To assess the values of vital signs and comprehensive scores in predicting the prognosis of the patients with thermoplegia.

The clinical data of 34 patients who were hospitalized and diagnosed as thermoplegia in our hospital from January 2012 to December 2018 were retrospectively studied. The patients were divided into a survival group and a death group according to their prognosis, and the clinical data of the two groups were analyzed to assess the value of each index in predicting the prognosis of thermoplegia.

Among the 34 patients, 29 were discharged after improvement and 5 died, with the mortality rate of 14.71% (5/34). Furthermore, the incidence of multiple organ dysfunction syndrome (MODS) in the death group was 100%, while it was 55.17% (16/29) in the survival group. The average age and the respiratory rate, heart rate and APACHE Ⅱ score on admission in the death group were higher than those of the survival group (P<0.05). However, the GCS score of the death group was lower than that of the survival group (P=0.014). Moreover, the total length of stay in the hospital and in the ICU of the death group was longer than that of the survival group (P<0.05). However, the average body temperature and the arterial pressure of the two groups had no statistical significant difference (P>0.05). More importantly, the areas under the ROC curves of the heart rate, APACHE Ⅱ score and GCS score were greater than 0.9 in predicting the death of the patients with thermoplegia, while the areas under the ROC curves of the respiratory rate, temperature and arterial pressure were 0.735, 0.797 and 0.614, respectively.

Heart rate, APACHE Ⅱ score and GCS score can be adopted as the clinical prognostic indicators for the patients with thermoplegia.