Physical methods for the treatment of fever in critically ill patients: a randomized controlled trial
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , |
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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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 |
_version_ |
1748936538660536320 |