Fever and thromboembolic disease in acute spinal cord injury

Weingarden, Saul I.; Weingarden, D S; Belen, J

doi:10.1038/sc.1988.8

Cited by 9 publications

(4 citation statements)

References 15 publications

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“…Nurses were encouraged to record the temp erature regularly on the grounds that 'fever may be the earliest and possibly the only clinical sign of otherwise occult thrombo embolic disease'. 8 They also recorded the size of thigh and calf in the acute stage. Passive mobilisation was carried out as early as possible after injury.…”

Section: Epidemiology Of Spinal Injuries In Romania 721mentioning

confidence: 99%

Epidemiology of spinal injuries in Romania

Soopramanien

1994

Spinal Cord

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Retrospective and prospective epidemiological studies in Bucharest indicated a high rate of spinal injuries (about 28.5 per million population per year) in Romania. Most patients were poor, male, manual workers. Half of them were aged less than 40. Falls, particularly from horse-drawn carts, and road traffic accidents were the most frequent causes of injury. In summer, diving accidents were a common cause of spinal injuries. Sixty per cent of the patients had cervical injuries. Pressure sores became less frequent as staff and relatives were trained to turn and position patients. Because gastroduodenal bleeding and deep vein thrombosis were rare, the systematic use of drugs to prevent these conditions was deemed to be unnecessary, given the financial constraints. A shortage of beds and facilities made it difficult to manage associated injuries in a neurosurgical clinic in Bucharest or to admit all patients for rehabilitation. Thirty-nine per cent of all patients admitted with spinal injuries had spinal surgery (61% of those with neurological impairment). Bone grafting was the most common procedure for cervical injuries; surgical stabilisation was not commonly performed due to the shortage of plates and screws. The mortality rate in the early days post injury decreased from 22% (1985)(1986)(1987)(1988)(1989)(1990)(1991) to 10.1% (1992) as medical management improved and the relatives helped with care in the acute phase. A programme is needed in Romania to prevent the accidents that cause spinal injuries and to improve clinical management. As a result of this study, three films were made to aid the prevention of accidents and to train staff and relatives in the care of those with spinal cord injuries.

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Section: Epidemiology Of Spinal Injuries In Romania 721mentioning

confidence: 99%

Epidemiology of spinal injuries in Romania

Soopramanien

1994

Spinal Cord

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“…Other causes of fever include infections (urinary tract, pulmonary, upper respiratory tract, soft tissues, gastrointestinal, and spinal abscess), deep venous thrombosis, pulmonary embolism, colitis, heterotopic ossification, and drug fevers. However, the urinary tract infection is the most common identifiable cause of fever [8] , [9] .…”

Section: Introductionmentioning

confidence: 99%

Fever in a paraplegia patient with a pressure ulcer

Rabadi

2021

Radiology Case Reports

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The incidence rates of pressure ulcers (PUs) in patients with SCI in the United States varies by clinical setting, ranging from 0.4%-38% in acute care, 2.2%-23.9% in long-term care, and 0%-17% in home care [ 1 , 2 ]. Unrelieved pressure is the most important factor in the development of PUs. Other factors associated with PUs in patients with SCI include age at the time of injury, men, blacks, completeness of the injury, functional dependence, behavioral protective factors such as frequent pressure relief, self-positioning, daily skin monitoring, nutritional state, cigarette smoking, alcohol (ab)use, and being depressed [3] . Presence of PUs affects functional physical outcomes; thus, prevention of PUs is the key [4] . Infection is a common complication of PUs which can be local such as cellulitis or osteomyelitis or systemic such as septicemia with a greater than 50% mortality. We present a case of a 58-year-old paraplegic man with pressure ulcer who presented with fever in the presence of an osteomyelitis and had a pelvic abscess on magnetic resonance imaging which needed surgical drainage.

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“…In the world literature, the term venous thromboembolism is used to describe two variants: thrombophlebitis and phlebothrombosis. [21] This term of DVT was instituted for the first time Ochsner and DeBakey. [22] Thrombophlebitis as an entity is the term used to describe a process of inflammatory thrombosis which is characterized by the presence of edema, febrile processes, inflammation, local hyperemic area, distal cyanosis, hyperesthesia, and congestion at the superficial venous level.…”

Section: Methodsmentioning

confidence: 99%

“…[22] Thrombophlebitis as an entity is the term used to describe a process of inflammatory thrombosis which is characterized by the presence of edema, febrile processes, inflammation, local hyperemic area, distal cyanosis, hyperesthesia, and congestion at the superficial venous level. [2122] Phlebothrombosis was the term described to characterize an asymptomatic thrombotic process. Within this process, a soft clot is described, which is not adherent to the walls of the vessel.…”

Section: Methodsmentioning

confidence: 99%

WACEM consensus paper on deep venous thrombosis after traumatic spinal cord injury

Nanclares

Padilla-Zambrano

El‐Menyar

et al. 2019

J Emerg Trauma Shock

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The risk and outcome of deep vein thrombosis (DVT) in patients who sustained spinal cord injury (SCI) remain a challenge. We aimed to assess the incidence, risk, burden, and prophylaxis of DVT after SCI. Thirty-nine studies were identified from among 250 relevant articles based on firstly, broad criterion of DVT among SCI cases. secondly, “risk factors” impacting DVT, thirdly, published reports from apex bodies of global importance such as World Health Organization, Centre for disease control, Atlanta USA, and others were given due weightage for their authenticity. SCI is characterized by loss of motor, sensory, and autonomic function with partial or total damage of the anatomical structure leading to increased risk of thrombogenesis. SCIs present a higher risk of venous DVT constituting 9.7% of deaths in the 1 st year of follow-up. Currently, prophylaxis with mechanical methods, vena cava filters and antithrombotic chemoprophylaxis in SCI are interventions for the management of DVT. DVT in SCI patients is not uncommon and needs a high index of suspicion and implementation of institutional prophylaxis protocol.

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Fever and thromboembolic disease in acute spinal cord injury

Cited by 9 publications

References 15 publications

Epidemiology of spinal injuries in Romania

Epidemiology of spinal injuries in Romania

Fever in a paraplegia patient with a pressure ulcer

WACEM consensus paper on deep venous thrombosis after traumatic spinal cord injury

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