Body temperature alterations in the critically ill
Intensive Care Medicine(2004)
摘要
Objective To determine the incidence of body temperature (BT) alterations in critically ill patients, and their relationship with infection and outcome. Design Prospective, observational study. Setting Thirty-one bed, medico-surgical department of intensive care. Patients Adult patients admitted consecutively to the ICU for at least 24 h, during 6 summer months. Interventions None. Results Fever (BT≥38.3°C) occurred in 139 (28.2%) patients and hypothermia (BT≤36°C) in 45 (9.1%) patients, at some time during the ICU stay. Fever was present in 52 of 100 (52.0%) infected patients without septic shock, and in 24 of 38 (63.2%) patients with septic shock. Hypothermia occurred in 5 of 100 (5.0%) infected patients without septic shock and in 5 of 38 (13.1%) patients with septic shock. Patients with hypothermia and fever had higher Sequential Organ Failure Assessment (SOFA) scores on admission (6.3±3.7 and 6.4±3.3 vs 4.6±3.2; p <0.01), maximum SOFA scores during ICU stay (7.6±5.2 and 8.2±4.7 vs 5.4±3.8; p <0.01) and mortality rates (33.3 and 35.3% vs 10.3%; p <0.01). The length of stay (LOS) was longer in febrile patients than in hypothermic and normothermic (36°C更多
查看译文
关键词
Hypothermia,Normothermia,Fever,Infection,Septic shock,Organ failure,Length of stay
AI 理解论文
溯源树
样例
生成溯源树,研究论文发展脉络