Document Detail


Deprivation in cold weather increases the risk of hospital admission with hypothermia in older people.
MedLine Citation:
PMID:  23275144     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: Material deprivation in cold weather may increase the risk of hypothermia and contribute to excess winter mortality. To date, there were no local data to support the potential contribution of material deprivation to the incidence of hypothermia in Irish older people. AIM: To contribute evidence from a hospital-based perspective. METHODS: Patient series from St James's Hospital Dublin, Ireland. Of all patients aged ≥65 years experiencing their last medical admission between 1 January 2002 and 31 December 2010, we selected those who presented with a body temperature of <35 °C. Their clinical characteristics were compared with those of a random sample of 200 age and gender-matched non-hypothermic patients. Multivariate logistic regression was used to identify predictors of presentation with hypothermia. The following predictors were considered: age, gender, mean air temperature on the day of admission, year of admission, comorbidity, major diagnostic categories, and material deprivation as per the Irish National Deprivation Index (NDI). RESULTS: Eighty patients presented with hypothermia over the period. They presented in colder days (mean 8.8 vs. 10.8 °C, P < 0.001) were less likely to present in summer (P < 0.002), more likely to present in winter (P = 0.010), and their mortality was high (50 vs. 17 %, P < 0.001). The interaction NDI* air temperature was a significant multivariate predictor of hypothermia (OR = 1.03, 95 % CI 1.01-1.06, P = 0.033). CONCLUSIONS: The NDI could be an adequate tool to target fuel poverty in older people.
Authors:
R Romero-Ortuno; M Tempany; L Dennis; D O'Riordan; B Silke
Related Documents :
20868314 - Natural history of celiac disease autoimmunity in a usa cohort followed since 1974.
10952634 - Prevalence and aetiology of hypothyroidism in the young.
4000484 - Prevalence of parkinson's disease in the biracial population of copiah county, mississi...
8196034 - A pilot study into the prevalence of ophthalmic disease in the indian population of sou...
12440764 - Exogenous and endogenous angiogenic stimuli do not augment splenic autotransplantation.
12650204 - Microgravity and aging of animals.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-12-30
Journal Detail:
Title:  Irish journal of medical science     Volume:  -     ISSN:  1863-4362     ISO Abbreviation:  Ir J Med Sci     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-12-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7806864     Medline TA:  Ir J Med Sci     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Division of Internal Medicine, St James's Hospital, Dublin 8, Ireland, romeror@tcd.ie.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Prognostic significance of epigenetic inactivation of p16, p15, MGMT and DAPK genes in follicular ly...
Next Document:  Is there any role for resuscitative emergency department thoracotomy in blunt trauma?