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Meta-Analysis Accidental Hypothermia in Trauma

I

Insel Gruppe AG, University Hospital Bern

Status

Completed

Conditions

Brain Injuries, Traumatic
Morality
Trauma
Hypothermia

Study type

Observational

Funder types

Other

Identifiers

NCT04332237
SRMA hypothermia trauma

Details and patient eligibility

About

This is a systematic literature review and meta-analysis investigating the effect of accidental hypothermia on mortality in trauma patients overall and patients with TBI specifically.

Literature search will be performed using the Ovid Medline/PubMed database. Studies comparing the effect of hypothermia vs. normothermia at hospital admission on in-hospital mortality will be included in meta-analysis.

Full description

Accidental hypothermia is a known predictor for worse outcomes in trauma patients, but has not been comprehensively assessed in meta-analysis so far. The aim of this systematic review and meta-analysis is to investigate the impact of accidental hypothermia on mortality in trauma patients overall and patients with traumatic brain injury (TBI) specifically.

Literature search will be conducted using the Ovid Medline/PubMed database. The search strategy will be based on the PICOS strategy.

Scientific articles reporting (1) accidental hypothermia in trauma patients overall or patients with TBI specifically, (2) body temperature and time of measurement, and (3) the impact of accidental hypothermia on outcomes will be included in the qualitative review.

Two meta-analyses will be performed including (1) trauma patients overall and (2) patients with TBI specifically. Studies reporting in-hospital mortality of hypothermic and normothermic trauma patients overall or patients with TBI specifically, based on the temperature measured at Emergency Department admission, will be included in meta-analysis. Meta-analysis will be performed using a Mantel-Haenszel random-effects model. The estimated effect size for mortality will be reported as odds ratio (OR) and 95% confidence interval (CI) for each study as well as for the overall cohort.

Enrollment

776,684 patients

Sex

All

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Original scientific articles
  • English language
  • Study in trauma patients
  • Reported body temperature and time of temperature measurement
  • Reported impact of accidental hypothermia on outcomes

Exclusion criteria

  • Case reports
  • Systematic reviews
  • Articles on therapeutic hypothermia

Trial design

776,684 participants in 2 patient groups

Hypothermia group
Description:
Hypothermic trauma patients or hypothermic patients with traumatic brain injury specifically.
Normothermia group
Description:
Normothermic trauma patients or normothermic patients with traumatic brain injury specifically.

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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