Clinical review: Brain-body temperature differences in adults with severe traumatic brain injury.
Clinical review: Brain-body temperature differences in adults with severe traumatic brain injury.
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DOI：
10.1186/cc11892
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发表时间：
2013-04-22
期刊：
影响因子：
--
通讯作者：
Lunn KW
中科院分区：
文献类型：
--
作者：
Childs C;Lunn KW
脑温度的替代或“代理”测量用于脑损伤患者的常规管理。普遍的观点是大脑比身体“更热”。然而，严重创伤性脑损伤（TBI）后大脑和身体之间温度差异的极性和幅度仍不清楚。本系统评价的重点是被诊断为严重 TBI（格拉斯哥昏迷量表评分低于 8）而入住重症/神经重症监护的成年患者。该综述考虑了测量大脑温度和核心体温的研究。在 CINAHL、PubMed、Scopus、Web of Science、Science Direct、Ovid SP、Mednar 和 ProQuest Dissertations &Theses Database 等数据库中检索了 1980 年至 2012 年以英文发表的文章。在审查中，考虑纳入随机对照试验、非随机对照试验、研究前后、队列研究、病例对照研究和描述性研究的出版物。在通过检索策略确定的 2,391 条记录中，检索了 37 条进行详细检查（其中 2 条是通过手工检索）。对 15 项的方法学质量进行了审查和评估。系统评价纳入了 11 项研究，提供了 15 项脑核心体温比较。平均脑-体温差异的方向为正（脑温度高于体温）和负（脑温度低于体温）。体温过低与脑体温度差异较大有关。无法根据核心体温可靠地预测大脑温度。当温度相关神经元损伤的风险引起临床关注并且有意诱导体温低于正常水平时，建议同时监测患者的大脑和体温。
Surrogate or 'proxy' measures of brain temperature are used in the routine management of patients with brain damage. The prevailing view is that the brain is 'hotter' than the body. The polarity and magnitude of temperature differences between brain and body, however, remains unclear after severe traumatic brain injury (TBI). The focus of this systematic review is on the adult patient admitted to intensive/neurocritical care with a diagnosis of severe TBI (Glasgow Coma Scale score of less than 8). The review considered studies that measured brain temperature and core body temperature. Articles published in English from the years 1980 to 2012 were searched in databases, CINAHL, PubMed, Scopus, Web of Science, Science Direct, Ovid SP, Mednar and ProQuest Dissertations & Theses Database. For the review, publications of randomised controlled trials, non-randomised controlled trials, before and after studies, cohort studies, case-control studies and descriptive studies were considered for inclusion. Of 2,391 records identified via the search strategies, 37 were retrieved for detailed examination (including two via hand searching). Fifteen were reviewed and assessed for methodological quality. Eleven studies were included in the systematic review providing 15 brain-core body temperature comparisons. The direction of mean brain-body temperature differences was positive (brain higher than body temperature) and negative (brain lower than body temperature). Hypothermia is associated with large brain-body temperature differences. Brain temperature cannot be predicted reliably from core body temperature. Concurrent monitoring of brain and body temperature is recommended in patients where risk of temperature-related neuronal damage is a cause for clinical concern and when deliberate induction of below-normal body temperature is instituted.
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影响因子：
4.8
作者：
Henker, RA;Brown, SD;Marion, DW
通讯作者：
Marion, DW
DOI：
10.2307/2987937
发表时间：
1983-01-01
期刊：
JOURNAL OF THE ROYAL STATISTICAL SOCIETY SERIES D-THE STATISTICIAN
影响因子：
--
作者：
ALTMAN, DG;BLAND, JM
通讯作者：
BLAND, JM
影响因子：
4.8
作者：
Fischer, Marlene;Lackner, Peter;Broessner, Gregor
通讯作者：
Broessner, Gregor
影响因子：
1.9
作者：
Suehiro, Eiichi;Fujisawa, Hirosuke;Suzuki, Michiyasu
通讯作者：
Suzuki, Michiyasu
影响因子：
8.8
作者：
Rumana, CS;Gopinath, SP;Robertson, CS
通讯作者：
Robertson, CS