Evidence map›Paper›PMID 31718708›Full record

ArticleScandinavian journal of trauma, resuscitation and emergency medicine2019

Prognostic ability of the sequential organ failure assessment score in accidental hypothermia: a multi-institutional retrospective cohort study.

Kenji Kandori, Yohei Okada, Tasuku Matsuyama, Sachiko Morita, Naoki Ehara, Nobuhiro Miyamae, Takaaki Jo, Yasuyuki Sumida, Nobunaga Okada, Makoto Watanabe and 6 more

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Accidental hypothermia.Nature reviews. Disease primers · 2026
    Review
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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

16 authors.

Kenji KandoriDepartment of Emergency and Critical Care Medicine, Japanese Red Cross Society, Kyoto Daini Hospital, Kyoto, Japan.
Yohei OkadaDepartment of Emergency and Critical Care Medicine, Japanese Red Cross Society, Kyoto Daini Hospital, Kyoto, Japan. yokada-kyf@umin.ac.jp.ORCID http://orcid.org/0000-0002-2266-476X
Tasuku MatsuyamaDepartment of Emergency Medicine, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Sachiko MoritaSenri Critical Care Medical Center, Saiseikai Senri Hospital, Suita, Japan.
Naoki EharaDepartment of Emergency, Japanese Red Cross Society, Kyoto Daiichi Red Cross Hospital, Kyoto, Japan.
Nobuhiro MiyamaeDepartment of Emergency Medicine, Rakuwa-kai Otowa Hospital, Kyoto, Japan.
Takaaki JoDepartment of Emergency Medicine, Uji-Tokushukai Medical Center, Uji, Japan.
Yasuyuki SumidaDepartment of Emergency Medicine, North Medical Center, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Nobunaga OkadaDepartment of Emergency Medicine, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Makoto WatanabeDepartment of Emergency Medicine, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Masahiro NozawaDepartment of Emergency and Critical Care Medicine, Saiseikai Shiga Hospital, Ritto, Japan.
Ayumu TsuruokaDepartment of Emergency and Critical Care Medicine, Kyoto Min-Iren Chuo Hospital, Kyoto, Japan.
Yoshihiro FujimotoDepartment of Emergency Medicine, Yodogawa Christian Hospital, Osaka, Japan.
Yoshiki OkumuraDepartment of Emergency Medicine, Fukuchiyama City Hospital, Fukuchiyama, Japan.
Tetsuhisa KitamuraDivision of Environmental Medicine and Population Sciences, Department of Social and Environmental Medicine, Graduate School of Medicine, Osaka University, Osaka, Japan.
Ryoji IidukaDepartment of Emergency and Critical Care Medicine, Japanese Red Cross Society, Kyoto Daini Hospital, Kyoto, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSevere accidental hypothermia (AH) is life threatening. Thus, prognostic prediction in AH is essential to rapidly initiate intensive care. Several studies on prognostic factors for AH are known, but none have been established. We clarified the prognostic ability of the Sequential Organ Failure Assessment (SOFA) score in comparison with previously reported prognostic factors among patients with AH.

methodsThe J-point registry database is a multi-institutional retrospective cohort study for AH in 12 Japanese emergency departments. From this registry, we enrolled patients who were treated at the intensive care unit (ICU) in various critical care medical centers. In-hospital mortality was the primary outcome. We investigated the discrimination ability of each candidate prognostic factor and the in-hospital mortality by applying the logistic regression models with areas under the receiver operating characteristic curve (AUROC) with 95% confidence interval (CI).

resultsOf the 572 patients with AH registered in the J-point registry, 220 were eligible for the analyses. The in-hospital mortality was 23.2%. The AUROC of the SOFA score (0.80; 95% CI: 0.72-0.86) was the highest among all factors. The other factors were serum potassium (0.65; 95% CI: 0.55-0.73), lactate (0.67; 95% CI: 0.57-0.75), quick SOFA (qSOFA) (0.55; 95% CI: 0.46-0.65), systemic inflammatory response syndrome (SIRS) (0.60; 95% CI: 0.50-0.69), and 5A severity scale (0.77; 95% CI: 0.68-0.84). DISCUSSION: Although serum potassium and lactate had relatively good discrimination ability as mortality predictors, the SOFA score had slightly better discrimination ability. The reason is that lactate and serum potassium were mainly reflected by the hemodynamic state; conversely, the SOFA score is a comprehensive score of organ failure, basing on six different scores from the respiratory, cardiovascular, hepatic, coagulation, renal, and neurological systems. Meanwhile, the qSOFA and SIRS scores underestimated the severity, with low discrimination abilities for mortality.

conclusionsThe SOFA score demonstrated better discrimination ability as a mortality predictor among all known prognostic factors in patients with AH.

Indexed as

Organ Dysfunction ScoresCohort StudiesFemaleHospital MortalityHumansHypothermiaIntensive Care UnitsJapanLactic AcidMaleMiddle AgedPotassiumPrognosisRegistriesRetrospective StudiesSystemic Inflammatory Response SyndromeLactic AcidPotassiumAccidental hypothermiaEnvironmental emergencyMortalityThe sequential organ failure assessmentThe systemic inflammatory response syndrome

Identifiers

PMID31718708
PMCPMC6849316

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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.