Clinical factors and incidence of prolonged fever in neurosurgical patients

Wang, Zhuo; Shen, Meifen; Meizhen, Qiao; Zhang, Haiyin; Tang, Zaixiang

doi:10.1111/jocn.13409

Cited by 10 publications

(15 citation statements)

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“…In another study, patients with prolonged fever were assessed. It showed older population to be associated with a longer hospital stay [ 16 ]. This was in contrast to our study where age had no significant association.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Prolonged Hospitalization in Patients with Fever

Saadat

2016

Cureus

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Objective: The study was conducted to analyze the predictors of prolonged hospitalization in patients with fever.Patients and Methods: This was a prospective cohort study conducted from July - December 2015 at Ayub Teaching Hospital, Pakistan. Convenience sampling was used to enroll the patients who visited the hospital during the study duration. A sample size of 115 patients was calculated. It included patients who presented with a new onset fever which started in the last month, and the cause of fever was undiagnosed at the time of admission. Critical patients were excluded. Data for more than 30 variables was collected on a pro forma. Univariate regression methods were used to analyze the data in the Statistical Package for Social Sciences (SPSS), version 23.Results: A total of 115 patients were analyzed. Males constituted 66/115 (57.4%). The mean age for patients was 43.6 years (standard deviation (SD) = 20.2). On admission, low platelet counts (p = 0.001), high erythrocyte sedimentation rate (ESR) counts (p = 0.007), a high total leukocyte count (TLC) (p = 0.029), and involvement of nervous (p = 0.021), cardiovascular (p = 0.04), respiratory (p = 0.043), gastroenterological (p = 0.042), hematological (p = 0.028), or urogenital system (p = 0.016) were associated with a longer stay in the hospital.Conclusion: Patients with an undiagnosed and new onset fever will have a longer hospital stay if, on admission, they have low platelet counts, a higher ESR, a high TLC, or involvement of nervous, cardiovascular, respiratory, gastrointestinal, hematological, or urogenital systems. An early identification of risk factors can lead to better treatment and may also lead to a decreased hospital stay.

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Section: Discussionmentioning

confidence: 99%

Predictors of Prolonged Hospitalization in Patients with Fever

Saadat

2016

Cureus

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“…Benzer şekilde bu araştırma-da, hasta dosyalarının incelendiği 2010-2014 yılları arasında NYBÜ'nde en az 1 hafta yatan180 hastanın 72'sinde (%40) ateş oluştuğu belirlendi. Bu oran, TBY'lı hastalarda saptanan ateşten (%83) daha düşük olmakla birlikte bu çalışmadaki gibi farklı tanıya sahip nöroşirürji hastalarında yapılan bir çalışma (%50) ile benzerlik göstermektedir (18). Diğer çalış-malara (7,9,18) benzer olarak bu araştırmada da ateşin en sık görüldüğü tanıların beyin tümörü, SAK ve TBY olduğu belirlendi.…”

Section: Grafikunclassified

“…Bu oran, TBY'lı hastalarda saptanan ateşten (%83) daha düşük olmakla birlikte bu çalışmadaki gibi farklı tanıya sahip nöroşirürji hastalarında yapılan bir çalışma (%50) ile benzerlik göstermektedir (18). Diğer çalış-malara (7,9,18) benzer olarak bu araştırmada da ateşin en sık görüldüğü tanıların beyin tümörü, SAK ve TBY olduğu belirlendi. Ancak, çalışmada hangi tanıda ateşin anlamlı olarak daha fazla görüldüğü belirlenemedi.…”

Section: Grafikunclassified

“…Nöroşirürji hastalarında, ateşin yol açabileceği KİB artışı ve serebral ödem (5,7,8,10,12,15,18) gibi ciddi komplikasyonları önlemek amacıyla, ateş kontrolünde çeşitli farmakolojik ajanlardan yararlanılmaktadır. Ateş oluşumuna hipotalamustaki prostaglandin artışı neden olduğundan, bu artışın önlenmesi ateş kontrolünde etkilidir.…”

Section: Grafikunclassified

“…Nöroşirürji hastalarında görülen ateş, YBÜ'inde ve hastanede kalış süresinde uzamaya, kafa içi basınç (KİB) artışına, Glaskow Koma Skala Puanında (GKS) düşüşe, hemodinamik parametrelerde ve fonksiyonel durumda bozulma gibi istenmeyen sonuçlara ve yaşam kaybına neden olabilmektedir (5)(6)(7)(8)10,12,15,18). Ayrıca ateş, metabolizmayı hızlandı-rarak, glutamat salınımını, serbest radikallerin üretimini ve kan-beyin bariyerinin geçirgenliğini artırarak, serebral öde-me neden olur ve beyin üzerinde olumsuz etkiler oluşturur (12,19).…”

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Nöroşirurji Yoğun Bakım Ünitesinde Ateş Kontrolünde Uygulanan Hemşirelik Girişimleri

Uğraş¹,

Yüksel²,

Yılmaz³

et al. 2020

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ÖZETGiriş-Amaç: Bedenin önemli savunma mekanizmalarından biri olan ateş, nöroşirürji hastalarında metabolik aktiviteyi hızlandıra-rak, kafa içi basınç (KİB) artışına neden olmakta ve iyileşme sürecini olumsuz etkilemektedir. Literatürde, nöroşirürji hastalarında ateş kontrolünün, ateşe bağlı gelişebilecek sorunların önlenmesinde etkili olduğu bildirilmektedir. Gereç-Yöntem NURSING INTERVENTIONS TO CONTROL FEVER IN A NEUROSURGICAL INTENSIVE CARE UNIT ABSTRACTIntroduction: Whilst fever is one of the key defence mechanisms of the body, it also causes raised intracranial pressure (ICP) by accelerating metabolic activity in neurosurgical patients and adversely affects the healing process. In the literature, fever control in neurosurgical patients is reported to be effective in preventing adverse consequences arising from uncontrolled fever.Material and Methods: This study employs a retrospective descriptive methodology. It was undertaken by examining a sample of medical records for 72 patients. All were over 18 years of age, had remained in the Neurosurgical Intensive Care Unit of a University Hospital for at least one week and had a recorded axillary temperature exceeding 38°C. Written permission from the Ethics Committee of the relevant institution was obtained to allow the research to proceed. Data were gathered between September 2013 and February 2014 using a data collection form developed by the researchers. Descriptive statistical methods (frequency, average, standard deviation) were used for the data analysis.Results: 72 out of 180 (40%) patients admitted to NICU between 2010 and 2014 developed a fever. The principal interventions by nurses to maintain fever control were identified as: giving an antipyretic agent by doctor's order (98.6%), using a cooling electrical fan (88.9%), giving a tepid bed bath (75%) and adjusting the room temperature or removing blankets (72.2%). The most frequently used antipyretic agents were identified as metamizole sodium (27.8%), a combination of metamizole sodium and paracetamol (26.4%) or paracetamol alone (16.7%). Conclusion:From the study data, it was determined that the most frequent method used to provide fever control in NICU patients was pharmacological, and that the most frequently used nursing interventions were attempts at physical cooling.

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