Effects of fever on haemodynamic parameters in neurosurgical intensive care unit patients

Pour, Hossein Asgar; Yavuz, Meryem

doi:10.1016/j.iccn.2014.07.001

Cited by 9 publications

(8 citation statements)

References 21 publications

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“…In the short-term, malaria parasitaemia could induce BP fluctuations in either direction [11,17]. It is even conceivable that BP may first increase during the milder stages of malaria parasitaemia and subsequently falls as observed in severe malaria [18,19].…”

Section: Introductionmentioning

confidence: 99%

Epidemiological links between malaria parasitaemia and hypertension

Eze

Bassa

Essé

et al. 2019

Journal of Hypertension

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Background: Although potential links between malaria parasitaemia and hypertension have been hypothesized, there is paucity of epidemiologic evidence on this link. We investigated in a population-based survey, the association between malaria parasitaemia and hypertension in Ivorian adults. Methods: We estimated the adjusted odds ratios (OR) and 95% confidence intervals (CI) of hypertension in relation to malaria parasitaemia using multinomial regression, in 997 randomly selected adults in the ‘Côte d’Ivoire Dual Burden of Disease Study’ (CoDuBu), in south-central Côte d’Ivoire. We defined malaria parasitaemia as a positive rapid diagnostic test or identification of Plasmodium spp. on microscopy. Using the mean of the last two of three blood pressure (BP) measurements and questionnaire data, we defined hypertension as SBP at least 140 mmHg or DBP at least 90 mmHg or clinician-diagnosed hypertension. Results: Prevalence of malaria parasitaemia and hypertension were 10 and 22%, respectively. Malaria parasitaemia was negatively associated with hypertension in participants with body temperature 36.5 °C or less [OR 0.23 (95% CI 0.06–0.84)]. Contrastingly, microscopic malaria parasitaemia showed positive associations with hypertension in participants with elevated body temperature [>36.5 °C; OR: 2.93 (95% CI 0.94–9.14)]. Participants having microscopic malaria parasitaemia with elevated body temperature had three-fold higher odds of hypertension [OR: 3.37 (95% CI 1.12–10.0)] than malaria parasitaemia-negatives with lower body temperature. Conclusion: Malaria parasitaemia and hypertension are prevalent and seemingly linked comorbidities in African settings. This link may depend on malaria parasitaemia symptomaticity/latency where individuals with more latent/asymptomatic malaria parasitaemia have lower risk of hypertension and those with more acute/symptomatic malaria parasitaemia have a tendency toward higher BP. The cross-sectional nature of the study limited the distinction of short-term BP elevation (interim pathophysiological stress) from hypertension development. Future longitudinal studies considering malaria/hypertension phenotypes and host molecular variations are needed to clarify involved biological mechanisms, toward comorbidity management.

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Section: Introductionmentioning

confidence: 99%

Epidemiological links between malaria parasitaemia and hypertension

Eze

Bassa

Essé

et al. 2019

Journal of Hypertension

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“…There are approximately 15000 brain deaths per year, indicating high brain death rates in Iran (5). About 50% of cerebral deaths occur in the intensive care units, which needs management to turn them into opportunity (6). The rate of donation in European countries is 20 per million; for Spain, it is reported as 35 per million.…”

Section: Introductionmentioning

confidence: 99%

Effect of Blended Education on Nursing Students’ Awareness and Attitude Towards Organ Donation: A Solomon Four-Group Study

Valiee

Nouri

Bahmanpour

et al. 2019

Strides Dev Med Educ

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Background: Organ donation requires management to promote awareness and create the proper culture in all societies. Awareness and attitude of students and nursing staff can affect the process of donating organs. Objectives: The aim of this study was to determine the effect of blended education on the awareness and attitude of nursing students towards organ donation. Methods: In this clinical trial study, which used a Solomon four-group design, 94 undergraduate nursing students from Azad University of Sanandaj in 2016 were selected by the census method and randomly assigned to four groups. The data collection tool included demographic data and the Organ Donation Awareness and Attitude Questionnaire blended education was provided to students through a one-day interactive workshop and social networks for 2 weeks. Before and after the intervention, students' awareness and attitude were evaluated. The collected data were analyzed by SPSS 16 using Fisher, Wilcoxon, Mann-Whitney, and Kruskal-Wallis tests. Results: The comparison of the awareness level after the intervention in the four groups showed statistically significant differences (P = 0.0001). Moreover, there was a significant difference in the attitude level after the intervention between the four groups (P = 0.02). Conclusions: Blended education increases the awareness and attitude of nursing students. Thus, trainers and educators are suggested using blended education to train students regarding donation. Moreover, it is recommended to include the topic of donation in the nurse's curriculum.

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“…Subsequent increases in oxygen consumption, respiratory quotient, and cardiac output add a considerable burden to febrile patients who might be unable to compensate for the increased metabolic demand (7,8). With the increasing of oxygen demand in cell levels during fever, easily separated bunding oxygen on Hb in the cells occur (6,9). Based on this information, blood gas values are directly affected by fever (10,11).…”

Section: Introductionmentioning

confidence: 99%

Effects of Peripheral Cold Application and Antipyretics on Hemodynamic Parameters in Febrile ICU Patients Diagnosed with Hospital-Acquired Infections

Asgarpour

Akyil

Öğüt

2018

Ann Mil Health Sci Res

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Background: Accurately assessing hemodynamic parameters plays an important role in preventing complications during and after interventions related to a fever in febrile patients. There are not enough studies related on the effects of peripheral cold application (PCA) and antipyretics (APs) on hemodynamic parameters in febrile patients. Objectives:The aim was to determine the effects of PCA and APs on hemodynamic parameters in febrile ICU patients diagnosed with hospital-acquired infections (HAIs). Methods:In this retrospective study, the archive documents of the 346 adult ICU patients diagnosed with HAIs of a university hospital in Turkey were evalauted. Body temperature (BT), systolic/diastolic blood pressure (SBP/DBP), pulse rate (PR), respiratory rate (RR), and arterial O2Sat (aO2sat) changes one hour before, during, and one hour after application of PCA or APs were evalauted.Results: The incidence of HIAs was 4.16%. A total of 46% of the patients had a bacteremia infection and causative microorganisms in 16.8% were Acinetobacter spp. BT, DBS, PR, and aO2Sat changes one hour before, during, and one hour after PCA were significantly different. In addition, BT, RR, and aO2Sat changes one hour before, during, and one hour after APs were also significantly different (P < 0.05). More decrease in SBP and DBP were observed between during and one hour after APs compare with PCA.Conclusions: BT and hemodynamic parameters, especially SBP and DBP changes, were higher in APs compared with PCA. Knowledge regarding the effects of APs on BT and hemodynamic parameters will be of benefit to the ICU staff in terms of quality of care in febrile patients. The ICU staff should be proactive in ensuring that they have an evidence-based management plan for the prevention of HIAs and management of fever that conforms to the relevant clinical guidelines and integrates multidisciplinary care.

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Effects of fever on haemodynamic parameters in neurosurgical intensive care unit patients

Cited by 9 publications

References 21 publications

Epidemiological links between malaria parasitaemia and hypertension

Epidemiological links between malaria parasitaemia and hypertension

Effect of Blended Education on Nursing Students’ Awareness and Attitude Towards Organ Donation: A Solomon Four-Group Study

Effects of Peripheral Cold Application and Antipyretics on Hemodynamic Parameters in Febrile ICU Patients Diagnosed with Hospital-Acquired Infections

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