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Risk factors for onset of hypothermia in trauma victims: The HypoTraum study

Overview of attention for article published in Critical Care, July 2012
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About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • Good Attention Score compared to outputs of the same age (79th percentile)
  • Good Attention Score compared to outputs of the same age and source (78th percentile)

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9 X users

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Title
Risk factors for onset of hypothermia in trauma victims: The HypoTraum study
Published in
Critical Care, July 2012
DOI 10.1186/cc11449
Pubmed ID
Authors

Frédéric Lapostolle, Jean Luc Sebbah, James Couvreur, François Xavier Koch, Dominique Savary, Karim Tazarourte, Gerald Egman, Lynda Mzabi, Michel Galinski, Frédéric Adnet

Abstract

ABSTRACT: INTRODUCTION: Hypothermia is common in trauma victims and is associated with an increase in mortality. Its causes are not well understood. Our objective was to identify the factors influencing the onset of hypothermia during pre-hospital care of trauma victims. METHODS: This was a multicenter, prospective, open, observational study in a pre-hospital setting.The subjects were trauma victims, over 18 years old, receiving care from emergency medical services (EMS) and transported to hospital in a medically staffed mobile unit.Study variables included: demographics and morphological traits, nature and circumstances of the accident, victim's presentation (trapped, seated or lying down, on the ground, unclothed, wet or covered by a blanket), environmental conditions (wind, rain, ground temperature and air temperature on site and in the mobile unit), clinical factors, Revised Trauma Score (RTS), tympanic temperature, care provided (including warming, drugs administered, infusion fluid temperature and volume), and EMS and hospital arrival times. RESULTS: A total of 448 patients were included. Hypothermia (<35°C) on hospital arrival was present in 64/448 patients (14%). Significant factors associated with the absence of hypothermia in a multivariate analysis were no intubation: Odds Ratio: 4.23 (95% confidence interval 1.62 to 1.02); RTS: 1.68 (1.29 to 2.20); mobile unit temperature: 1.20 (1.04 to 1.38); infusion fluid temperature: 1.17 (1.05 to 1.30); patient not unclothed: 0.40 (0.18 to 0.90); and no head injury: 0.36 (0.16 to 0.83). CONCLUSIONS: The key risk factor for the onset of hypothermia was the severity of injury but environmental conditions and the medical care provided by EMS were also significant factors. Changes in practice could help reduce the impact of factors such as infusion fluid temperature and mobile unit temperature.

X Demographics

X Demographics

The data shown below were collected from the profiles of 9 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 86 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Brazil 2 2%
Indonesia 1 1%
Australia 1 1%
Czechia 1 1%
United Kingdom 1 1%
Mexico 1 1%
United States 1 1%
Unknown 78 91%

Demographic breakdown

Readers by professional status Count As %
Student > Master 12 14%
Student > Bachelor 11 13%
Researcher 10 12%
Other 8 9%
Professor 5 6%
Other 20 23%
Unknown 20 23%
Readers by discipline Count As %
Medicine and Dentistry 45 52%
Nursing and Health Professions 8 9%
Engineering 5 6%
Unspecified 1 1%
Arts and Humanities 1 1%
Other 7 8%
Unknown 19 22%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 7. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 03 November 2018.
All research outputs
#5,328,985
of 25,371,288 outputs
Outputs from Critical Care
#3,442
of 6,554 outputs
Outputs of similar age
#36,066
of 178,868 outputs
Outputs of similar age from Critical Care
#23
of 108 outputs
Altmetric has tracked 25,371,288 research outputs across all sources so far. Compared to these this one has done well and is in the 78th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 6,554 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 20.8. This one is in the 47th percentile – i.e., 47% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 178,868 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 79% of its contemporaries.
We're also able to compare this research output to 108 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 78% of its contemporaries.