Yang Wei, Zhou Dan, Peng Hui, Jiang Huilin, Chen Weifeng
Department of General Practice, The First Affiliated Hospital of Shenzhen University, Shenzhen Second People's Hospital, No. 3002 Sungang Road, Futian District, Shenzhen, 518035, Guangdong Province, China.
Department of Emergency, The Second Affiliated Hospital, Guangzhou Medical University, No. 250 Changgang East Road, Guangzhou, 510260, Guangdong Province, China.
Med Intensiva (Engl Ed). 2025 Apr;49(4):205-215. doi: 10.1016/j.medine.2024.08.004. Epub 2024 Nov 17.
This study explored the association between body temperature and 28-day septic ICU hospital mortality.
Retrospective cohort analysis.
208 ICUs in the United States.
Sepsis patients from 2014-2015 eICU Collaborative Research Database.
Binary logistic regression models, Generalized Additive Model (GAM), Two-Piece Binary Logistic Regression Model.
Body temperature, 28-day inpatient mortality.
Nonlinear relationship observed; hypothermia (≤36.67 ℃) associated with increased mortality (adjusted OR = 0.74, 95% CI: 0.70-0.80, p < 0.0001).
Hypothermia in sepsis correlates with higher mortality; rewarming's potential benefit warrants further exploration.
本研究探讨体温与脓毒症患者入住重症监护病房28天死亡率之间的关联。
回顾性队列分析。
美国208个重症监护病房。
来自2014 - 2015年电子重症监护病房协作研究数据库的脓毒症患者。
二元逻辑回归模型、广义相加模型(GAM)、两段式二元逻辑回归模型。
体温、28天住院死亡率。
观察到非线性关系;体温过低(≤36.67℃)与死亡率增加相关(校正比值比=0.74,95%置信区间:0.70 - 0.80,p<0.0001)。
脓毒症患者体温过低与较高死亡率相关;复温的潜在益处值得进一步探索。