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: Revista da Escola de Enfermagem da USP (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342016000500823
Resumo: Abstract OBJECTIVE To evaluate the effects of physical methods of reducing body temperature (ice pack and warm compression) in critically ill patients with fever. METHOD 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. RESULTS 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. CONCLUSION 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 Physical methods for the treatment of fever in critically ill patients: a randomized controlled trialFeverCritical Care NursingEvidence-Based NursingEvaluation of Results of Therapeutic InterventionsIntensive Care UnitsAbstract OBJECTIVE To evaluate the effects of physical methods of reducing body temperature (ice pack and warm compression) in critically ill patients with fever. METHOD 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. RESULTS 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. CONCLUSION 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-2k3kbqUniversidade de São Paulo, Escola de Enfermagem2016-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342016000500823Revista da Escola de Enfermagem da USP v.50 n.5 2016reponame:Revista da Escola de Enfermagem da USP (Online)instname:Universidade de São Paulo (USP)instacron:USP10.1590/s0080-623420160000600016info:eu-repo/semantics/openAccessSalgado,Patrícia de OliveiraSilva,Ludmila Christiane Rosa daSilva,Priscila Marinho AleixoChianca,Tânia Couto Machadoeng2016-12-01T00:00:00Zoai:scielo:S0080-62342016000500823Revistahttp://www.scielo.br/reeuspPUBhttps://old.scielo.br/oai/scielo-oai.php||nursingscholar@usp.br1980-220X0080-6234opendoar:2016-12-01T00:00Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP)false
dc.title.none.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.por.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 Abstract OBJECTIVE To evaluate the effects of physical methods of reducing body temperature (ice pack and warm compression) in critically ill patients with fever. METHOD 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. RESULTS 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. CONCLUSION 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.none.fl_str_mv 2016-10-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342016000500823
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342016000500823
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/s0080-623420160000600016
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Universidade de São Paulo, Escola de Enfermagem
publisher.none.fl_str_mv Universidade de São Paulo, Escola de Enfermagem
dc.source.none.fl_str_mv Revista da Escola de Enfermagem da USP v.50 n.5 2016
reponame:Revista da Escola de Enfermagem da USP (Online)
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista da Escola de Enfermagem da USP (Online)
collection Revista da Escola de Enfermagem da USP (Online)
repository.name.fl_str_mv Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP)
repository.mail.fl_str_mv ||nursingscholar@usp.br
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