Relationship Between First 24-h Mean Body Temperature and Clinical Outcomes of Post-cardiac Surgery Patients

Background: This study was aimed to investigate the relationship between first 24-hour mean body temperature and clinical outcomes of postcardiac surgery patients admitted to intensive care unit(ICU) in a large public clinical database. Methods: This is a retrospectively observational research of MIMIC III dataset, a total of 6122 patients included. Patients were divided into three groups according to the distribution of body temperature. Multivariate cox analysis and logistic regression analysis were used to investigate the association between abnormal temperature and clinical outcomes. Results: Hypothermia (＜36°C) significantly associated with increasing in-hospital mortality (HR 1.665, 95%CI 1.218-2.276; p＝0.001), 1-year mortality (HR 1.537, 95% CI 1.205-1.961; p＝0.001), 28-day mortality (HR 1.518, 95% CI 1.14-2.021; p＝0.004) and 90-day mortality (HR 1.491, 95% CI 1.144-1.943; p＝0.003). No statistical differences were observed between short-term or long-term mortality and hyperthermia(＞38°C). Hyperthermia was related to the extended length of ICU stay(p＜0.001) and hospital stay(p＜0.001). Conclusion: Hypothermia within 24 hours after ICU admission was associated with the increased mortality of postcardiac surgery patients. Enhanced monitoring of body temperature within 24 hours after cardiac surgery should be taken into account for improving clinical outcomes.