Linked Life Data

3225467

Source:http://linkedlifedata.com/resource/pubmed/id/3225467

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
10
pubmed:dateCreated
1989-4-6
pubmed:abstractText
We reviewed clinical evaluation practices and documentation of fever (greater than or equal to 100.2 degrees F) in all febrile patients over a two-month period in a hospital-based nursing home (HBNH) compared with a community-based nursing home (CBNH). Results showed 38 febrile (mean 101.9 degrees F) HBNH patients and 26 febrile (mean 101.5 degrees F) CBNH patients. Median time from fever onset to physician contact was 4 hours in HBNH and 12.5 hours in CBNH episodes (P less than 0.01). Laboratory studies were initially performed in 68% of HBNH and 31% of CBNH episodes (P less than 0.005), and diagnosis of fever source was documented in 76% of HBNH and 16% of CBNH episodes (P less than 0.005). Overall assessment stratification showed 81% febrile HBNH patients had both evaluation and therapy performed compared with 38% in CBNH (P less than 0.0001); 39% of febrile CBNH patients had no evaluation or therapy performed. Results indicate lack of documentation, and fever evaluation in CBNHs may preclude complete detection of nursing home-acquired infections and thereby hamper preventive responses to potential infection problems.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Oct
pubmed:issn
0899-823X
pubmed:author
pubmed:issnType
Print
pubmed:volume
9
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
447-50
pubmed:dateRevised
2007-11-14
pubmed:meshHeading
pubmed:year
1988
pubmed:articleTitle
Documentation and evaluation of fevers in hospital-based and community-based nursing homes.
pubmed:affiliation
Section of Infectious Disease, Zablocki Veterans Administration Medical Center, Milwaukee, WI 53295.
pubmed:publicationType
Journal Article, Comparative Study, Research Support, U.S. Gov't, P.H.S.