Document Detail


Occurrence of fever associated with thermoregulatory dysfunction after acute traumatic spinal cord injury.
MedLine Citation:
PMID:  7710724     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The medical records of 156 patients with acute traumatic Spinal Cord Injury (SCI), admitted for inpatient SCI rehabilitation during the period from January 1, 1990 through December 31, 1992, were retrospectively reviewed. Seventy-one patients with acute traumatic SCI were identified at risk for thermoregulatory dysfunction (50 patients with cervical SCI and 21 with upper thoracic level SCI). A total of 713 days were documented in which febrile events occurred in 60 of 71 patients during the study period. Over 39% of these fevers measured 101 degrees F (38.3 degrees C) or greater. There were 71 days of documented febrile episodes occurring in 17 patients for which an etiology could not be determined. Fifteen of these individuals had fewer than five such febrile days each during their entire rehabilitation hospitalization. Study results indicate that in a population of patients with acute traumatic SCI at risk for thermoregulatory dysfunction, the occurrence of fever is quite high. Fever not attributable to infectious or inflammatory etiologies is uncommon. Fever attributable to thermoregulatory dysfunction in this setting should be considered only after other etiologies have been carefully excluded.
Authors:
S C Colachis; S M Otis
Related Documents :
3879794 - Spinal cord stimulation in the treatment of spasmodic torticollis.
21239404 - Prognostic electrocardiographic parameters in patients with suspected myocarditis.
1849334 - Muzolimine-induced severe neuromyeloencephalopathy: report of seven cases.
2743614 - The prognosis and management of idiopathic vocal cord paralysis.
2545994 - Increased serum levels of endopeptidase 24.11 ('enkephalinase') in patients with end-st...
9574614 - Air trapping on expiratory high-resolution ct scans in the absence of inspiratory scan ...
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American journal of physical medicine & rehabilitation / Association of Academic Physiatrists     Volume:  74     ISSN:  0894-9115     ISO Abbreviation:  Am J Phys Med Rehabil     Publication Date:    1995 Mar-Apr
Date Detail:
Created Date:  1995-05-18     Completed Date:  1995-05-18     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8803677     Medline TA:  Am J Phys Med Rehabil     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  114-9     Citation Subset:  AIM; IM    
Affiliation:
Department of Physical Medicine and Spinal Cord Injury Rehabilitation, Ohio State University, College of Medicine, Columbus, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Body Temperature Regulation*
Female
Fever / diagnosis,  etiology,  physiopathology*
Humans
Infection / complications
Male
Middle Aged
Respiratory Tract Diseases / complications
Retrospective Studies
Spinal Cord Injuries / physiopathology*
Urinary Tract Infections / complications

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Functional assessment scales. A study of persons after traumatic brain injury.
Next Document:  Therapeutic exercise in the prevention of bone loss. A controlled trial with women after menopause.