{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T18:32:48Z","timestamp":1755801168751,"version":"3.44.0"},"reference-count":13,"publisher":"Danish Medical Association","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ugeskr L\u00e6ger"],"abstract":"<jats:p>The incidence of accidental hypothermia varies greatly in the literature. Accidental hypothermia has many physiological complications, and treatment of accidental hypothermia is not risk-free, the greatest risk being rewarming shock with high mortality. Being elderly and needing help for activities of daily living is a negative prognostic factor in accidental hypothermia, and mortality rate both in-hospital and 30-day mortality is higher in the elderly frail population. There is no international consensus on rewarming strategy, and further research on this subject is recommended in this review.<\/jats:p>","DOI":"10.61409\/v10240734","type":"journal-article","created":{"date-parts":[[2025,6,11]],"date-time":"2025-06-11T02:19:03Z","timestamp":1749608343000},"page":"1-6","source":"Crossref","is-referenced-by-count":0,"title":["Accidental hypothermia in the elderly"],"prefix":"10.61409","author":[{"given":"Kasper","family":"Petersen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"40208","published-online":{"date-parts":[[2025,6,9]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Takauji S, Hifumi T, Saijo Y et al. Association between frailty and mortality among patients with accidental hypothermia: a nationwide observational study in Japan. BMC Geriatr. 2021;21(1):507. https:\/\/doi.org\/10.1186\/s12877-021-02459-5\u200b","DOI":"10.1186\/s12877-021-02459-5"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Paal P, Pasquier M, Darocha T et al. Accidental hypothermia: 2021 update. Int J Environ Res Public Health. 2022;19(1):501. https:\/\/doi.org\/10.3390\/ijerph19010501\u200b","DOI":"10.3390\/ijerph19010501"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Watanabe M, Matsuyama T, Morita S et al. Impact of rewarming rate on the mortality of patients with accidental hypothermia: analysis of data from the J-Point registry. Scand J Trauma Resusc Emerg Med. 2019;27(1):105. https:\/\/doi.org\/10.1186\/s13049-019-0684-5\u200b","DOI":"10.1186\/s13049-019-0684-5"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"van der Ploeg GJ, Goslings JC, Walpoth BH, Bierens JJLM. Accidental hypothermia: rewarming treatments, complications and outcomes from one university medical centre. Resuscitation. 2010;81(11):1550-5. https:\/\/doi.org\/10.1016\/j.resuscitation.2010.05.023\u200b","DOI":"10.1016\/j.resuscitation.2010.05.023"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Mallet ML. Pathophysiology of accidental hypothermia. QJM. 2002;95(12):775-85. https:\/\/doi.org\/10.1093\/qjmed\/95.12.775\u200b","DOI":"10.1093\/qjmed\/95.12.775"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Bjertn\u00e6s LJ, N\u00e6sheim TO, Reierth E et al. Physiological changes in subjects exposed to accidental hypothermia: an update. Front Med (Lausanne). 2022;9:824395. https:\/\/doi.org\/10.3389\/fmed.2022.824395\u200b","DOI":"10.3389\/fmed.2022.824395"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Tveita T, Sieck GC. Physiological impact of hypothermia: the good, the bad, and the ugly. Physiology (Bethesda). 2022;37(2):69-87. https:\/\/doi.org\/10.1152\/physiol.00025.2021\u200b","DOI":"10.1152\/physiol.00025.2021"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Dietrichs ES, H\u00e5heim B, Kondratiev T et al. Effects of hypothermia and rewarming on cardiovascular autonomic control in vivo. J Appl Physiol (1985). 2018;124(4):850-859. https:\/\/doi.org\/10.1152\/japplphysiol.00317.2017\u200b","DOI":"10.1152\/japplphysiol.00317.2017"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Rockwood K, Song X, MacKnight C et al. A global clinical measure of fitness and frailty in elderly people. CMAJ. 2005;173(5):489-95. https:\/\/doi.org\/10.1503\/cmaj.050051\u200b","DOI":"10.1503\/cmaj.050051"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Kaeppeli T, Rueegg M, Dreher-Hummel T et al. Validation of the Clinical Frailty Scale for prediction of thirty-day mortality in the emergency department. Ann Emerg Med. 2020;76(3):291-300. https:\/\/doi.org\/10.1016\/j.annemergmed.2020.03.028\u200b","DOI":"10.1016\/j.annemergmed.2020.03.028"},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"Nissen SK, Rueegg M, Carpenter CR et al. Prognosis for older people at presentation to emergency department based on frailty and aggregated vital signs. J Am Geriatr Soc. 2023;71(4):1250-1258. https:\/\/doi.org\/10.1111\/jgs.18170\u200b","DOI":"10.1111\/jgs.18170"},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"Vonnes C, El-Rady R. When you hear hoof beats, look for the zebras: atypical presentation of illness in the older adult. J Nurse Pract. 2020;17(10):458-461. https:\/\/doi.org\/10.1016\/j.nurpra.2020.10.017\u200b","DOI":"10.1016\/j.nurpra.2020.10.017"},{"key":"ref12","doi-asserted-by":"publisher","unstructured":"Okada Y, Matsuyama T, Morita S et al. Prognostic factors for patients with accidental hypothermia: a multi-institutional retrospective cohort study. Am J Emerg Med. 2019;37(4):565-570. https:\/\/doi.org\/10.1016\/j.ajem.2018.06.025","DOI":"10.1016\/j.ajem.2018.06.025"}],"container-title":["Ugeskrift for L\u00e6ger"],"original-title":[],"deposited":{"date-parts":[[2025,8,20]],"date-time":"2025-08-20T13:40:02Z","timestamp":1755697202000},"score":1,"resource":{"primary":{"URL":"https:\/\/ugeskriftet.dk\/videnskab\/V10240734"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,9]]},"references-count":13,"URL":"https:\/\/doi.org\/10.61409\/v10240734","relation":{},"ISSN":["0041-5782","1603-6824"],"issn-type":[{"type":"print","value":"0041-5782"},{"type":"electronic","value":"1603-6824"}],"subject":[],"published":{"date-parts":[[2025,6,9]]}}}