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Hypothermia and Its Association with Mortality Among Major Trauma Patients in a Tropical Climate: A Retrospective Study from Southern Taiwan

Authors:
Pei-Ling Lee
Chao‑Wen Chen
Chuan-Yu Hu
Mei-Yu Pan
Shu-Fen Ko
Shu-Chen Mu

Keywords: Lethal Diamond, Major trauma, Traumatic hypothermia, Trauma registry.

Abstract:
Hypothermia is an important factor for poor prognosis after trauma, and it may still occur even in tropical climates. To explore the incidence of hypothermia in patients with severe trauma in southern Taiwan and its association with mortality risk, trauma registration data of a critical emergency hospital in Kaohsiung from 2023 to 2024 were analyzed, and patients with Injury Severity Score (ISS) >15, a recorded emergency department temperature between 32.0°C and 37.9°C, and hospitalization were included. Patients were subsequently categorized into two groups: hypothermia (32.0–34.9°C) and normothermia (35.0–37.9°C). A total of 1324 patients were included, of which 31 (2.34%) had hypothermia, and the mortality rate was 51.6%. Hypothermia was significantly associated with Glasgow Coma Scale (GCS), Intensive Care Unit Length Of Stay (ICU LOS) and death (p<0.005). Hypothermia still occurs in patients with severe trauma in tropical regions, and their mortality risk is significantly increased. Hypothermia should be listed as an important indicator for the initial treatment of trauma, and early intervention can help improve prognosis.

Pages: 21 to 22

Copyright: Copyright (c) IARIA, 2025

Publication date: October 26, 2025

Published in: conference

ISSN: 2519-8491

ISBN: 978-1-68558-312-5

Location: Barcelona, Spain

Dates: from October 26, 2025 to October 30, 2025