naa a22 4500 510740758 CHVBK 20180411083027.0 cr unu---uuuuu 180411e20130901xx s 000 0 eng 10.1007/s11845-012-0896-4 doi (NATIONALLICENCE)springer-10.1007/s11845-012-0896-4 Deprivation in cold weather increases the risk of hospital admission with hypothermia in older people [Elektronische Daten] [R. Romero-Ortuno, M. Tempany, L. Dennis, D. O'Riordan, B. Silke] Background: Material deprivation in cold weather may increase the risk of hypothermia and contribute to excess winter mortality. To date, there were no local data to support the potential contribution of material deprivation to the incidence of hypothermia in Irish older people. Aim: To contribute evidence from a hospital-based perspective. Methods: Patient series from St James's Hospital Dublin, Ireland. Of all patients aged ≥65years experiencing their last medical admission between 1 January 2002 and 31 December 2010, we selected those who presented with a body temperature of <35°C. Their clinical characteristics were compared with those of a random sample of 200 age and gender-matched non-hypothermic patients. Multivariate logistic regression was used to identify predictors of presentation with hypothermia. The following predictors were considered: age, gender, mean air temperature on the day of admission, year of admission, comorbidity, major diagnostic categories, and material deprivation as per the Irish National Deprivation Index (NDI). Results: Eighty patients presented with hypothermia over the period. They presented in colder days (mean 8.8 vs. 10.8°C, P<0.001) were less likely to present in summer (P<0.002), more likely to present in winter (P=0.010), and their mortality was high (50 vs. 17%, P<0.001). The interaction NDI* air temperature was a significant multivariate predictor of hypothermia (OR=1.03, 95% CI 1.01-1.06, P=0.033). Conclusions: The NDI could be an adequate tool to target fuel poverty in older people. Royal Academy of Medicine in Ireland, 2012 Aged nationallicence Weather nationallicence Hypothermia nationallicence Socioeconomic factors nationallicence Mortality nationallicence Romero-Ortuno R. Division of Internal Medicine, St James's Hospital, Dublin 8, Ireland aut Tempany M. Division of Internal Medicine, St James's Hospital, Dublin 8, Ireland aut Dennis L. Division of Internal Medicine, St James's Hospital, Dublin 8, Ireland aut O'Riordan D. Division of Internal Medicine, St James's Hospital, Dublin 8, Ireland aut Silke B. Division of Internal Medicine, St James's Hospital, Dublin 8, Ireland aut Irish Journal of Medical Science Springer-Verlag 182/3(2013-09-01), 513-518 0021-1265 182:3<513 2013 182 11845 https://doi.org/10.1007/s11845-012-0896-4 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11845-012-0896-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Romero-Ortuno R. Division of Internal Medicine, St James's Hospital, Dublin 8, Ireland aut NATIONALLICENCE 700 1- Tempany M. Division of Internal Medicine, St James's Hospital, Dublin 8, Ireland aut NATIONALLICENCE 700 1- Dennis L. Division of Internal Medicine, St James's Hospital, Dublin 8, Ireland aut NATIONALLICENCE 700 1- O'Riordan D. Division of Internal Medicine, St James's Hospital, Dublin 8, Ireland aut NATIONALLICENCE 700 1- Silke B. Division of Internal Medicine, St James's Hospital, Dublin 8, Ireland aut NATIONALLICENCE 773 0- Irish Journal of Medical Science Springer-Verlag 182/3(2013-09-01), 513-518 0021-1265 182:3<513 2013 182 11845 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer