Naslov
Promjena tjelesne temperature u prva 72 sata i ishod ishemijskog i hemoragičkog moždanog udara
(Changes in temperature during first 72 hours and results of ischemic and hemorrhagic stroke)

Autori
Bosnar Puretić, Marijana ; Vargek-Solter, Vesna ; Breitenfeld, Tomislav ; Lovrić, Vladimira ; Demarin, Vida

Izvornik
European journal of neurology (1351-5101) 9 (2002), 2;

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, kongresno priopcenje, znanstveni

Ključne riječi
tjelesna temperatura; moždani udar
(body temperature; stroke)

Sažetak
Introduction Experimental and clinical studies showed that hyperthermia early after stroke onset causes further brain damage and poor outcome. Some studies showed relation of low temperature on admission and stroke severity. The aim of our study was to follow up the body temperature changes early after stroke onset and to compare the differences between patients with good and poor outcome. Methods We enrolled stroke patients (ischemic stroke (ISH) and intracerebral haemorrhage (ICH)) admitted to intensive care unit within 6 hours after stroke onset. In all patients CT scan was done. Stroke severity on admission was assessed using Scandinavian stroke scale, and outcome using Barthel index (BI) approximately after 15-21 days. Temperature was measured with tympanic thermometers every two hours during first 72 hours after stroke onset. Results In ICH patients with better outcome (BI>60) temperature on admission was lower than in patients with BI<60 or dead. Rapid rise of temperature occurred earlier in patients with BK60 (after 12-18h) and dead (6-12h). In patients with BI>60 rise in temperature occurred after 48 hours, potentially of infectious origin. In ISH patients, better outcome had patients with higher temperature at admission. In these patients (BI>60) during first 72 hours, there were no significant changes in temperature. Patients with BI<60 and dead had lower temperature at admission, with early (6-12h) and rapid rise continuously during 72 hours, with low response to antipyretic drugs. Conclusions Early rise of temperature can be related to poor outcome of stroke patients.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA