Incidence of Fever Following Endobronchial Ultrasound–Guided Transbronchial Needle Aspiration / 결핵및호흡기질환
Tuberculosis and Respiratory Diseases
; : 45-51, 2017.
Article
em En
| WPRIM
| ID: wpr-124434
Biblioteca responsável:
WPRO
ABSTRACT
BACKGROUND: Endobronchial ultrasound–guided transbronchial needle aspiration (EBUS-TBNA) is a minimally invasive diagnostic method for mediastinal and hilar lymphadenopathy. This study aimed to investigate the incidence of fever following EBUS-TBNA. METHODS: A total of 684 patients who underwent EBUS-TBNA from May 2010 to July 2012 at Seoul National University Hospital were retrospectively reviewed. The patients were evaluated for fever by a physician every 6–8 hours during the first 24 hours following EBUS-TBNA. Fever was defined as an increase in axillary body temperature over 37.8℃. RESULTS: Fever after EBUS-TBNA developed in 110 of 552 patients (20%). The median onset time and duration of fever was 7 hours (range, 0.5–32 hours) after EBUS-TBNA and 7 hours (range, 1–52 hours), respectively, and the median peak body temperature was 38.3℃ (range, 37.8–39.9℃). In most patients, fever subsided within 24 hours; however, six cases (1.1%) developed fever lasting longer than 24 hours. Infectious complications developed in three cases (0.54%) (pneumonia, 2; mediastinal abscess, 1), and all three patients had diabetes mellitus. The number or location of sampled lymph nodes and necrosis of lymph node were not associated with fever after EBUS-TBNA. Multiple logistic regression analysis did not reveal any risk factors for developing fever after EBUS-TBNA. CONCLUSION: Fever is relatively common after EBUS-TBNA, but is transient in most patients. However, clinicians should be aware of the possibility of infectious complications among patients with diabetes mellitus.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Temperatura Corporal
/
Modelos Logísticos
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Incidência
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Estudos Retrospectivos
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Fatores de Risco
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Diabetes Mellitus
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Abscesso
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Febre
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Aspiração por Agulha Fina Guiada por Ultrassom Endoscópico
/
Seul
Tipo de estudo:
Etiology_studies
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Incidence_studies
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Observational_studies
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Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
País/Região como assunto:
Asia
Idioma:
En
Revista:
Tuberculosis and Respiratory Diseases
Ano de publicação:
2017
Tipo de documento:
Article