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Risk Factors of Geffroy et al for Early Hyperthermia Following Severe Traumatic Head Injury

Description

Severe traumatic head injury may complicated by early hyperthermia. Geffroy et al identified factors which can help to identify a patient who may be at increased risk for hyperthermia. The authors are from Beaujon Hospital and Universite Xavier Bichat Paris 7.


 

Patient selection: adult with severe traumatic head injury

 

Early hyperthermia is >= 1 recording of body temperature > 38.5°C within the first 2 days after admission.

 

Risk factors for early hyperthermia:

(1) admission white blood cell count > 14,500 per µL (> 14.5 * 10^9/L)

(2) admission body temperature > 36°C

(3) failure to give prophylactic acetaminophen (intravenous infusion, maximum dose 4 grams per day).

 

Early hyperthermia is associated with a worse outcome and more severe disability.

 


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Specialty

ICD-10