ArticleScandinavian journal of trauma, resuscitation and emergency medicine2025
Factors related to 30-day survival rate following accidental hypothermia - a retrospective single-center study from Northern Finland.
Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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.
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.
Who cites it
2 citing papers in PubMed.
- Article
- Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAccidental hypothermia is a rare condition, and it is reported to cause 2-5 deaths per 100,000 in European studies and at least 1,500 deaths in the United States annually. There is limited evidence concerning concomitant factors, clinical findings, prehospital care, and treatment methods related to patients who experience accidental hypothermia.
methodsThis is a retrospective registry study with data consisting of patients over 18 years of age who were admitted to Oulu University Hospital in Finland with accidental hypothermia. Data were collected for 12 years (2008-2019). Patients were divided into survivors and non-survivors according to their 30-day survival.
resultsOf 315 initial patients, 241 were included in the final analysis: 206 survivors and 35 non-survivors. Alcohol abuse was the most common concomitant factor (49%), followed by age ≥ 65 years (42%). Indoor exposure was the most common etiology among non-survivors while outdoor exposure was most common among survivors (37% vs. 64%, p < 0.001). Daytime EMS dispatch was associated with higher mortality than nighttime dispatch (18% vs. 3%, p = 0.007). Lower recorded temperatures on the scene (27.0 °C vs. 30.1 °C) and in the emergency department (27.4 °C vs. 31.9 °C) were associated with decreased survival rate (p < 0.001 for both). Overall 30-day mortality was low (15%) and survival after cardiac arrest was high (47%). According to multivariable logistic regression analysis for concomitant factors and hypothermia etiology, submersion (odds ratio 0.27, p = 0.038) and trauma (odds ratio 0.32, p = 0.084) decreased the chance of 30-day survival.
conclusionsAlcohol abuse and age ≥ 65 years were two of the most common concomitant factors for accidental hypothermia. Non-survivors were generally older and more likely to be found indoors. They were most often found during daytime hours, and their recorded temperature was generally lower. Submersion and trauma were independent risk factors for mortality.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.