The DOI matches its Crossref record; 24 of the 24 references it cites were found in a registry or an index.
Fever in subarachnoid hemorrhage: Relationship to vasospasm and outcome
Abstract
OBJECTIVE: To investigate the causes of fever in subarachnoid hemorrhage (SAH) and examine its relationship to outcome. BACKGROUND: Fever adversely affects outcome in stroke. Patients with SAH are at risk for cerebral ischemia due to vasospasm (VSP). In these patients, fever may be both caused by, and potentiate, VSP-mediated brain injury. METHODS: The authors prospectively studied patients admitted to a neurologic intensive care unit with nontraumatic SAH, documenting Hunt-Hess grade, Fisher group, Glasgow Coma Score, bacterial culture data, daily transcranial Doppler mean velocities, and maximum daily temperatures. Patients were classified as febrile (temperature above 38.3 degrees C for at least 2 consecutive days) or afebrile (no fever or isolated episodes of temperature above 38.3 degrees C). VSP was verified by either transcranial Doppler or angiographic criteria. Rankin scale scores on discharge were dichotomized into good (0 to 2) or poor (3 to 6) outcomes. RESULTS: Ninety-two consecutive patients were studied. Thirty-eight patients were classified as febrile. No source for infection was found in 10 of 38 (26%) patients. In a multivariate analysis, three variables independently predicted fever occurrence: ventriculostomy (OR, 8.5 [CI, 2.4 to 29.7]), symptomatic VSP (OR, 5.0 [CI, 1.03 to 24.5]), and older age (OR, 1.75 per 10 years [CI, 1.02 to 3.0]). Poor outcome was related to fever (OR, 1.4 per each day febrile [CI, 1.1 to 1.88]), older age (OR, 1.64 per 10 years [CI, 1.04 to 2.58]), and intubation (OR, 21.8 [CI, 5.6 to 84.5]). CONCLUSION: Fever in SAH is associated with vasospasm and poor outcome independently of hemorrhage severity or presence of infection.
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Citations
Cites
Fisher, C. M., Kistler, J. P., & Davis, J. M. (1980) · Neurosurgery · doi:10.1227/00006123-198001000-00001 · Cited by 3,080
Kassell, N. F., Torner, J. C., Haley, E. C., Jane, J. A., Adams, H. P., Kongable, G. L., & _, _. (1990) · Journal of Neurosurgery · doi:10.3171/jns.1990.73.1.0018 · Cited by 2,112
Treatment of Traumatic Brain Injury with Moderate Hypothermia
Marion, D. W., Penrod, L. E., Kelsey, S. F., Obrist, W. D., Kochanek, P. M., Palmer, A. M., Wisniewski, S. R., & DeKosky, S. T. (1997) · New England Journal of Medicine · doi:10.1056/nejm199702203360803 · Cited by 1,296
Busto, R., Globus, M. Y., Dietrich, W. D., Martinez, E., Valdés, I., & Ginsberg, M. D. (1989) · Stroke · doi:10.1161/01.str.20.7.904 · Cited by 1,089
Body temperature in acute stroke: relation to stroke severity, infarct size, mortality, and outcome
Reith, J., Jørgensen, H. S., Pedersen, P. M., Nakamaya, H., Jeppesen, L. L., Olsen, T. S., & Raaschou, H. O. (1996) · The Lancet · doi:10.1016/s0140-6736(96)90008-2 · Cited by 910
(1996) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.153.5.8630626 · Cited by 830
Moderate Hypothermia in the Treatment of Patients With Severe Middle Cerebral Artery Infarction
Schwab, S., Schwarz, S., Spranger, M., Keller, E., Bertram, M., & Hacke, W. (1998) · Stroke · doi:10.1161/01.str.29.12.2461 · Cited by 671
The Clinical Meaning of Rankin ‘Handicap’ Grades After Stroke
de Haan, R., Limburg, M., Bossuyt, P., van der Meulen, J., & Aaronson, N. (1995) · Stroke · doi:10.1161/01.str.26.11.2027 · Cited by 457
Mackowiak, P. A. (1992) · JAMA: The Journal of the American Medical Association · doi:10.1001/jama.1992.03490120092034 · Cited by 419
Age and outcome after aneurysmal subarachnoid hemorrhage: why do older patients fare worse?
Lanzino, G., Kassell, N. F., Germanson, T. P., Kongable, G. L., Truskowski, L. L., Torner, J. C., Jane, J. A., & _, _. (1996) · Journal of Neurosurgery · doi:10.3171/jns.1996.85.3.0410 · Cited by 404
Cited by
Diringer, M. N., Bleck, T. P., Claude Hemphill, J., Menon, D., Shutter, L., Vespa, P., Bruder, N., Connolly, E. S., Citerio, G., Gress, D., et al. (2011) · Neurocritical Care · doi:10.1007/s12028-011-9605-9 · Cited by 1,121
Spontaneous subarachnoid haemorrhage
Claassen, J., & Park, S. (2022) · The Lancet · doi:10.1016/s0140-6736(22)00938-2 · Cited by 587
Polderman, K. H. (2004) · Intensive Care Medicine · doi:10.1007/s00134-003-2152-x · Cited by 435
Suarez, J. I., Zaidat, O. O., Suri, M. F., Feen, E. S., Lynch, G., Hickman, J., Georgiadis, A., & Selman, W. R. (2004) · Critical Care Medicine · doi:10.1097/01.ccm.0000146132.29042.4c · Cited by 367
Badjatia, N., Strongilis, E., Gordon, E., Prescutti, M., Fernandez, L., Fernandez, A., Buitrago, M., Schmidt, J. M., Ostapkovich, N. D., & Mayer, S. A. (2008) · Stroke · doi:10.1161/strokeaha.108.523654 · Cited by 334
Metadata
- Authors
- Oliveira–Filho, J., Ezzeddine, M. A., Segal, A. Z., Buonanno, F. S., Chang, Y., Ogilvy, C. S., Rordorf, G., Schwamm, L. H., Koroshetz, W. J., & McDonald, C. T.
- Venue
- Neurology
- Published
- 2001-05-22
- Volume
- 56
- Issue
- 10
- Pages
- 1299-1304
- ISSN
- 0028-3878 (ISSN-L)
- 1526-632X
- OpenAlex
- W2101004768
- Cited by
- 256
- References
- 24
- FWCI
- 6.19
- Type
- journal article
- Language
- en
- Open access
- closed
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- Oliveira–Filho, J., Ezzeddine, M. A., Segal, A. Z., Buonanno, F. S., Chang, Y., Ogilvy, C. S., Rordorf, G., Schwamm, L. H., Koroshetz, W. J., & McDonald, C. T. (2001). Fever in subarachnoid hemorrhage: Relationship to vasospasm and outcome. Neurology. https://doi.org/10.1212/wnl.56.10.1299
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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