Clinical outcome of traumatic brain injury patients with fever in a public hospital in Malaysia

Introduction: Fever has been known as one of the most common causes of traumatic brain injury (TBI) insults leading to mortality or morbidity. Monitoring and early detection of fever, as well as prevention of fever are said to be the keys to prevent or limit secondary injury in TBI, placing perso...

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Main Author:	Tasman, Adilah
Format:	Thesis
Language:	English
Published:	2021
Subjects:	Brain Injuries Traumatic
Online Access:	http://psasir.upm.edu.my/id/eprint/93113/1/FPSK%28m%29%202021%2019%20%20-%20IR.1.pdf
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spelling	my-upm-ir.931132022-11-03T01:56:06Z Clinical outcome of traumatic brain injury patients with fever in a public hospital in Malaysia 2021-03 Tasman, Adilah Introduction: Fever has been known as one of the most common causes of traumatic brain injury (TBI) insults leading to mortality or morbidity. Monitoring and early detection of fever, as well as prevention of fever are said to be the keys to prevent or limit secondary injury in TBI, placing personnel within critical care facilities on the front line. The situation triggered the need for a study to identify the root causes of fever leading to mortality among TBI patients. Objectives: The present study was undertaken to investigate the occurrence of fever and its association with clinical outcomes among TBI patients. Materials and method: The study included 38 patients admitted and diagnosed of TBI for more than 48 hours at Hospital Tuanku Jaafar, Seremban (HTJS) from January to December 2016. Four-hourly patients’ body temperatures and fever interventions were recorded until a 7-day after critical-care admission or discharge, whichever occurred first. The outcomes of TBI patients with fever were measured using Glasgow Coma Scale (GCS) scores and survival status upon discharge from critical care facility. Results: Frequency of body temperatures of more than 37.4oC were recorded to be occurred in 32 among 38 patients within seven days of critical-care admission. Approximately 84.3% of these patients were admitted with severe GCS score (8-3), and discharged with mild GCS score (14-15) (43.8%). The fever interventions were started at body temperature of more than 38.2oC with n=22. Pharmacological administration was the most common intervention used (50.0%) followed by combination methods of pharmacological administration and physical cooling methods (31.8%); and application of physical cooling method only (9.1%). There was no significant association between fever occurrence and poor clinical outcome, χ2 (2, N=38) = 0.361, p>.05. Conclusion: There was no relationship between occurrences of fever during critical-care admissions and poor clinical outcomes. It reports an insight on the impact of fever among TBI patients and may contribute to health care providers with management and intervention strategies in reducing fever occurrences and thus improving patients’ outcomes. Brain Injuries, Traumatic 2021-03 Thesis http://psasir.upm.edu.my/id/eprint/93113/ http://psasir.upm.edu.my/id/eprint/93113/1/FPSK%28m%29%202021%2019%20%20-%20IR.1.pdf text en public masters Universiti Putra Malaysia Brain Injuries, Traumatic Soh, Kim Lam
institution	Universiti Putra Malaysia
collection	PSAS Institutional Repository
language	English
advisor	Soh, Kim Lam
topic	Brain Injuries Traumatic
spellingShingle	Brain Injuries Traumatic Tasman, Adilah Clinical outcome of traumatic brain injury patients with fever in a public hospital in Malaysia
description	Introduction: Fever has been known as one of the most common causes of traumatic brain injury (TBI) insults leading to mortality or morbidity. Monitoring and early detection of fever, as well as prevention of fever are said to be the keys to prevent or limit secondary injury in TBI, placing personnel within critical care facilities on the front line. The situation triggered the need for a study to identify the root causes of fever leading to mortality among TBI patients. Objectives: The present study was undertaken to investigate the occurrence of fever and its association with clinical outcomes among TBI patients. Materials and method: The study included 38 patients admitted and diagnosed of TBI for more than 48 hours at Hospital Tuanku Jaafar, Seremban (HTJS) from January to December 2016. Four-hourly patients’ body temperatures and fever interventions were recorded until a 7-day after critical-care admission or discharge, whichever occurred first. The outcomes of TBI patients with fever were measured using Glasgow Coma Scale (GCS) scores and survival status upon discharge from critical care facility. Results: Frequency of body temperatures of more than 37.4oC were recorded to be occurred in 32 among 38 patients within seven days of critical-care admission. Approximately 84.3% of these patients were admitted with severe GCS score (8-3), and discharged with mild GCS score (14-15) (43.8%). The fever interventions were started at body temperature of more than 38.2oC with n=22. Pharmacological administration was the most common intervention used (50.0%) followed by combination methods of pharmacological administration and physical cooling methods (31.8%); and application of physical cooling method only (9.1%). There was no significant association between fever occurrence and poor clinical outcome, χ2 (2, N=38) = 0.361, p>.05. Conclusion: There was no relationship between occurrences of fever during critical-care admissions and poor clinical outcomes. It reports an insight on the impact of fever among TBI patients and may contribute to health care providers with management and intervention strategies in reducing fever occurrences and thus improving patients’ outcomes.
format	Thesis
qualification_level	Master's degree
author	Tasman, Adilah
author_facet	Tasman, Adilah
author_sort	Tasman, Adilah
title	Clinical outcome of traumatic brain injury patients with fever in a public hospital in Malaysia
title_short	Clinical outcome of traumatic brain injury patients with fever in a public hospital in Malaysia
title_full	Clinical outcome of traumatic brain injury patients with fever in a public hospital in Malaysia
title_fullStr	Clinical outcome of traumatic brain injury patients with fever in a public hospital in Malaysia
title_full_unstemmed	Clinical outcome of traumatic brain injury patients with fever in a public hospital in Malaysia
title_sort	clinical outcome of traumatic brain injury patients with fever in a public hospital in malaysia
granting_institution	Universiti Putra Malaysia
publishDate	2021
url	http://psasir.upm.edu.my/id/eprint/93113/1/FPSK%28m%29%202021%2019%20%20-%20IR.1.pdf
_version_	1776100269329743872

Clinical outcome of traumatic brain injury patients with fever in a public hospital in Malaysia

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