Background
The importance of acute-phase brain temperature management is widely accepted for
prevention of exacerbation of brain damage by a high body temperature.
Methods
In this study, we investigated the influence of body temperature in the early postoperative
period on the outcomes of 62 patients with subarachnoid hemorrhage who were admitted
to our department. Body temperature was measured from day 4 to day 14 after onset.
The patients were divided into those treated with surgical clipping (clip group) and
coil embolization (coil group), those graded I-III (mild) and IV-V (severe) based
on the Hunt & Hess classification on admission, those with and without development
of delayed cerebral ischemia (DCI), and those with favorable and poor outcomes. Body
temperatures throughout the hospital stay were compared in each group.
Results
There was no significant difference in body temperature between the clip and coil
groups or between the mild and severe groups, but body temperature was significantly
higher in patients with DCI compared to those without DCI, and in patients with a
poor outcome compared to those with a favorable outcome.
Conclusions
Fever in the early postoperative period of subarachnoid hemorrhage is associated with
development of DCI and a poor outcome.
Key Words
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Article info
Publication history
Published online: March 25, 2016
Accepted:
January 31,
2016
Received in revised form:
January 10,
2016
Received:
October 7,
2015
Identification
DOI: https://doi.org/10.1016/j.jstrokecerebrovasdis.2016.01.053
Copyright
© 2016 National Stroke Association. Published by Elsevier Inc. All rights reserved.
