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Influence of Fever and Hospital-Acquired Infection on the Incidence of Delayed Neurological Deficit and Poor Outcome after Aneurysmal Subarachnoid Hemorrhage
Joint Authors
Tadzong, Bi
Krishnamurthy, Satish
Douds, G. Logan
Agarwal, Akash D.
Lehman, Erik B.
Cockroft, Kevin M.
Source
Neurology Research International
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-10-02
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Although fever and infection have been implicated in the causation of delayed neurological deficits (DND) and poor outcome after aneurysmal subarachnoid hemorrhage (SAH), the relationship between these two often related events has not been extensively studied.
We reviewed these events through of our retrospective database of patients with SAH.
Multivariate logistic regression was used to determine independent predictors of DND and poor outcome.
A total of 186 patients were analyzed.
DND was noted in 76 patients (45%).
Fever was recorded in 102 patients (55%); infection was noted in 87 patients (47%).
A patient with one infection was more likely to experience DND compared to a patient with no infections (adjusted OR 3.73, 95% CI 1.62, 8.59).
For those with more than two infections the likelihood of DND was even greater (adjusted OR 4.24, 95% CI 1.55, 11.56).
Patients with 1-2 days of fever were less likely to have a favorable outcome when compared to their counterparts with no fever (adjusted OR 0.19, 95% CI 0.06, 0.62).
This trend worsened as the number of days febrile increased.
These data suggest that the presence of infection is associated with DND, but that fever may have a stronger independent association with overall outcome.
American Psychological Association (APA)
Douds, G. Logan& Tadzong, Bi& Agarwal, Akash D.& Krishnamurthy, Satish& Lehman, Erik B.& Cockroft, Kevin M.. 2012. Influence of Fever and Hospital-Acquired Infection on the Incidence of Delayed Neurological Deficit and Poor Outcome after Aneurysmal Subarachnoid Hemorrhage. Neurology Research International،Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-474850
Modern Language Association (MLA)
Douds, G. Logan…[et al.]. Influence of Fever and Hospital-Acquired Infection on the Incidence of Delayed Neurological Deficit and Poor Outcome after Aneurysmal Subarachnoid Hemorrhage. Neurology Research International No. 2012 (2012), pp.1-6.
https://search.emarefa.net/detail/BIM-474850
American Medical Association (AMA)
Douds, G. Logan& Tadzong, Bi& Agarwal, Akash D.& Krishnamurthy, Satish& Lehman, Erik B.& Cockroft, Kevin M.. Influence of Fever and Hospital-Acquired Infection on the Incidence of Delayed Neurological Deficit and Poor Outcome after Aneurysmal Subarachnoid Hemorrhage. Neurology Research International. 2012. Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-474850
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-474850