Abstract
The incidence of admissions of patients with hypothermia was determined to examine whether hypothermia was more common in elderly patients with diabetes than in the general population after diabetic metabolic emergency cases had been excluded. A prospective survey of three accident and emergency departments identified 134 cases of hypothermia admitted from a catchment population of almost 157,000 aged 65 or over during the winters of 1981-2 to 1983-4. The predicted number of patients with diabetes in the population was nearly 5600 (3.5%). Twenty three admissions for hypothermia (17%) occurred in 20 patients with previously diagnosed diabetes. Women made up 87% of the diabetic admissions; the ratio of diabetic to non-diabetic admission rates in women was 7.9 (95% confidence interval 5.3 to 12.0). After excluding diabetic metabolic emergency admissions the ratio was 6.4. The ratio in men was 2.4, but the small number of admissions produced wide confidence intervals. Ten of the admissions with diabetes (43%) had pathological disorders that are associated with an increased risk of hypothermia. The frequency of these conditions is higher in patients with diabetes than in the general population and partly explains the increased risk of hypothermia in these patients.
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- Collins K. J., Exton-Smith A. N., Doré C. Urban hypothermia: preferred temperature and thermal perception in old age. Br Med J (Clin Res Ed) 1981 Jan 17;282(6259):175–177. doi: 10.1136/bmj.282.6259.175. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Fellows I. W., Macdonald I. A., Bennett T., Allison S. P. The effect of undernutrition on thermoregulation in the elderly. Clin Sci (Lond) 1985 Nov;69(5):525–532. doi: 10.1042/cs0690525. [DOI] [PubMed] [Google Scholar]
- Ganz K., Kozak G. P. Diabetes mellitus and primary hypothyroidism. Arch Intern Med. 1974 Sep;134(3):430–432. [PubMed] [Google Scholar]
- Hecht A., Gershberg H. Diabetes mellitus and primary hypothyroidism. Metabolism. 1968 Feb;17(2):108–113. doi: 10.1016/0026-0495(68)90136-4. [DOI] [PubMed] [Google Scholar]
- Kannel W. B., Hjortland M., Castelli W. P. Role of diabetes in congestive heart failure: the Framingham study. Am J Cardiol. 1974 Jul;34(1):29–34. doi: 10.1016/0002-9149(74)90089-7. [DOI] [PubMed] [Google Scholar]
- Miettinen O. Estimability and estimation in case-referent studies. Am J Epidemiol. 1976 Feb;103(2):226–235. doi: 10.1093/oxfordjournals.aje.a112220. [DOI] [PubMed] [Google Scholar]
- Molnar G. W., Read R. C. Hypoglycemia and body temperature. JAMA. 1974 Feb 25;227(8):916–921. [PubMed] [Google Scholar]
- Oleinick A., Mantel N. Family studies in systemic lupus erythematosus. II. ortality among siblings and offspring of index cases with a statistical appendix concerning life table analysis. J Chronic Dis. 1970 Feb;22(8):617–624. doi: 10.1016/0021-9681(70)90038-x. [DOI] [PubMed] [Google Scholar]
- Tolman K. G., Cohen A. Accidental hypothermia. Can Med Assoc J. 1970 Dec 19;103(13):1357–1361. [PMC free article] [PubMed] [Google Scholar]
- White J. D. Hypothermia: the Bellevue Experience. Ann Emerg Med. 1982 Aug;11(8):417–424. doi: 10.1016/s0196-0644(82)80038-3. [DOI] [PubMed] [Google Scholar]