Associations Between Core Temperature Disorders and Outcomes of Pediatric Intensive Care Unit Patients.
Background: The few studies of associations between fever and outcomes in pediatric intensive care unit (PICU) patients have conflicting findings. Associations between hypothermia and patient outcomes have not been studied. Objective: To investigate the incidence and characteristics of fever and hyp...
| Publicado en: | American Journal of Critical Care Vol. 32; no. 5; pp. 338 - 346 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
American Association of Critical-Care Nurses
Sep2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=171312072&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 171312072 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10623264 44L jtl: American Journal of Critical Care issn: 10623264 maglogo: N pubinfo: dt: Sep2023 vid: 32 iid: 5 pid: 2559 pub: American Association of Critical-Care Nurses place: Alisa Veijo, California artinfo: ui: 171312072 171312072 171312072 10.4037/ajcc2023567 171312072 ppf: 338 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Associations Between Core Temperature Disorders and Outcomes of Pediatric Intensive Care Unit Patients. aug: au: Kiekkas, Panagiotis Kourtis, Grigorios Feizidou, Paraskevi Igoumenidis, Michael Almpani, Eleni Tzenalis, Anastasios affil: Panagiotis Kiekkas is a professor in the Nursing Department, University of Patras, Greece sug: subj: Fever Epidemiology Hypothermia Epidemiology Disease Attributes Hospital Mortality Risk Factors Risk Assessment Intensive Care Units, Pediatric Human Male Female Child, Preschool Child Adolescence Prospective Studies Thermometers Body Temperature Descriptive Statistics Comparative Studies Incidence Retrospective Design Respiration, Artificial Length of Stay Multivariate Analysis Univariate Statistics Nonexperimental Studies Convenience Sample Tertiary Health Care Greece Greece Data Analysis Software Critical Illness Mortality Odds Ratio Child, Preschool: 2-5 years Child: 6-12 years Adolescent: 13-18 years Male Female ab: Background: The few studies of associations between fever and outcomes in pediatric intensive care unit (PICU) patients have conflicting findings. Associations between hypothermia and patient outcomes have not been studied. Objective: To investigate the incidence and characteristics of fever and hypothermia and their associations with adverse outcomes among PICU patients. Methods: Patients consecutively admitted to 2 PICUs in a 2-year period were prospectively studied. Core temperature was mainly measured by rectal or axillary thermometry. Fever and hypothermia were defined as core temperatures of greater than 38.0 °C and less than 36.0 °C, respectively. Prolonged mechanical ventilation, prolonged PICU stay, and PICU mortality were the adverse patient outcomes studied. Associations between patient outcomes and core temperature disorders were evaluated with univariate comparisons and multivariate analyses. Results: Of 545 patients enrolled, fever occurred in 299 (54.9%) and hypothermia occurred in 161 (29.5%). Both temperature disorders were independently associated with prolonged mechanical ventilation and prolonged PICU stay (P <.001) but not with PICU mortality. Late onset of fever (P <.001) and hypothermia (P =.009) were independently associated with prolonged mechanical ventilation, fever magnitude and duration (both P <.001) were independently associated with prolonged PICU stay, and fever magnitude (P <.001) and infectious cause of hypothermia (P=.01) were independently associated with higher PICU mortality. Conclusions: These findings provide evidence that the manifestation and characteristics of fever and hypothermia are independent predictors of adverse outcomes in PICU patients. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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