Clinical Profile and Outcomes of Patients with Heat Stroke: An Observational Study from a Tertiary Care Center in Eastern India

Background: Heat stroke is a growing public health concern exacerbated by rising temperatures and prolonged heat waves. This study examines the clinical profile, prognostic markers, and outcomes of heat stroke patients presenting to a tertiary care center in India and compares findings with previous...

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Bibliographic Details
Main Authors: Divendu Bhushan, Muskan Dogney, Deepak Kumar, Mohammed Iqbal, Vishal Vaibhaw
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-07-01
Series:APIK Journal of Internal Medicine
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Online Access:https://journals.lww.com/10.4103/ajim.ajim_31_25
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Summary:Background: Heat stroke is a growing public health concern exacerbated by rising temperatures and prolonged heat waves. This study examines the clinical profile, prognostic markers, and outcomes of heat stroke patients presenting to a tertiary care center in India and compares findings with previous global studies. Objective: The objective of this study was to analyze the clinical profile, prognostic markers, and outcomes of heat stroke patients presenting to a tertiary care center in India and to compare findings with previous global studies. Materials and Methods: A retrospective study was conducted between March and July 2024 at a tertiary care center in Eastern India. Data on demographics, clinical parameters, laboratory values, and outcomes were collected and analyzed using appropriate statistical methods. Results: During the study period, 43 patients were admitted with heat stroke, the mean age (in years) was 57, and 67% were male. The overall mortality rate was 21%. Significant predictors of mortality included hypotension (systolic blood pressure <100 mmHg, P = 0.040), tachypnea (respiratory rate >20/min, P = 0.001), Glasgow Coma Scale score <9 (P < 0.001), elevated creatinine, and multi-organ dysfunction syndrome involving the renal system and central nervous system (P < 0.01). Younger, active individuals were disproportionately affected due to occupational exposure to high ambient temperatures. Conclusion: Our findings highlight key clinical and biochemical predictors of poor outcomes in heat stroke. Indian patients, being younger and functionally active, may face increased exposure to high ambient temperatures.
ISSN:2666-1802
2666-1810