Neuroanesthesia & neurocritical care

Impact of fever on the outcome non-anoxic acute brain injury patients: a systematic review and meta-analysis

Crit CarePublished Systematic review and meta-analysis of observational studies, interventional studies and randomised clinical trials

Authors' conclusion

Fever was associated with poor neurological outcomes and mortality in patients with acute brain injury.

Study context

Population
Acute brain injury patients (non-anoxic) with body temperature/fever data during intensive care unit (ICU) admission
Participants
460,825 patients · 180 studies
Comparison
Fever vs no fever
Outcome
Neurological outcome and mortality
Follow-up
At any time
Methodological detailsretrospective and prospective observational studies included
  • Retrospective and prospective observational studies included

Pooled result

As reported in the abstract

Fever vs No feverPooled odds ratio (95% CI)
Unfavorable neurological outcome; I2:92%
2.37(2.08–2.71)
Death; I2:93%
1.31(1.28–1.34)

Further pooled results

OutcomePooled OR (95% CI)
Neurological deterioration1.10 (1.05–1.15)
DCI (SAH)1.96 (1.73–2.22)
Large infarct size2.94 (2.90–2.98)
Hemorrhagic transformation (ischemic stroke)1.63 (1.34–1.97)
Large hemorrhagic volume2.38 (1.94–2.93)

Original publication

Impact of fever on the outcome non-anoxic acute brain injury patients: a systematic review and meta-analysis. Crit Care. Published 13 November 2024. doi:10.1186/s13054-024-05132-6

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