Acute and Critical Care

Original Articles

Surgery
Association of Immediate Postoperative Temperature in the Surgical Intensive Care Unit with 1-Year Mortality: Retrospective Analysis Using Digital Axillary Thermometers: Jiwook Kim, Tak Kyu Oh, Jaebong Lee, Saeyeon Kim, In-Ae Song; Acute Crit Care. 2019;34(1):53-59. Published online January 9, 2019; DOI: https://doi.org/10.4266/acc.2019.00255

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Background
Postoperative body temperature is closely associated with prognosis although there is limited research regarding this association at postoperative intensive care unit (ICU) admission. Furthermore, no studies have used digital axillary thermometers to measure postoperative body temperature. This study investigated the association between mortality and postoperative temperature measured using a digital axillary thermometer within 10 minutes after ICU admission. Methods: This retrospective observational study evaluated data from adult patients admitted to an ICU after elective or emergency surgery. The primary outcome was 1-year mortality after ICU admission. Multivariable logistic regression analysis with restricted cubic splines was used to evaluate the association between temperature and outcomes. Results: We evaluated data from 5,868 patients admitted between January 1, 2013 and May 31, 2016, including 5,311 patients (90.5%) who underwent noncardiovascular surgery and 557 patients (9.5%) who underwent cardiovascular surgery. Deviation from the median temperature (36.6°C) was associated with increases in 1-year mortality (≤ 36.6°C: linear coefficient, –0.531; P<0.001 and ≥36.6°C: spline coefficient, 0.756; P<0.001). Similar statistically significant results were observed in the noncardiovascular surgery group, but not in the cardiovascular surgery group. Conclusions: An increase or decrease in body temperature (vs. 36.6°C) measured using digital axillary thermometers within 10 minutes of postoperative ICU admission was associated with increased 1-year mortality. However, no significant association was observed after cardiovascular surgery. These results suggest that postoperative temperature is associated with longterm mortality in patients admitted to the surgical ICU in the postoperative period.

Citations

Citations to this article as recorded by

Construction of a nursing assessment framework for patients in anaesthesia recovery period: A modified Delphi study
Lang Peng, Xianxian Zang, Ruili Liu, Ping Bai, Lu Wang, Guoyong Yang
Journal of Advanced Nursing.2024; 80(9): 3653. CrossRef
A prognostic model for 1-month mortality in the postoperative intensive care unit
Mohammad Fathi, Nader Markazi Moghaddam, Saba Naderian Jahromi
Surgery Today.2022; 52(5): 795. CrossRef
Relationship Between First 24-h Mean Body Temperature and Clinical Outcomes of Post-cardiac Surgery Patients
Fei Xu, Cheng Zhang, Chao Liu, Siwei Bi, Jun Gu
Frontiers in Cardiovascular Medicine.2021;[Epub] CrossRef
Rebound hypothermia after cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (CRS-HIPEC) and cardiac arrest in immediate postoperative period: a report of two cases and review of literature
Sohan Lal Solanki, Mrida A. K. Jhingan, Avanish P. Saklani
Pleura and Peritoneum.2020;[Epub] CrossRef
Postoperative Hypothermia
Deokkyu Kim
Acute and Critical Care.2019; 34(1): 79. CrossRef

Epidemiology
Impact of Socioeconomic Status on 30-Day and 1-Year Mortalities after Intensive Care Unit Admission in South Korea: A Retrospective Cohort Study: Tak Kyu Oh, Jihoon Jo, Young-Tae Jeon, In-Ae Song; Acute Crit Care. 2018;33(4):230-237. Published online November 13, 2018; DOI: https://doi.org/10.4266/acc.2018.00514

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Abstract PDF Supplementary Material

Background
Socioeconomic status (SES) is closely associated with health outcomes, including mortality in critically ill patients admitted to intensive care unit (ICU). However, research regarding this issue is lacking, especially in countries where the National Health Insurance System is mainly responsible for health care. This study aimed to investigate how the SES of ICU patients in South Korea is associated with mortality.
Methods
This was a retrospective observational study of adult patients aged ≥20 years admitted to ICU. Associations between SES-related factors recorded at the time of ICU admission and 30-day and 1-year mortalities were analyzed using univariable and multivariable Cox regression analyses.
Results
A total of 6,008 patients were included. Of these, 394 (6.6%) died within 30 days of ICU admission, and 1,125 (18.7%) died within 1 year. Multivariable Cox regression analysis found no significant associations between 30-day mortality after ICU admission and SES factors (P>0.05). However, occupation was significantly associated with 1-year mortality after ICU admission.
Conclusions
Our study shows that 30-day mortality after ICU admission is not associated with SES in the National Health Insurance coverage setting. However, occupation was associated with 1-year mortality after ICU admission.

Citations

Citations to this article as recorded by

Association Between Socioeconomic Status and Outcomes in Critical Care: A Systematic Review and Meta-Analysis
Ryan D. McHenry, Christopher E. J. Moultrie, Tara Quasim, Daniel F. Mackay, Jill P. Pell
Critical Care Medicine.2023; 51(3): 347. CrossRef
The effect of socioeconomic status, insurance status, and insurance coverage benefits on mortality in critically ill patients admitted to the intensive care unit
Moo Suk Park
Acute and Critical Care.2022; 37(1): 118. CrossRef
Association between off-hour admission of critically ill children to intensive care units and mortality in a Japanese registry
Takahiro Kido, Masao Iwagami, Toshikazu Abe, Yuki Enomoto, Hidetoshi Takada, Nanako Tamiya
Scientific Reports.2021;[Epub] CrossRef
Associations Between Socioeconomic Status, Patient Risk, and Short-Term Intensive Care Outcomes
Daniel V. Mullany, David V. Pilcher, Annette J. Dobson
Critical Care Medicine.2021; 49(9): e849. CrossRef
Association of Economic Status and Mortality in Patients with Acute Respiratory Distress Syndrome
Tak Kyu Oh, In-Ae Song, Jae Ho Lee
International Journal of Environmental Research and Public Health.2020; 17(6): 1815. CrossRef
Critical Care Research Using “Big Data”: A Reality in the Near Future
Kwangha Lee
Acute and Critical Care.2018; 33(4): 269. CrossRef

Letter to the Editor

CPR/Resuscitation
Difficult Airway and Cannot Intubate, Cannot Ventilate Situations in Korea: What Can We Do in the Future?: Tak Kyu Oh; Korean J Crit Care Med. 2017;32(2):225-227. Published online May 31, 2017; DOI: https://doi.org/10.4266/kjccm.2017.00066

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