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  3. 13.The Relationship between the Intensity of Fever and Stroke Outcome at SKBZH/CMH Muzaffarabad
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13.The Relationship between the Intensity of Fever and Stroke Outcome at SKBZH/CMH Muzaffarabad

Munazza Nazir, Mudsar Hafiz, Isma Akram, Muhammad Sageer, Memona Farooq Rathore and Aimen Sohrab

ABSTRACT

Objective: The researchers wanted to discover how frequently and why acute stroke patients have fever, as well as any risk factors connected with it.

Study Design: Prospective study.

Place and Duration of Study: This study was conducted at the Department of Medicine, SKBZH/CMH Muzaffarabad AJK from January and December 2019.

Materials and Methods: This hospital-based study enrolled people who had an acute ischemic stroke to learn more about the pathogenesis. In this process, patients are examined. After an initial evaluation by an internist familiar with stroke treatment, patients are examined the next day by another neurologist. The patients admitted to the ER using the GCS and SSS (Scandinavian stroke scale). Patients are hospitalized for seven to 10 days after a first-day CT, second-day CT, and third-day MRI. A second CT scan determines the exact volume of the brain lesion. Holter monitoring, DSA, and transthoracic or transesophageal echocardiograms are all accessible. This is done using Rankin Scales and the Barthel Index.

Results: 37% of patients had a fever, 22.7 percent had a confirmed infection, and 14.8 percent had a fever but no other signs of sickness. Age was related with an increased risk of fever in univariate analysis (P <0.05). Excessive intracerebral haemorrhage was closely linked with fever, mass effect (transtentorial herniation), intraventricular blood, and severe infarct ischemia (P <0.05). Patients admitted with fever received lower Glasgow Coma Scale and Scandinavian Stroke Scale scores (P <0.05). Urethral catheterization was associated with pre-existing infection risk variables but not with fevers prior to the invasive procedure (P <0.05). The Barthel Index (P <0.05) and Modified Rankin Scales (P <0.05) both indicated lower scores in patients with fever (P <0.05). Multivariate research revealed a strong association between fever and age, the Scandinavian Stroke Scale score, and the mass effect. These individuals (P<0.05) were found to be more likely to develop a fever early in the course of their illness than those who were ill. In a logistic regression research, only fever without a proven disease (P <0.05) predicted fever.

Conclusion: Alternatively, individuals who have an acute stroke and afterwards develop a fever have suffered a severe stroke and/or undergone intrusive surgery. When your fever begins, the only method to determine if you're unwell is to check for an infection

Key Words: Intensity, Fever, Stroke, Muzaffarabad

Citation of article: Nazir M, Hafiz M, Akram I, Sageer M, Rathore MF, Sohrab A. The Relationship between the Intensity of Fever and Stroke Outcome at SKBZH/CMH Muzaffarabad. Med Forum 2022;33(4):54-58.