Association between serum creatinine levels at emergency admission and outcomes in patients with exertional heat stroke: a multicenter cohort study

doi:10.5847/wjem.j.1920-8642.2025.051

World Journal of Emergency Medicine ›› 2025, Vol. 16 ›› Issue (3): 269-272.doi: 10.5847/wjem.j.1920-8642.2025.051

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Association between serum creatinine levels at emergency admission and outcomes in patients with exertional heat stroke: a multicenter cohort study

Dingping Jin¹, Lan Chen¹, Sunying Wu², Jingnan Ren³, Huan Zhang⁴, Xiangliang Wu⁵, Liyun Lu⁶, Huimin Ma⁷, Xiuqin Feng¹()

¹Nursing Department, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China
²Emergency Department, the Affiliated Jinhua Hospital, Zhejiang University School of Medicine / Jinhua Municipal Central Hospital, Jinhua 321000, China
³Emergency Department, Dongyang People's Hospital, Dongyan 322100, China
⁴Emergency Department, Lanxi People's Hospital, Lanxi 321100, China
⁵Emergency Department, Yiwu Central Hospital, Yiwu 322000, China
⁶Emergency Department, Jinhua People's Hospital, Jinhua 321000, China
⁷Emergency Department, Yongkang First People's Hospital, Yongkang 321300, China

Received:2024-11-06 Accepted:2025-03-26 Online:2025-05-19 Published:2025-05-01
Contact: Xiuqin Feng, Email: fengxiuqin@zju.edu.cn

Abstract

Dingping Jin, Lan Chen, Sunying Wu, Jingnan Ren, Huan Zhang, Xiangliang Wu, Liyun Lu, Huimin Ma, Xiuqin Feng. Association between serum creatinine levels at emergency admission and outcomes in patients with exertional heat stroke: a multicenter cohort study[J]. World Journal of Emergency Medicine, 2025, 16(3): 269-272.

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References 15

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Serum creatinine	Neurological sequelae at discharge, OR (95% CI)				Hospital mortality, OR (95% CI)
Serum creatinine	Univariate	P-value	Adjust model	P-value	Univariate	P-value	Adjust model	P-value
Per 10 µmol/L increase	1.15 (1.07-1.24)	<0.001	1.14 (1.02-1.27)	0.021	1.13 (1.05-1.23)	0.002	1.14 (1.02-1.27)	0.016
≤ 140 µmol/L	Reference		Reference		Reference		Reference
> 140 µmol/L	10.33 (4.07-26.22)	<0.001	7.70 (2.36-25.80)	<0.001	6.00 (2.04-17.65)	0.001	4.05 (1.13-14.55)	0.031

Association between serum creatinine levels at emergency admission and outcomes in patients with exertional heat stroke: a multicenter cohort study

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