Causes of Fever in the ICU - A Prospective, Cohort Study / 대한구급학회지
The Korean Journal of Critical Care Medicine
;
: 13-17, 2008.
Artículo
en Coreano
| WPRIM
| ID: wpr-649988
ABSTRACT
BACKGROUND:
Fever develops in 70% of ICU patients. In the present study, we tried to figure out causes of fever and the prognosis of febrile patients in the ICU in a prospective, cohort method.METHODS:
From February to June 2007, patients admitted to medical ICU were daily screened and those who developed fever were enrolled. 237 consecutive admissions of 237 patients over a 5-month period were analyzed. Clinical parameters, including demographic data, underlying diseases, duration of ICU stay, causes of fever and final outcome were analyzed.RESULTS:
Fever (core temperature > or =38.3degrees C) was present in 8% of admission, and it was caused by infective (84.2%) and non-infective processes (15.8%). Most fever occurred within first 5 days in the course of the admission (68.4%) and most lasted less than 5 days (57.9%). The median Acute Physiology and Chronic Health Evaluation (APACHE) III score at the time of fever was 43 (+/-19). Those with infectious fever had no significant differences in terms of severity of diseases in comparison with those with non-infectious cause of fever. The most common cause of infective fever was pneumonia (n=11). Prolonged fever (> or =5 days), all of which was caused by infection, occurred in 11 patients. Those with prolonged fever had higher mortality rate than short duration of fever (37.5% vs 0%, p<0.05).CONCLUSION:
Infection, especially pneumonia is common cause of fever in the ICU. Prolonged fever is associated with high mortality rate.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Neumonía
/
Pronóstico
/
Estudios Prospectivos
/
Estudios de Cohortes
/
APACHE
/
Cuidados Críticos
/
Fiebre
Tipo de estudio:
Estudio de etiología
/
Estudio de incidencia
/
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Humanos
Idioma:
Coreano
Revista:
The Korean Journal of Critical Care Medicine
Año:
2008
Tipo del documento:
Artículo
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