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Patients experienced multiorgan dysfunction with neurologic impairment (100%),moderate to severe renal insufficiency(53%),disseminated intravascular coagulation(45%)and the acute respiratory distress syndrome 10%).Fifty-seven percent of patients had evidence of infection on admission.In-hospital mortality was 21%.Most survivors recovered near normal renal,hematologic and respiratory status but disability persisted resulting in moderate to severe functional impairment in 33%of patients at hospital discharge.At one year,no patient had improved functional status and an additional 28%of the patients had died.Near fatal heat stroke is associated with multiorgan dysfunction.A high percentage of patients had infection at presentation.A high mortality rate was observed during acute hospitalization and at one year.In addition,substantial functional impairment at discharge persisted one year.The degree of functional disability correlated highly with survival at one year. |
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adverse drug reaction arrhythmia,cardiac bacterial infection coma cooling therapy disability,neurological disseminated intravascular coagulation(DIC) emergencies,neurologic epidemiology of neurology fever heatstroke hyperthermia hypotension,systemic mental status,abnormal mortality neurologic signs prevention of neurologic disorders prognosis renal failure risk factors septicemia treatment of neurologic disorder urinary tract infection
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