysis of a nationwide observational trauma database in Japan
citation_author	Okada, Asami
	Okada, Yohei
	Narumiya, Hiromichi
	Ishii, Wataru
	Kitamura, Tetsuhisa
	Osamura, Toshio
	Iiduka, Ryoji
citation_publisher	BMJ Publishing Group
citation_language	英語
citation_date	2020-11-09
citation_journal_title	BMJ Open
citation_volume	10
citation_issue	11
citation_firstpage	e033822
citation_doi	https://doi.org/10.1136/bmjopen-2019-033822
citation_pmid	33168548
citation_public_url	https://hdl.handle.net/11094/78280

Association of body temperature with in-hospital mortality among paediatric trauma patients: An analysis of a nationwide observational trauma database in Japan

閲覧可能ファイル

論文情報

論文詳細を表示