The impact of hypothermia on trauma care at the 31st combat support hospital

Zachary Arthurs*, Daniel Cuadrado, Alec Beekley, Kurt Grathwohl, Jeremy Perkins, Robert Rush, James Sebesta

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

79 Scopus citations

Abstract

Background: The primary objective of this study was to review the incidence of hypothermia, and its effect on surgical management, resource utilization, and survival at the 31st Combat Support Hospital (CSH). Methods: This study was a retrospective analysis of all combat trauma injuries treated at the 31st CSH over a 12-month period. All trauma admissions were included. Descriptive and inferential analysis were performed using SPSS 11.0 software package (SPSS Inc., Chicago, IL). Results: A cohort of 2848 patients was identified; 18% were hypothermic (temperature <36°C). Hypothermia was significantly (P < .05) correlated with admission Glasgow Coma Scale (GCS), tachycardia, hypotension, lower hematocrit, and acidosis. Hypothermic patients had a significantly higher blood product and factor VIIa requirement. Hypothermia was an independent predictor of operative management of injuries, damage control laparotomy, factor VIIa use, and overall mortality (P < .05). Conclusion: Combat trauma patients have a high percentage of penetrating injuries with variable evacuation times. Hypothermia was a pre-hospital physiologic marker, and independent contributor to overall mortality. Prevention of hypothermia could reduce resource utilization and improve survival in the combat setting.

Original languageEnglish
Pages (from-to)610-614
Number of pages5
JournalAmerican Journal of Surgery
Volume191
Issue number5
DOIs
StatePublished - May 2006
Externally publishedYes

Keywords

  • Battlefield
  • Hypothermia
  • Military
  • Outcomes
  • Trauma

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