AVERAGE NUMBER OF DAYS
1. U.S. National Library of Medicine.
MedlinePlus. Body temperature
norms. January 31, 2015. Available at:
article/ 001982.htm. Accessed February
2. U.S. National Library of Medicine
MedlinePlus. Hypothermia. January
13, 2014. Available at: www.nlm.nih.
htm. Accessed February 24, 2016.
3. Wang HS, Han JS. Research progress
on combat trauma treatment in cold
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4. Peng RY, Bongard FS. Hypothermia
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the normothermic patients (see
Figures 1 and 2, page 54).
Among the hypothermic
patients, 69 percent were male
and an average of 45 years old.
The hypothermic group had
an average hospital length of
stay of 11. 5 days versus 4. 8 days
for the normothermic group;
an intensive care unit length of
stay twice that of normothermia
( 10. 1 versus 4. 8 days, respectively);
an average ISS of almost triple
( 26. 6 versus 9. 4); and were on
the ventilator for an average of
7. 4 versus 5. 9 days, respectively
(see Figure 3, this page).
A significant complication
Hypothermia often complicates
the management of major trauma
patients and has been shown to
increase morbidity and mortality
in this population. Advances
in care, use of damage control
principles when indicated, active
warming of resuscitation fluids,
and prevention of further heat
loss are key factors in managing
the lethal triad of hypothermia,
acidosis, and coagulopathy. Early
recognition and appropriate
management should improve
survival rates and reduce
complications and associated
costs. After all, hypothermia
results in cold blood and, if left
uncorrected, can be a killer.
Throughout the year, we
will be highlighting these data
through brief reports that will
be found monthly in the Bulletin.
The NTDB Annual Report 2015 is
available on the ACS website at
ntdb. In addition, information is
available on the website about
how to obtain NTDB data for
more detailed study. To submit
your trauma center’s data, contact
Melanie L. Neal, Manager,
N TDB, at email@example.com. ♦
Statistical support for this article
was provided by Chrystal Caden-Price, Data Analyst, NTDB.
MAY 2016 BULLETIN American College of Surgeons
NTDB DATA POINTS