Hypothermia in the Elderly

A large number of factors which can increase the risk of hypothermia in the elderly are described, and a number of relatively simple measures are suggested which could reduce the risk of hypothermia and other cold-related deaths. However, there is the danger that insufficient and/or intermittent heating is more dangerous than no heating in the house. Identification of hypothermia in the elderly demands a high index of suspicion and proper measurement of the person's temperature. The initial first aid is by insulation but the complex fluid shifts commonly found in the subchronic hypothermia of the elderly, means that the only safe place to manage the rewarming period is in an intensive care facility. There is disagreement as to the number of deaths from hypothermia among the elderly but most of this stems from differing definitions. However, it is certainly true that in winter there is an increase in deaths from a number of causes and it is correct to say that these deaths are cold related but they are not all due to hypothermia, nor are they restricted to the elderly.

[1]  G. van Noord,et al.  Accidental Hypothermia in the Elderly* , 1964, Journal of Family Practice.

[2]  E. Lloyd,et al.  Hypothermia and cold stress , 1986 .

[3]  N. Fergusson.  Urban hypothermia , 1985, Anaesthesia.

[4]  A. N. Exton-smith.  The Nature and Treatment of Hypothermia , 1984 .

[5]  A. Enander,et al.  Performance and sensory aspects of work in cold environments: a review. , 1984, Ergonomics.

[6]  J. Morris.  Exercise, health, and medicine , 1983, British medical journal.

[7]  J. Morris,et al.  BRITISH MEDICAL J OURNAL LONDON , SATURDAY 21 MAY 1983 Exercise , health , and medicine , 2006 .

[8]  S. Allison,et al.  UNDERNUTRITION AND FEMORAL FRACTURE , 1983, The Lancet.

[9]  M. A. Collins.  DISCUSSION.: "Fitting a Gamma Distribution Over a Synthetic Unit Hydrograph", by Gert Aron and Elizabeth L. White , 1983 .

[10]  J. Morgan,et al.  THE ELDERLY, HYPOTHERMIA, AND THERMOGENESIS , 1983, The Lancet.

[11]  S. Allison,et al.  UNDERNUTRITION, HYPOTHERMIA, AND INJURY IN ELDERLY WOMEN WITH FRACTURED FEMUR: AN INJURY RESPONSE TO ALTERED METABOLISM? , 1983, The Lancet.

[12]  David Huw Stephens.  Sleeping snugly in cold damp bedrooms , 1982, Royal Society of Health Journal.

[13]  F. Gillespie,et al.  Prevention of Accidental Hypothermia by Means of a Thermal Chair , 1982 .

[14]  Baker Bs,et al.  Hypothermia in the elderly. , 1982 .

[15]  Kurtz Kj.  Hypothermia in the elderly: the cold facts. , 1982 .

[16]  K. J. Kurtz.  Hypothermia in the elderly: the cold facts. , 1982, Geriatrics.

[17]  A N Exton-Smith,et al.  Urban hypothermia: preferred temperature and thermal perception in old age. , 1981, British medical journal.

[18]  I. Ledingham,et al.  Treatment of accidental hypothermia: a prospective clinical study. , 1980, British medical journal.

[19]  L. Vanggaard,et al.  "Paradoxical undressing" in fatal hypothermia. , 1979, Journal of forensic sciences.

[20]  E Ll Lloyd,et al.  Points: Oral temperature and hypothermia , 1979 .

[21]  A. N. Exton-smith,et al.  Oral temperature and hypothermia. , 1979, British medical journal.

[22]  E. Lloyd.  Treatment of accidental hypothermia. , 1979, British medical journal.

[23]  G. Bull,et al.  Environment, temperature and death rates. , 1978, Age and ageing.

[24]  I. Ledingham,et al.  ACCIDENTAL HYPOTHERMIA , 1978, The Lancet.

[25]  M. Wicks.  Old and cold : hypothermia and social policy , 1978 .

[26]  Malcolm Wicks,et al.  Old and cold , 1978 .

[27]  M K Thompson,et al.  Points from Letters: Helping pensioners to keep warm , 1977 .

[28]  D. Donnison.  Helping pensioners to keep warm. , 1977, British medical journal.

[29]  R H Fox,et al.  Accidental hypothermia and impaired temperature homoeostasis in the elderly. , 1977, British medical journal.

[30]  A. N. Exton-smith,et al.  Falls in the elderly related to postural imbalance. , 1977, British medical journal.

[31]  S. Barley,et al.  Hypothermia in the elderly. , 1970, Health education journal.

[32]  P. Marcus,et al.  Metallised plastic sheeting for use in survival. , 1977, Aviation Space and Environmental Medicine.

[33]  C. Lowe,et al.  Mortality from ischaemic heart disease--inter-town variation and its association with climate in England and Wales. , 1976, International Journal of Epidemiology.

[34]  Irvine Re.  Hypothermia in old age. , 1974 .

[35]  J. Wagner,et al.  Age and temperature regulation of humans in neutral and cold environments. , 1974, Journal of applied physiology.

[36]  R. Owor,et al.  Hypothermia in the tropics. A review of 24 cases. , 1974, Tropical and geographical medicine.

[37]  R. Irvine.  Hypothermia in old age. , 1974, Practitioner.

[38]  A. N. Exton-smith.  Medicine in old age. Accidental hypothermia. , 1973, British medical journal.

[39]  R. H. Fox,et al.  A hypothermia survey kit. , 1973, Journal of Physiology.

[40]  R. West,et al.  The old and the cold. , 1973, British medical journal.

[41]  A. Adelstein.  Certification of hypothermia deaths. , 1973, British medical journal.

[42]  F G Hails,et al.  Body temperatures in the elderly. , 1973, British medical journal.

[43]  R. West,et al.  Mortality from ischaemic heart disease--association with weather. , 1973, British Journal of Preventive and Social Medicine.

[44]  R. H. Fox,et al.  Problem of the Old and the Cold* , 1973, British medical journal.

[45]  E. Lloyd.  Accidental hypothermia treated by central rewarming through the airway. , 1973, British journal of anaesthesia.

[46]  F. House,et al.  Nomograms for Calculation of Heat Loss , 1972, British medical journal.

[47]  P. Payne,et al.  Environmental Conditions and Body Temperatures of Elderly Women Living Alone or in Local Authority Home , 1971, British medical journal.

[48]  R. H. Fox,et al.  Diagnosis of accidental hypothermia of the elderly. , 1971, Lancet.

[49]  L. F. Howitt.  Death in Scotland from malnutrition and-or hypothermia 1968. , 1971, Health bulletin.

[50]  A. Greenfield.  MAN IN A COLD ENVIRONMENT. By Alan C. Burton and Otto G. Edholm. London: Edward Arnold, Ltd. 1955. Pp. xiv + 273. 30s , 1955 .