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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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
Subjects:
Online Access:https://journals.lww.com/10.4103/ajim.ajim_31_25
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author Divendu Bhushan
Muskan Dogney
Deepak Kumar
Mohammed Iqbal
Vishal Vaibhaw
author_facet Divendu Bhushan
Muskan Dogney
Deepak Kumar
Mohammed Iqbal
Vishal Vaibhaw
author_sort Divendu Bhushan
collection DOAJ
description 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.
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spelling doaj-art-cba93c3eeac743f99e1c6d6342ce3cac2025-07-05T15:52:03ZengWolters Kluwer Medknow PublicationsAPIK Journal of Internal Medicine2666-18022666-18102025-07-0113321622010.4103/ajim.ajim_31_25Clinical Profile and Outcomes of Patients with Heat Stroke: An Observational Study from a Tertiary Care Center in Eastern IndiaDivendu BhushanMuskan DogneyDeepak KumarMohammed IqbalVishal VaibhawBackground: 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.https://journals.lww.com/10.4103/ajim.ajim_31_25clinical profileheat strokeheat-related illnessmulti-organ dysfunction syndromeprognostic markers
spellingShingle Divendu Bhushan
Muskan Dogney
Deepak Kumar
Mohammed Iqbal
Vishal Vaibhaw
Clinical Profile and Outcomes of Patients with Heat Stroke: An Observational Study from a Tertiary Care Center in Eastern India
APIK Journal of Internal Medicine
clinical profile
heat stroke
heat-related illness
multi-organ dysfunction syndrome
prognostic markers
title Clinical Profile and Outcomes of Patients with Heat Stroke: An Observational Study from a Tertiary Care Center in Eastern India
title_full Clinical Profile and Outcomes of Patients with Heat Stroke: An Observational Study from a Tertiary Care Center in Eastern India
title_fullStr Clinical Profile and Outcomes of Patients with Heat Stroke: An Observational Study from a Tertiary Care Center in Eastern India
title_full_unstemmed Clinical Profile and Outcomes of Patients with Heat Stroke: An Observational Study from a Tertiary Care Center in Eastern India
title_short Clinical Profile and Outcomes of Patients with Heat Stroke: An Observational Study from a Tertiary Care Center in Eastern India
title_sort clinical profile and outcomes of patients with heat stroke an observational study from a tertiary care center in eastern india
topic clinical profile
heat stroke
heat-related illness
multi-organ dysfunction syndrome
prognostic markers
url https://journals.lww.com/10.4103/ajim.ajim_31_25
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AT muskandogney clinicalprofileandoutcomesofpatientswithheatstrokeanobservationalstudyfromatertiarycarecenterineasternindia
AT deepakkumar clinicalprofileandoutcomesofpatientswithheatstrokeanobservationalstudyfromatertiarycarecenterineasternindia
AT mohammediqbal clinicalprofileandoutcomesofpatientswithheatstrokeanobservationalstudyfromatertiarycarecenterineasternindia
AT vishalvaibhaw clinicalprofileandoutcomesofpatientswithheatstrokeanobservationalstudyfromatertiarycarecenterineasternindia