Elevated body temperature independently contributes to increased length of stay in neurologic intensive care unit patients

Critical Care Medicine
Michael N DiringerGwen C Uman

Abstract

Elevated temperature results in worse outcome in experimental models of cerebral ischemia and brain trauma. In critically ill neurologic and neurosurgical patients, elevated body temperature is common and is associated with neurologic deterioration and poor outcome. We sought to determine whether, after controlling for age, severity of illness, and complications, elevated body temperature remained an important predictor of intensive care unit (ICU) and hospital length of stay, mortality rate, and hospital disposition in a large cohort of patients emergently admitted to a neurologic ICU. Prospectively collected data (demographics, diagnosis, Acute Physiology and Chronic Health Evaluation II score, Glasgow Coma Scale score, daily maximum temperature, complications, disposition) were retrospectively reviewed. A 20-bed neurology/neurosurgery ICU in a tertiary care academic, level I trauma, referral center. From 6,759 admissions, those admitted after an elective procedure with length of stay < or = 1 day, those <18 yrs old, and those with incomplete data were excluded, leaving 4,295 patients for this analysis. First, a hierarchical multiple regression analysis was performed to determine whether elevated body temperature was an indep...Continue Reading

References

Jul 1, 1989·Stroke; a Journal of Cerebral Circulation·R BustoM D Ginsberg
Jan 1, 1981·Upsala Journal of Medical Sciences·A Terént, B Andersson
Nov 1, 1995·Stroke; a Journal of Cerebral Circulation·G AzzimondiR D'Alessandro
Feb 24, 1998·Stroke; a Journal of Cerebral Circulation·M D Ginsberg, R Busto
Dec 4, 1998·Stroke; a Journal of Cerebral Circulation·J CastilloM Noya
Aug 14, 1999·Journal of Internal Medicine·K GeorgilisK Vemmos
Sep 2, 1999·Intensive Care Medicine·B CirciumaruJ Cohen
Feb 5, 2000·Stroke; a Journal of Cerebral Circulation·C HajatP Sharma
Oct 3, 2000·Neurosurgery·M M KilpatrickD W Marion
May 29, 2001·Neurology·J Oliveira-FilhoC T McDonald
Jan 10, 2002·Stroke; a Journal of Cerebral Circulation·Scott E KasnerJames C Grotta
Jul 26, 2002·Journal of Neurology·Christian WeimarHans-Christoph Diener
Feb 6, 2004·Critical Care Medicine·Michael N Diringer, UNKNOWN Neurocritical Care Fever Reduction Trial Group

❮ Previous
Next ❯

Citations

Jun 2, 2007·Intensive Care Medicine·Guiseppe CiterioNino Stocchetti
Apr 10, 2008·Intensive Care Medicine·Peter J D AndrewsUNKNOWN Neuro-Intensive Care and Emergency Medicine (NICEM) Section of the European Society of Intensive Care Medicine
May 9, 2008·Intensive Care Medicine·Kees H PoldermanArmand R J Girbes
Feb 1, 2012·Intensive Care Medicine·Paul Jeffrey YoungKathryn Rowan
Oct 6, 2007·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Jonathon M BrownMonica S Vavilala
Jul 10, 2007·Current Infectious Disease Reports·Andreas H Kramer, Thomas P Bleck
Nov 6, 2013·Current Infectious Disease Reports·Katharina M Busl, Thomas P Bleck
Jun 27, 2008·Current Treatment Options in Neurology·Andreas H Kramer, Thomas P Bleck
Dec 31, 2010·Current Treatment Options in Neurology·J Marc SimardBrian P Walcott
May 25, 2007·Neurocritical Care·David M Greer
Sep 18, 2007·Neurocritical Care·Kazuhiro OhwakiAkira Tamura
Sep 30, 2008·Neurocritical Care·Andrew M NaidechThomas P Bleck
Oct 5, 2010·Neurocritical Care·Susanne MinkEmanuela Keller
Jul 15, 2011·Neurocritical Care·V ScaravilliUNKNOWN Participants in the International Multi-Disciplinary Consensus Conference on the Critical Care Management of Subarachnoid He
Jan 25, 2013·Neurocritical Care·Jacob Bertram SpringborgBertil Romner
Dec 17, 2011·Neurotherapeutics : the Journal of the American Society for Experimental NeuroTherapeutics·Lucia Rivera-LaraSusanne Muehlschlegel
Feb 5, 2010·Neurotherapeutics : the Journal of the American Society for Experimental NeuroTherapeutics·W Dalton Dietrich, Helen M Bramlett
Jul 9, 2004·Critical Care Medicine·Edward M Manno, J Christopher Farmer
Aug 1, 2006·Critical Care Medicine·Edwin A Deitch, Saraswati D Dayal
Sep 29, 2007·Critical Care Medicine·R Todd StravitzUNKNOWN Acute Liver Failure Study Group
Apr 25, 2008·Critical Care Medicine·Kevin B LauplandH Thomas Stelfox
Oct 23, 2008·Critical Care Medicine·Panagiotis KiekkasGeorge I Baltopoulos
May 19, 2009·Critical Care Medicine·Arthur R H van Zanten, Kees H Polderman
Jun 26, 2009·Critical Care Medicine·David B Seder, Thomas E Van der Kloot
Jun 26, 2009·Critical Care Medicine·Neeraj Badjatia
Jun 26, 2009·Critical Care Medicine·Nancy L Reaven, Judy Rosenbloom
Nov 9, 2010·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Ericka L Fink
Aug 12, 2009·The Journal of Trauma·James E Barone
Nov 11, 2009·The Journal of Trauma·Yasuaki MizushimaTetsuya Matsuoka
Oct 18, 2007·Journal of Neurology, Neurosurgery, and Psychiatry·Alejandro A Rabinstein, Kirsten Sandhu
Jan 18, 2013·Anesthesiology Research and Practice·Ségolène MrozekThomas Geeraerts
Nov 22, 2012·Critical Care : the Official Journal of the Critical Care Forum·Panagiotis KiekkasGeorge I Baltopoulos
Aug 28, 2007·Critical Care : the Official Journal of the Critical Care Forum·Cornelia W HoedemaekersJohannes G van der Hoeven
May 29, 2009·Critical Care : the Official Journal of the Critical Care Forum·Danielle KirkCharmaine Childs
Jul 4, 2009·Critical Care : the Official Journal of the Critical Care Forum·Charmaine Childs, Graham Machin
Jun 12, 2008·Neurological Research·Fuling YanHaijian Guo
Mar 21, 2009·Annales Françaises D'anesthèsie Et De Rèanimation·G AudibertP-M Mertes
Aug 27, 2014·The Nursing Clinics of North America·Juliet G BenigaDebra D Mark

❮ Previous
Next ❯

Related Concepts

Related Feeds

Brain Injury & Trauma

brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.

Brain Ischemia

Brain ischemia is a condition in which there is insufficient blood flow to the brain to meet metabolic demand. Discover the latest research on brain ischemia here.