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Triage body temperature and its influence on patients with acute myocardial infarction

BACKGROUND: Fever can occur after acute myocardial infarction (MI). The influence of body temperature (BT) after hospital arrival on patients with acute MI has rarely been investigated. METHODS: Patients who were diagnosed with acute MI in the emergency department (ED) of a tertiary teaching hospita...

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Autores principales: Chen, Shih-Hao, Chang, Hung-Chieh, Chiu, Po-Wei, Hong, Ming-Yuan, Lin, I-Chen, Yang, Chih-Chun, Hsu, Chien-Te, Ling, Chia-Wei, Chang, Ying-Hsin, Cheng, Ya-Yun, Lin, Chih-Hao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10403904/
https://www.ncbi.nlm.nih.gov/pubmed/37542240
http://dx.doi.org/10.1186/s12872-023-03372-y
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author Chen, Shih-Hao
Chang, Hung-Chieh
Chiu, Po-Wei
Hong, Ming-Yuan
Lin, I-Chen
Yang, Chih-Chun
Hsu, Chien-Te
Ling, Chia-Wei
Chang, Ying-Hsin
Cheng, Ya-Yun
Lin, Chih-Hao
author_facet Chen, Shih-Hao
Chang, Hung-Chieh
Chiu, Po-Wei
Hong, Ming-Yuan
Lin, I-Chen
Yang, Chih-Chun
Hsu, Chien-Te
Ling, Chia-Wei
Chang, Ying-Hsin
Cheng, Ya-Yun
Lin, Chih-Hao
author_sort Chen, Shih-Hao
collection PubMed
description BACKGROUND: Fever can occur after acute myocardial infarction (MI). The influence of body temperature (BT) after hospital arrival on patients with acute MI has rarely been investigated. METHODS: Patients who were diagnosed with acute MI in the emergency department (ED) of a tertiary teaching hospital between 1 January 2020 and 31 December 2020 were enrolled. Based on the tympanic temperature obtained at the ED triage, patients were categorized into normothermic (35.5°C-37.5°C), hypothermic (< 35.5°C), or hyperthermic (> 37.5°C) groups. The primary outcome was in-hospital cardiac arrest (IHCA), while the secondary outcomes were adverse events. Statistical significance was set at p < 0.05. RESULTS: There were 440 enrollees; significant differences were found among the normothermic (n = 369, 83.9%), hypothermic (n = 27, 6.1%), and hyperthermic (n = 44, 10.0%) groups in the triage respiratory rate (median [IQR]) (20.0 [4.0] cycles/min versus 20.0 [4.0] versus 20.0 [7.5], p = 0.009), triage heart rate (88.0 [29.0] beats/min versus 82.0 [28.0] versus 102.5 [30.5], p < 0.001), presence of ST-elevation MI (42.0% versus 66.7% versus 31.8%, p = 0.014), need for cardiac catheterization (87.3% versus 85.2% versus 72.7%, p = 0.034), initial troponin T level (165.9 [565.2] ng/L versus 49.1 [202.0] versus 318.8 [2002.0], p = 0.002), peak troponin T level (343.8 [1405.9] ng/L versus 218.7 [2318.2] versus 832.0 [2640.8], p = 0.003), length of ICU stay (2.0 [3.0] days versus 3.0 [8.0] versus 3.0 [9.5], p = 0.006), length of hospital stay (4.0 [4.5] days versus 6.0 [15.0] versus 10.5 [10.8], p < 0.001), and infection during hospitalization (19.8% versus 29.6% versus 63.6%, p < 0.001) but not in IHCA (7.6% versus 14.8% versus 11.4%, p = 0.323) or any adverse events (50.9% versus 48.1% versus 63.6%, p = 0.258). Multivariable analysis showed no significant association of triage BT with IHCA or any major complication. CONCLUSION: Triage BT did not show a significant association with IHCA or adverse events in patients with acute MI. However, triage BT could be associated with different clinical presentations and should warrant further investigation. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12872-023-03372-y.
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spelling pubmed-104039042023-08-06 Triage body temperature and its influence on patients with acute myocardial infarction Chen, Shih-Hao Chang, Hung-Chieh Chiu, Po-Wei Hong, Ming-Yuan Lin, I-Chen Yang, Chih-Chun Hsu, Chien-Te Ling, Chia-Wei Chang, Ying-Hsin Cheng, Ya-Yun Lin, Chih-Hao BMC Cardiovasc Disord Research BACKGROUND: Fever can occur after acute myocardial infarction (MI). The influence of body temperature (BT) after hospital arrival on patients with acute MI has rarely been investigated. METHODS: Patients who were diagnosed with acute MI in the emergency department (ED) of a tertiary teaching hospital between 1 January 2020 and 31 December 2020 were enrolled. Based on the tympanic temperature obtained at the ED triage, patients were categorized into normothermic (35.5°C-37.5°C), hypothermic (< 35.5°C), or hyperthermic (> 37.5°C) groups. The primary outcome was in-hospital cardiac arrest (IHCA), while the secondary outcomes were adverse events. Statistical significance was set at p < 0.05. RESULTS: There were 440 enrollees; significant differences were found among the normothermic (n = 369, 83.9%), hypothermic (n = 27, 6.1%), and hyperthermic (n = 44, 10.0%) groups in the triage respiratory rate (median [IQR]) (20.0 [4.0] cycles/min versus 20.0 [4.0] versus 20.0 [7.5], p = 0.009), triage heart rate (88.0 [29.0] beats/min versus 82.0 [28.0] versus 102.5 [30.5], p < 0.001), presence of ST-elevation MI (42.0% versus 66.7% versus 31.8%, p = 0.014), need for cardiac catheterization (87.3% versus 85.2% versus 72.7%, p = 0.034), initial troponin T level (165.9 [565.2] ng/L versus 49.1 [202.0] versus 318.8 [2002.0], p = 0.002), peak troponin T level (343.8 [1405.9] ng/L versus 218.7 [2318.2] versus 832.0 [2640.8], p = 0.003), length of ICU stay (2.0 [3.0] days versus 3.0 [8.0] versus 3.0 [9.5], p = 0.006), length of hospital stay (4.0 [4.5] days versus 6.0 [15.0] versus 10.5 [10.8], p < 0.001), and infection during hospitalization (19.8% versus 29.6% versus 63.6%, p < 0.001) but not in IHCA (7.6% versus 14.8% versus 11.4%, p = 0.323) or any adverse events (50.9% versus 48.1% versus 63.6%, p = 0.258). Multivariable analysis showed no significant association of triage BT with IHCA or any major complication. CONCLUSION: Triage BT did not show a significant association with IHCA or adverse events in patients with acute MI. However, triage BT could be associated with different clinical presentations and should warrant further investigation. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12872-023-03372-y. BioMed Central 2023-08-04 /pmc/articles/PMC10403904/ /pubmed/37542240 http://dx.doi.org/10.1186/s12872-023-03372-y Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Chen, Shih-Hao
Chang, Hung-Chieh
Chiu, Po-Wei
Hong, Ming-Yuan
Lin, I-Chen
Yang, Chih-Chun
Hsu, Chien-Te
Ling, Chia-Wei
Chang, Ying-Hsin
Cheng, Ya-Yun
Lin, Chih-Hao
Triage body temperature and its influence on patients with acute myocardial infarction
title Triage body temperature and its influence on patients with acute myocardial infarction
title_full Triage body temperature and its influence on patients with acute myocardial infarction
title_fullStr Triage body temperature and its influence on patients with acute myocardial infarction
title_full_unstemmed Triage body temperature and its influence on patients with acute myocardial infarction
title_short Triage body temperature and its influence on patients with acute myocardial infarction
title_sort triage body temperature and its influence on patients with acute myocardial infarction
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10403904/
https://www.ncbi.nlm.nih.gov/pubmed/37542240
http://dx.doi.org/10.1186/s12872-023-03372-y
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