Body temperature and infection in critically ill patients on continuous kidney replacement therapy
© 2023. The Author(s)..
PURPOSE: Continuous kidney replacement therapy (CKRT) is an increasingly common intervention for critically ill patients with kidney failure. Because CKRT affects body temperature, detecting infections in patients on CKRT is challenging. Understanding the relation between CKRT and body temperature may facilitate earlier detection of infection.
METHODS: We retrospectively reviewed adult patients (≥ 18 years) admitted to the intensive care unit at Mayo Clinic in Rochester, Minnesota, from December 1, 2006, through November 31, 2015, who required CKRT. We summarized central body temperatures for these patients according to the presence or absence of infection.
RESULTS: We identified 587 patients who underwent CKRT during the study period, of whom 365 had infections, and 222 did not have infections. We observed no statistically significant differences in minimum (P = .70), maximum (P = .22), or mean (P = .55) central body temperature for patients on CKRT with infection vs. those without infection. While not on CKRT (before CKRT initiation and after cessation), all three body temperature measurements were significantly higher in patients with infection than in those without infection (all P < .02).
CONCLUSION: Body temperature is insufficient to indicate an infection in critically ill patients on CKRT. Clinicians should remain watchful for other signs, symptoms, and indications of infection in patients on CKRT because of expected high infection rates.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:24 |
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| Enthalten in: |
BMC nephrology - 24(2023), 1 vom: 07. Juni, Seite 161 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Challener, Douglas W [VerfasserIn] |
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| Links: |
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| Themen: |
Dialysis |
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| Anmerkungen: |
Date Completed 09.06.2023 Date Revised 14.06.2023 published: Electronic Citation Status MEDLINE |
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| doi: |
10.1186/s12882-023-03225-y |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM357888030 |
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| 245 | 1 | 0 | |a Body temperature and infection in critically ill patients on continuous kidney replacement therapy |
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| 500 | |a Date Revised 14.06.2023 | ||
| 500 | |a published: Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2023. The Author(s). | ||
| 520 | |a PURPOSE: Continuous kidney replacement therapy (CKRT) is an increasingly common intervention for critically ill patients with kidney failure. Because CKRT affects body temperature, detecting infections in patients on CKRT is challenging. Understanding the relation between CKRT and body temperature may facilitate earlier detection of infection | ||
| 520 | |a METHODS: We retrospectively reviewed adult patients (≥ 18 years) admitted to the intensive care unit at Mayo Clinic in Rochester, Minnesota, from December 1, 2006, through November 31, 2015, who required CKRT. We summarized central body temperatures for these patients according to the presence or absence of infection | ||
| 520 | |a RESULTS: We identified 587 patients who underwent CKRT during the study period, of whom 365 had infections, and 222 did not have infections. We observed no statistically significant differences in minimum (P = .70), maximum (P = .22), or mean (P = .55) central body temperature for patients on CKRT with infection vs. those without infection. While not on CKRT (before CKRT initiation and after cessation), all three body temperature measurements were significantly higher in patients with infection than in those without infection (all P < .02) | ||
| 520 | |a CONCLUSION: Body temperature is insufficient to indicate an infection in critically ill patients on CKRT. Clinicians should remain watchful for other signs, symptoms, and indications of infection in patients on CKRT because of expected high infection rates | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Dialysis | |
| 650 | 4 | |a Fever | |
| 650 | 4 | |a Hypothermia | |
| 650 | 4 | |a Sepsis | |
| 650 | 4 | |a Thermoregulation | |
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| 700 | 1 | |a Tehranian, Shahrzad |e verfasserin |4 aut | |
| 700 | 1 | |a Kashani, Kianoush B |e verfasserin |4 aut | |
| 700 | 1 | |a O'Horo, John C |e verfasserin |4 aut | |
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