Thermographic visualization of facial vasoconstriction is associated with 30-day all-cause mortality in medical patients; Prospective observational two-site cohort study

Nadia Hejgaard Jensen, Ronson Sze Long Lo, Kevin Kei Ching Hung*, Morten Lorentzen, Sune Laugesen, Stefan Posth, Soren Hansen, Kristian Jensen, John Kellett, Colin A. Graham, Mikkel Brabrand

*Kontaktforfatter for dette arbejde

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Abstrakt

Introduction: Quick and reliable assessment of acute patients is required for accurate triage. The temperature gradient between core and peripheral temperature could possibly instantly provide information on circulatory status. Methods: Adult medical patients, who did not receive supplementary oxygen, attending two emergency departments, had a thermographic image taken on arrival. The association between 30-day mortality and gradients was tested using logistic regression. Results: 726 patients were studied, median age was 64 years and 14 (1.9%) died within 30 days. There was a significant association between mortality and temperature gradient, comparable to vital signs, age, and clinical intuition. Conclusion: Temperature gradient between nose and eye had an acceptable discriminatory power for 30-day all-cause mortality.

OriginalsprogEngelsk
TidsskriftAcute Medicine
Vol/bind20
Udgave nummer2
Sider (fra-til)89-156
ISSN1747-4884
DOI
StatusUdgivet - 6. jun. 2021

Bibliografisk note

Publisher Copyright:
© 2021 Rila Publications Ltd.

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