Evidence map›Paper›PMID 30180213›Full record

Trial reportPloS one2018

Personal risk factors associated with heat-related illness among new conscripts undergoing basic training in Thailand.

Rudchanu Nutong, Mathirut Mungthin, Panadda Hatthachote, Supak Ukritchon, Worarachanee Imjaijit, Pimrapat Tengtrakulcharoen, Suthee Panichkul, Panwadee Putwatana, Wonnapha Prapaipanich, Ram Rangsin

Open access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
2.0field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Pooled it
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  3. Epidemiology of Exertional Heat Illness in the Military: A Systematic Review of Observational Studies.International journal of environmental research and public health · 2020
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Rudchanu NutongRamathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Mathirut MungthinDepartment of Pharmacology, Phramongkutklao College of Medicine, Bangkok, Thailand.
Panadda HatthachoteDepartment of Physiology, Phramongkutklao College of Medicine, Bangkok, Thailand.
Supak UkritchonOffice of Research and Development, Phramongkutklao College of Medicine, Bangkok, Thailand.
Worarachanee ImjaijitOffice of Research and Development, Phramongkutklao College of Medicine, Bangkok, Thailand.
Pimrapat TengtrakulcharoenOffice of Research and Development, Phramongkutklao College of Medicine, Bangkok, Thailand.
Suthee PanichkulDepartment of Military and Community Medicine, Phramongkutklao College of Medicine, Bangkok, Thailand.
Panwadee PutwatanaRamathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Wonnapha PrapaipanichRamathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Ram RangsinDepartment of Military and Community Medicine, Phramongkutklao College of Medicine, Bangkok, Thailand.ORCID 0000-0002-7175-0963
Phramongkutklao Hospital · THMahidol University · TH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cases of exertional heat stroke have been reported every year during basic training for Royal Thai Army (RTA) conscripts. Prevention is an important strategy to reduce the incidence of heat-related illnesses. We conducted a study to identify potential indicators for the prevention and monitoring of heat-related illnesses among military conscripts undergoing basic training in Thailand. All newly inducted RTA conscripts in 5 basic training units in 5 regions in Thailand were invited to participate in a prospective cohort study from May 1 to July 9, 2013. The incidence rate of heat-related illnesses and the incidence rate ratio (IRR) based on a Poisson regression model were used to identify the independent factors associated with heat-related illnesses, daily tympanic (body) temperatures higher than 37.5°C, >3% decreases in body weight in one day, and the production of dark brown urine. Eight hundred and nine men aged 21.4 (±1.13) years were enrolled in this study. The prevalence of a body mass index (BMI) ≥30 kg/m2 was 5.5%. During the study period, 53 subjects (6.6%) representing 3.41/100 person-months (95% confidence interval (CI), 2.55-4.23) developed heat-related illnesses (excluding heat rash), and no subjects experienced heat stroke. The incidence rates of a daily tympanic temperature >37.5°C at least once, body weight loss of >3% per day, and the production of dark brown urine at least once were 8.27/100 person-months (95% CI, 7.69-8.93), 47.91/100 person-months (95% CI, 44.22-51.58), and 682.11/100 person-months (95% CI, 635.49-728.52), respectively. The sole identified independent factor related to the incidence of heat-related illnesses was a BMI ≥30 kg/m2 (adjusted IRR = 2.66, 95% CI, 1.01-7.03). In conclusion, a high BMI was associated with heat-related illnesses among conscripts undergoing basic training in Thailand. Daily monitoring of heat-related illnesses, body temperature, body weight and urine color in each new conscript during basic military training was feasible.

Indexed as

Body Mass IndexHeat Stress DisordersMilitary PersonnelWeight LossAdultHumansIncidenceMaleProspective StudiesRisk FactorsThailandTime Factors

Identifiers

PMID30180213
PMCPMC6122829
OpenAlexW2891225807

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.