Body temperature alterations in the critically ill
Body temperature alterations in the critically ill
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DOI：
10.1007/s00134-004-2166-z
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发表时间：
2004-05-01
影响因子：
38.9
通讯作者：
Vincent, JL
中科院分区：
文献类型：
--
作者：
Bota, DP;Ferreira, FL;Vincent, JL
Objective.确定危重患者体温（BT）变化的发生率及其与感染和结局的关系。设计前瞻性、观察性研究。设置. 31张床，内科外科重症监护室。患者在夏季的6个月中，连续入住ICU至少24小时的成人患者。干预。没有。结果139例（28.2%）患者在ICU期间的某个时间发生发热（BT ≥ 38.3 ℃），45例（9.1%）患者发生体温过低（BT ≤ 36 ℃）。100例无感染性休克的感染患者中有52例（52.0%）出现发热，38例感染性休克患者中有24例（63.2%）出现发热。100例无感染性休克的感染患者中有5例（5.0%）发生低温，38例感染性休克患者中有5例（13.1%）发生低温。低体温和发热患者入院时的序贯器官衰竭评估（SOFA）评分较高（6.3+/-3.7和6.4+/-3.3 vs 4.6+/-3.2; p
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. esults. Fever (BTgreater than or equal to38.3degreesC) occurred in 139 (28.2%) patients and hypothermia (BTless than or equal to36degreesC) 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