Indicators of Central Fever in the Neurologic Intensive Care Unit
We identified a set of variables associated with central fever in neurocritical patients. Patients with negative cultures, chest radiographs without infiltrates, and onset of fever within 3 days of hospitalization are likely to have central fever, especially if their primary diagnosis is SAH or tumor or they have IVH.
mechanism, risk factors, clinical characteristics, diagnosis and management options of the central fever. We also make an attempt to differentiate two noninfectious causes of fever in the NICU: paroxysmal sympathetic hyperactivity and central fever.
Central fever in patients with spontaneous intracerebral hemorrhage ...
Central fever (CF) is defined as elevated temperature with no identifiable cause. We aimed to identify risk factors for developing CF among patients with spontaneous intracerebral hemorrhage (ICH) and to evaluate the impact of CF on outcome.
Chapter 9: When Is Fever a “Central Fever”? - McGraw Hill Medical
Fever occurs in between a quarter and half of patients admitted to neurosciences intensive care unit (NICU). CF typically occurs earlier and is associated with a higher fever burden when compared with infectious fever in NICU. CF is a diagnosis of exclusion.
Indicators of central fever in the neurologic intensive care unit
We provide a reliable model to differentiate central fever from infectious fever in critically ill neurologic patients, allowing clinicians to select patients in whom antibiotics may be safely discontinued despite ongoing fever.
Pharmacologic Management of Central Fever: A Review of …
Nov 3, 2022 · Independent risk factors for the development of a central fever were identified as the requirement of a blood transfusion, a diagnosis of a subarachnoid hemorrhage (SAH), IVH, or an intracranial tumor, with a documented fever within 72 hours of admission to the neurocritical intensive care unit.
Noninfectious causes of fever in adults - LWW
Fever, most commonly defined as core temperature of 101° F (38.3° C) or higher, is a hallmark clinical sign in many infectious diseases. 7 Development of a fever is the result of a complex interaction with exogenous pyrogens (typically microbial pathogens) or pyrogenic cytokines, including tumor necrosis factor (TNF)-alpha, interleukin (IL)-1, I...
Neurogenic Fever: Review of Pathophysiology, Evaluation, and …
Jan 15, 2016 · Paroxysmal sympathetic hyperactivity is another source of hyperthermia commonly seen in the population with traumatic brain injury. This review focuses on the detrimental effects of fever on the neurologically injured as well as the risk factors and diagnosis of neurogenic fever.
Treatment of Fever in Neurologically Critically Ill Patients
Aug 16, 2022 · “Neurogenic fever,” “centrally mediated fever,” or “central fever” are terms denoting unexplained fever in patients with brain injury without any identifiable infectious or non-infectious etiology.
Central fever: a challenging clinical entity in neurocritical care
A reliable model to differentiate central from infectious fever in critically ill neurologic patients with fever of an undetermined cause is provided, allowing clinicians to select patients in whom antibiotics may be safely discontinued despite ongoing fever.