Physical methods for the treatment of fever in critically ill patients: a randomized controlled trial

Detalhes bibliográficos
Autor(a) principal: Salgado, Patrícia de Oliveira
Data de Publicação: 2016
Outros Autores: Silva, Ludmila Christiane Rosa da, Silva, Priscila Marinho Aleixo, Chianca, Tânia Couto Machado
Tipo de documento: Artigo
Idioma: eng
Título da fonte: LOCUS Repositório Institucional da UFV
Texto Completo: http://dx.doi.org/10.1590/s0080-623420160000600016
http://www.locus.ufv.br/handle/123456789/12643
Resumo: To evaluate the effects of physical methods of reducing body temperature (ice pack and warm compression) in critically ill patients with fever. A randomized clinical trial involving 102 adult patients with tympanic temperature ≥ 38.3°C of an infectious focus, and randomized into three groups: Intervention I - ice pack associated with antipyretic; Intervention II - warm compress associated with antipyretic; and Control - antipyretic. Tympanic temperature was measured at 15 minute intervals for 3 hours. The effect of the interventions was evaluated through the Mann-Whitney test and Survival Analysis. "Effect size" calculation was carried out. Patients in the intervention groups I and II presented greater reduction in body temperature. The group of patients receiving intervention I presented tympanic temperature below 38.3°C at 45 minutes of monitoring, while the value for control group was lower than 38.3°C starting at 60 minutes, and those who received intervention II had values lower than 38.3°C at 75 minutes of monitoring. No statistically significant difference was found between the interventions, but with the intervention group I patients showed greater reduction in tympanic temperature compared to the other groups. Brazilian Registry of Clinical Trials: RBR-2k3kbq
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spelling Salgado, Patrícia de OliveiraSilva, Ludmila Christiane Rosa daSilva, Priscila Marinho AleixoChianca, Tânia Couto Machado2017-10-31T16:48:55Z2017-10-31T16:48:55Z2016-09-231980-220Xhttp://dx.doi.org/10.1590/s0080-623420160000600016http://www.locus.ufv.br/handle/123456789/12643To evaluate the effects of physical methods of reducing body temperature (ice pack and warm compression) in critically ill patients with fever. A randomized clinical trial involving 102 adult patients with tympanic temperature ≥ 38.3°C of an infectious focus, and randomized into three groups: Intervention I - ice pack associated with antipyretic; Intervention II - warm compress associated with antipyretic; and Control - antipyretic. Tympanic temperature was measured at 15 minute intervals for 3 hours. The effect of the interventions was evaluated through the Mann-Whitney test and Survival Analysis. "Effect size" calculation was carried out. Patients in the intervention groups I and II presented greater reduction in body temperature. The group of patients receiving intervention I presented tympanic temperature below 38.3°C at 45 minutes of monitoring, while the value for control group was lower than 38.3°C starting at 60 minutes, and those who received intervention II had values lower than 38.3°C at 75 minutes of monitoring. No statistically significant difference was found between the interventions, but with the intervention group I patients showed greater reduction in tympanic temperature compared to the other groups. Brazilian Registry of Clinical Trials: RBR-2k3kbqEvaluar el efecto de métodos físicos (bolsa de hielo y compresa tibia) en la reducción de la temperatura corporal de pacientes críticos con fiebre. Ensayo clínico randomizado con 102 pacientes adultos y temperatura timpánica ≥ 38,3°C de foco infeccioso, aleatorizados en tres grupos: Intervención I ‒ bolsa de hielo asociada con antitérmico; Intervención II ‒ compresa tibia asociada con antitérmico; y Control ‒ antitérmico. La temperatura timpánica fue medida en intervalos de 15 minutos durante 3 horas. El efecto de las intervenciones fue evaluado por la prueba Mann-Whitney y Análisis de Supervivencia. Se hizo el cálculo del "Effect size". Los pacientes de los grupos Intervención I y II presentaron mayor reducción en la temperatura corporal. A partir de 45 minutos de seguimiento el grupo de pacientes que recibió la Intervención I presentó valor de la temperatura timpánica inferior a 38,3°C; los del grupo control, valor menor que 38,3°C a partir de 60 minutos; y los que recibieron la Intervención II, valor menor que 38,3°C con 75 minutos de seguimiento. No fue encontrada diferencia estadística significativa entre las intervenciones, sin embargo los pacientes del grupo Intervención I presentaron mayor reducción de la temperatura timpánica con relación a los demás grupos. Registro Brasileño de Ensayos Clínicos: RBR-2k3kbqengRevista da Escola de Enfermagem da USP50(5), p.823-830, Sept./Oct. 2016FeverCritical care nursingEvidence-based nursingEvaluation of results of therapeutic interventionsIntensive care unitsPhysical methods for the treatment of fever in critically ill patients: a randomized controlled trialinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfinfo:eu-repo/semantics/openAccessreponame:LOCUS Repositório Institucional da UFVinstname:Universidade Federal de Viçosa (UFV)instacron:UFVORIGINAL0080-6234-reeusp-50-05-0824.pdf0080-6234-reeusp-50-05-0824.pdftexto completoapplication/pdf482598https://locus.ufv.br//bitstream/123456789/12643/1/0080-6234-reeusp-50-05-0824.pdffbfc31bed617af5a2e7a24fbb5ea9fa7MD51LICENSElicense.txtlicense.txttext/plain; charset=utf-81748https://locus.ufv.br//bitstream/123456789/12643/2/license.txt8a4605be74aa9ea9d79846c1fba20a33MD52THUMBNAIL0080-6234-reeusp-50-05-0824.pdf.jpg0080-6234-reeusp-50-05-0824.pdf.jpgIM Thumbnailimage/jpeg4163https://locus.ufv.br//bitstream/123456789/12643/3/0080-6234-reeusp-50-05-0824.pdf.jpgdf2c8e4503d0b31f7bd462d66dd86029MD53123456789/126432017-10-31 22:01:11.908oai:locus.ufv.br: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Repositório InstitucionalPUBhttps://www.locus.ufv.br/oai/requestfabiojreis@ufv.bropendoar:21452017-11-01T01:01:11LOCUS Repositório Institucional da UFV - Universidade Federal de Viçosa (UFV)false
dc.title.en.fl_str_mv Physical methods for the treatment of fever in critically ill patients: a randomized controlled trial
title Physical methods for the treatment of fever in critically ill patients: a randomized controlled trial
spellingShingle Physical methods for the treatment of fever in critically ill patients: a randomized controlled trial
Salgado, Patrícia de Oliveira
Fever
Critical care nursing
Evidence-based nursing
Evaluation of results of therapeutic interventions
Intensive care units
title_short Physical methods for the treatment of fever in critically ill patients: a randomized controlled trial
title_full Physical methods for the treatment of fever in critically ill patients: a randomized controlled trial
title_fullStr Physical methods for the treatment of fever in critically ill patients: a randomized controlled trial
title_full_unstemmed Physical methods for the treatment of fever in critically ill patients: a randomized controlled trial
title_sort Physical methods for the treatment of fever in critically ill patients: a randomized controlled trial
author Salgado, Patrícia de Oliveira
author_facet Salgado, Patrícia de Oliveira
Silva, Ludmila Christiane Rosa da
Silva, Priscila Marinho Aleixo
Chianca, Tânia Couto Machado
author_role author
author2 Silva, Ludmila Christiane Rosa da
Silva, Priscila Marinho Aleixo
Chianca, Tânia Couto Machado
author2_role author
author
author
dc.contributor.author.fl_str_mv Salgado, Patrícia de Oliveira
Silva, Ludmila Christiane Rosa da
Silva, Priscila Marinho Aleixo
Chianca, Tânia Couto Machado
dc.subject.pt-BR.fl_str_mv Fever
Critical care nursing
Evidence-based nursing
Evaluation of results of therapeutic interventions
Intensive care units
topic Fever
Critical care nursing
Evidence-based nursing
Evaluation of results of therapeutic interventions
Intensive care units
description To evaluate the effects of physical methods of reducing body temperature (ice pack and warm compression) in critically ill patients with fever. A randomized clinical trial involving 102 adult patients with tympanic temperature ≥ 38.3°C of an infectious focus, and randomized into three groups: Intervention I - ice pack associated with antipyretic; Intervention II - warm compress associated with antipyretic; and Control - antipyretic. Tympanic temperature was measured at 15 minute intervals for 3 hours. The effect of the interventions was evaluated through the Mann-Whitney test and Survival Analysis. "Effect size" calculation was carried out. Patients in the intervention groups I and II presented greater reduction in body temperature. The group of patients receiving intervention I presented tympanic temperature below 38.3°C at 45 minutes of monitoring, while the value for control group was lower than 38.3°C starting at 60 minutes, and those who received intervention II had values lower than 38.3°C at 75 minutes of monitoring. No statistically significant difference was found between the interventions, but with the intervention group I patients showed greater reduction in tympanic temperature compared to the other groups. Brazilian Registry of Clinical Trials: RBR-2k3kbq
publishDate 2016
dc.date.issued.fl_str_mv 2016-09-23
dc.date.accessioned.fl_str_mv 2017-10-31T16:48:55Z
dc.date.available.fl_str_mv 2017-10-31T16:48:55Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1590/s0080-623420160000600016
http://www.locus.ufv.br/handle/123456789/12643
dc.identifier.issn.none.fl_str_mv 1980-220X
identifier_str_mv 1980-220X
url http://dx.doi.org/10.1590/s0080-623420160000600016
http://www.locus.ufv.br/handle/123456789/12643
dc.language.iso.fl_str_mv eng
language eng
dc.relation.ispartofseries.pt-BR.fl_str_mv 50(5), p.823-830, Sept./Oct. 2016
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dc.publisher.none.fl_str_mv Revista da Escola de Enfermagem da USP
publisher.none.fl_str_mv Revista da Escola de Enfermagem da USP
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