The association between body temperature and 28-day mortality in sepsis patients: A retrospective observational study.

Wei Yang, Dan Zhou, Hui Peng, Huilin Jiang, Weifeng Chen
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Abstract

Objective: This study explored the association between body temperature and 28-day septic ICU hospital mortality.

Design: Retrospective cohort analysis.

Setting: 208 ICUs in the United States.

Patients or participants: Sepsis patients from 2014-2015 eICU Collaborative Research Database.

Interventions: Binary logistic regression models, Generalized Additive Model (GAM), Two-Piece Binary Logistic Regression Model.

Main variables of interest: Body temperature, 28-day inpatient mortality.

Results: Nonlinear relationship observed; hypothermia (≤36.67 ℃) associated with increased mortality (adjusted OR = 0.74, 95% CI: 0.70-0.80, p < 0.0001).

Conclusions: Hypothermia in sepsis correlates with higher mortality; rewarming's potential benefit warrants further exploration.

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败血症患者体温与 28 天死亡率之间的关系:回顾性观察研究
研究目的本研究探讨了体温与脓毒症重症监护病房 28 天住院死亡率之间的关系:设计:回顾性队列分析:患者或参与者:来自 2014-2015 年 eICU 合作研究数据库的脓毒症患者:干预措施:二元逻辑回归模型、广义相加模型(GAM)、二元逻辑回归模型:体温、28 天住院死亡率:结果:观察到非线性关系;体温过低(≤36.67 ℃)与死亡率增加有关(调整后 OR = 0.74,95% CI:0.70-0.80,P 结论:脓毒症患者体温过低(≤36.67 ℃)与死亡率增加有关:脓毒症患者体温过低与死亡率升高有关;值得进一步探讨复温的潜在益处。
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