OBJECTIVE: To describe the factors associated with outcome after accidental @entity2332 . METHODS: We conducted a retrospective cohort study on @entity1 with @entity2332 (core temperature <28  C) admitted to a Level I emergency room over a 10-year period. RESULTS: Forty-eight @entity1 were included with a median temperature of 26  C (range, 16.3-28  C) on admission. The etiology of @entity2332 was exposure to a cold environment (n=27), avalanche (n=13) or immersion in cold water (n=8). Mean age was 47  22 years, and 58% were males. Thirty-two @entity1 had a @entity1167 ( @entity1167 ): 15 @entity1 presented unwitnessed @entity1167 (UCA) and 17 @entity1 presented @entity891 ( @entity891 ). Extracorporeal life support (ECLS) was implemented in 21 @entity1 with refractory @entity1167 and in two @entity1 with @entity1344 . Overall mortality was 50%. For @entity1167 @entity1 , only three out of 15 @entity1 with UCA survived at day 28, whereas eight out of 17 @entity1 with @entity891 survived. The cerebral performance category score was 4 for all the survivors of UCA and 1 [range, 1-2] for survivors of @entity891 . @entity1 with poor outcome presented more UCA, a lower pH, a higher serum @entity972 , @entity1011 , serum @entity1372 or @entity880 level as well as more @entity3459 . CONCLUSION: @entity1167 related to @entity891 was associated with favorable outcome. On-scene @entity891 should prompt prolonged resuscitation and ECLS rewarming in all @entity1167 @entity1 with @entity2332 . Conversely, unwitnessed @entity1167 was associated with unfavorable outcome and will likely not benefit from ECLS.

Outcome after severe XXXX in the French Alps: A 10-year review.

@entity1 :: ('9606', 'Species') :: ['patients', 'Patients'] @entity972 :: ('MESH:D011188', 'Chemical') :: ['potassium'] @entity1372 :: ('MESH:D012964', 'Chemical') :: ['sodium'] @entity3459 :: ('MESH:D025861', 'Disease') :: ['severe coagulation disorders'] @entity891 :: ('MESH:D001261', 'Disease') :: ['rescue collapse', 'RC'] @entity880 :: ('MESH:D019344', 'Chemical') :: ['lactate'] @entity1344 :: ('MESH:D043171', 'Disease') :: ['hemodynamic instability'] @entity1011 :: ('MESH:D003404', 'Chemical') :: ['creatinine'] @entity1167 :: ('MESH:D006323', 'Disease') :: ['cardiac arrest', 'Cardiac arrest', 'CA'] @entity2332 :: ('MESH:D007035', 'Disease') :: ['deep hypothermia', 'accidental hypothermia', 'hypothermia']
@entity2332 :: (MESH:D007035,Disease) :: ['accidental hypothermia']
