The Association of Fever with Total Mechanical Ventilation Time in Critically Ill Patients

Park, Dong Won; Egi, Moritoki; Nishimura, Masaji; Chang, Youjin; Suh, Gee Young; Lim, Chae Man; Kim, Jae Yeol; Tada, Keiichi; Matsuo, Koichi; Takeda, Satoru; Tsuruta, Ryosuke; Yokoyama, Takeshi; Kim, Seon‐Ok; Koh, Younsuck; Fever,

doi:10.3346/jkms.2016.31.12.2033

Cited by 6 publications

(20 citation statements)

References 36 publications

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“…The length of intubation was significantly longer for patients with fever than for those without fever. This result supports the findings of previous studies 29,30 that prolonged use of assisted ventilation after surgery increases fever risk.…”

Section: Discussionsupporting

confidence: 92%

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Post‐craniotomy fever and its associated factors in patients with traumatic brain injury

Huang

Wang

et al. 2021

Nursing in Critical Care

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Background: Fever frequently occurs in patients with traumatic brain injury and can cause secondary damage to the brain. Critical care nurses play essential roles in assessing and managing fever in these patients. Aim:The study aimed to (a) examine the fever causes in and condition of neurosurgical patients with traumatic brain injury in intensive care, (b) identify the factors associated with fever, and (c) determine the effects of fever on hospital stay and prognosis.Study design: This study is a retrospective observational design.Methods: Data were collected through chart reviews of 93 traumatic brain injury patients admitted to a teaching hospital's intensive care unit for postoperative care.Fever was defined as at least one episode of body temperature >38 C.Results: Of the 93 patients, 76 developed a fever within 1-week post-craniotomy.Of these, 49 were infection-related and 27 were unexplained. Results of logistic regression showed that the preoperative Glasgow coma scale score (ß = À.323; P = .013) and length of intubation (ß = .480; P = .005) were the key predictors of unexplained post-craniotomy fever, and these two variables (ß = À.494; P < .001 and ß = .479; P = .006, respectively) were also the key predictors of infectionrelated fever. Conclusion: A significant portion of patients developed a fever during the first post-craniotomy week. Patients with a lower pre-craniotomy Glasgow coma scale score and a longer intubation length were at a greater risk for both infection-related fever and unexplained fever. Patients with fever had a bad outcome score. Relevance to clinical practice: Critical care nurses should closely monitor traumatic brain injury patients' body temperatures and employ evidence-based infection prevention and control measures to minimize their infection risks. Respiratory care and intensive care unit Liberation Bundle should be reinforced to liberate these patients from mechanical ventilation and its associated complications.

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Section: Discussionsupporting

confidence: 92%

“…This result supports the findings of previous studies 29,30 that prolonged use of assisted ventilation after surgery increases fever risk.…”

Section: Discussionsupporting

confidence: 92%

Post‐craniotomy fever and its associated factors in patients with traumatic brain injury

Huang

Wang

et al. 2021

Nursing in Critical Care

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“…The China Critical Care Clinical Trials Group was formed in 2009 to boost research in the world's largest nation [17]. The Japanese and Koreans have co-created the Japan-Korea Intensive Care Study (JAKOICS) Group [18,19]. The Saudi Critical Care Trials Group (SCCTG) has produced several highimpact papers [20][21][22] In addition, the reach of research led by the European Society of Intensive Care Medicine (ESICM) Trials Group, the Australian and New Zealand Intensive Care Society (ANZICS) Clinical Trials Group, the Canadian Critical Care Trials Group (CCCTG), and WFICC has extended to Asia [23][24][25][26][27][28][29][30].…”

Section: Critical Care Researchmentioning

confidence: 99%

The story of critical care in Asia: a narrative review

Phua

Lim

Faruq³

et al. 2021

j intensive care

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Background Asia has more critically ill people than any other part of our planet. The aim of this article is to review the development of critical care as a specialty, critical care societies and education and research, the epidemiology of critical illness as well as epidemics and pandemics, accessibility and cost and quality of critical care, culture and end-of-life care, and future directions for critical care in Asia. Main body Although the first Asian intensive care units (ICUs) surfaced in the 1960s and the 1970s and specialisation started in the 1990s, multiple challenges still exist, including the lack of intensivists, critical care nurses, and respiratory therapists in many countries. This is aggravated by the brain drain of skilled ICU staff to high-income countries. Critical care societies have been integral to the development of the discipline and have increasingly contributed to critical care education, although critical care research is only just starting to take off through collaboration across groups. Sepsis, increasingly aggravated by multidrug resistance, contributes to a significant burden of critical illness, while epidemics and pandemics continue to haunt the continent intermittently. In particular, the coronavirus disease 2019 (COVID-19) has highlighted the central role of critical care in pandemic response. Accessibility to critical care is affected by lack of ICU beds and high costs, and quality of critical care is affected by limited capability for investigations and treatment in low- and middle-income countries. Meanwhile, there are clear cultural differences across countries, with considerable variations in end-of-life care. Demand for critical care will rise across the continent due to ageing populations and rising comorbidity burdens. Even as countries respond by increasing critical care capacity, the critical care community must continue to focus on training for ICU healthcare workers, processes anchored on evidence-based medicine, technology guided by feasibility and impact, research applicable to Asian and local settings, and rallying of governments for support for the specialty. Conclusions Critical care in Asia has progressed through the years, but multiple challenges remain. These challenges should be addressed through a collaborative approach across disciplines, ICUs, hospitals, societies, governments, and countries.

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“…We revealed that a positive chest X-ray had a 19% impact on reducing the survival rate through the mediating effect of IDF and that IDF mediates the impact of central venous catheter placement. Park (31) reported that fever contributed to pronged mechanical ventilation for critically ill patients. Moreover, prolonged endotracheal intubation may increase the risk of ventilator-associated pneumonia, indicated as a positive chest X-ray (32).…”

Section: Discussionmentioning

confidence: 99%

Effects of the Incidence Density of Fever (IDF) on Patients Resuscitated From In-Hospital Cardiac Arrest: A Mediation Analysis

Guo

Wang

et al. 2020

Front. Med.

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The aim of this research was to study the factors contributing to the survival rate of in-hospital cardiac arrest (IHCA) and to determine whether the incidence density of fever (IDF) acts as a mediator. Methods: Data from patients with IHCA who survived more than 48 h were collected from 2011 to 2017. IDF was defined as the fever duration divided by the hospitalization duration, prolonged fever was defined as fever lasting for more than 5 days, and early fever was defined as an initial onset within the first 2 days of IHCA. Possible clinical variables associated with IDF were examined by linear regression, and possible clinical variables associated with survival rate were examined by univariate and multivariate analyses. IDF was investigated as a mediator of the indirect effects of the risk factors on survival. Results: In our retrospective study, the median IDF was 0, with an interquartile range from 0 to 0.42. Prolonged fever was noted in 16% (97/605) of the total, and early fever was noted in 17.2% (104/605) of the total. Linear regression results showed that positive chest X-ray, central venous catheter and Glasgow Coma Score (GCS) ≤ 8 were related to IDF. The IDF (OR: 0.36, 95% CI, 0.13-0.97, P = 0.04), prolonged fever (adjusted OR = 0.13, 95% CI, 0.06-0.29, P < 0.001), positive chest X-ray (OR: 0.67, 95% CI, 0.46-0.98, P = 0.04), central venous catheter placement (OR: 0.54, 95% CI, 0.34-0.89, P = 0.01), and endotracheal intubation (OR: 0.47, 95% CI, 0.33-0.69, P < 0.001) were also related to the negative outcome of hospital discharge after adjustment. Additionally, positive chest X-ray had a 19% effect on survival outcome through IDF as a mediator, and the indirect effect of central venous catheter mediated by IDF accounted for 10% of the total. Conclusions: A higher IDF, prolonged fever, a positive chest X-ray, the use of a central venous catheter and endotracheal intubation reduced the survival rate of these patients, and the detrimental impacts of a positive chest X-ray and the use of a central venous catheter on survival outcomes were partially mediated by IDF.

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The Association of Fever with Total Mechanical Ventilation Time in Critically Ill Patients

Cited by 6 publications

References 36 publications

Post‐craniotomy fever and its associated factors in patients with traumatic brain injury

Post‐craniotomy fever and its associated factors in patients with traumatic brain injury

The story of critical care in Asia: a narrative review

Effects of the Incidence Density of Fever (IDF) on Patients Resuscitated From In-Hospital Cardiac Arrest: A Mediation Analysis

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