Accidental Hypothermia
Conditions
Keywords
Accidental Hypothermia
Brief summary
Transient mild hypothermia (core body temperature 35-32°C) is common and usually without consequences for the brain or other organs. However, prolonged severe accidental hypothermia (core body temperature below 28°C) due to accidents is rare, and usually fatal in more than 50% of cases. Little is known on its physiopathology, on prognostic factors for rewarming decision or ideal rewarming techniques for better survival. Furthermore, complications after successful rewarming are extremely frequent and very often severe or fatal. Accidental hypothermia is a frequent problem during the winter months and can be caused by snow sport accidents, near drowning and urban cold exposure. The International Hypothermia Registry's principle goal is to increase knowledge on accidental hypothermia by creating the largest database on accidental hypothermia which will comprise enough patient data to give a statistical power since the causes of accidental hypothermia and its treatment varies greatly. The International Hypothermia Registry (IHR) will enable improvement of pre- and in-hospital treatment and rewarming methods, study survival predictors and prevention of post-rewarming complications. By this way, the IHR will permit the establishment of evidence-based diagnosis and treatment guidelines.
Detailed description
The aim of the International Hypothermia Registry is to improve rescue, treatment and outcome of accidental hypothermia victims. The principal objectives of the International Hypothermia Registry are: * Improving the outcome of accidental hypothermic patients (survival and normal neurologic function); * This outcome is dependent on the presenting status of the patient (temperature, trauma, cardiac arrest, etc.); * The hospital treatment and rewarming method will also influence the outcome, invasive vs. non-invasive rewarming and rewarming rate. * Quality control, assessment of hypothermia cases This IHR is mainly prospective but retrospective entries are welcome. There is no data limit on retrospective cases: cases of any year can be entered.
Interventions
OTHERRegistry of patients with accidental hypothermia
Sponsors
University Hospital, Geneva
Study design
Observational model
OTHER
Time perspective
OTHER
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* Accidental hypothermia with body core temperatures equal or less than 35°C/95°F; * Any cause leading to accidental hypothermia (e.g. mountain, water, urban); * Any age, gender, or comorbidities; * Any pre-hospital and hospital treatment and rewarming; * Any outcome.
Exclusion criteria
* Patient opposition to be part of a study; * Essential missing values, e.g. temperature.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The Registry is a questionnaire, containing 252 variables divided into a demographical, prehospital, hospital and outcome section. The collected measurement data will be registered on REDCap. | through study completion, an average of 1 year | For every patient, the questionnaire on REDCap will be filled in. Demographical data contain age, weight, consent status, ... . Prehospital data include the prehospital temperature, the circumstances of the accident (drowning, avalanche, intoxication, ... ), the presence of cardiac arrest, the first heart rhythm, ... . Hospital data contain the rewarming mode, the complications after and during rewarming. Outcome data cover the cerebral performance category after hospitalisation. Every further study with their specific outcomes using the data of the International Hypothermia Registry will be registered separately on clinical trials.gov. The data that are necessary to answer the scientific question defined in further studies will be extracted from REDCap. |
Countries
Austria, Denmark, Germany, Italy, Japan, Poland, Spain, Switzerland, United Kingdom
Contacts
Primary ContactEvelien Cools, MD
Backup ContactBeat Walpoth, PD
Outcome results
None listed