期刊刊名：南台學報 　 卷期：40卷1期

篇名出版日期：2015年3月1日

作者：黃建程,Chien-Cheng Huang

語言：English

關鍵字：Diabetes Mellitus,Fever,Geriatric,Glasgow Coma Scale,Mortality,糖尿病,發燒,老年,格拉斯哥昏迷量表,死亡

被點閱次數：4次

閱讀時間：16sec

摘要：
Evaluating geriatric patients with diabetes and fever is time-consuming and challenging in the emergency department (ED), and the literature does not contain much guidance regarding successful patient management strategies. Geriatric patients with diabetes mellitus who visited our hospital’s ED between June 1 and July 21, 2010, were automatically enrolled when they met one of the following fever-related criteria: a tympanic temperature ≥ 37.2°C or a baseline temperature elevated ≥ 1.3°C. We used 30-day mortality as the primary endpoint. Ninety-six patients were enrolled. The most common causes of fever were urinary tract infection, lower respiratory tract infection, fever without significant focus, upper respiratory tract infection, and intra-abdominal infection. A Glasgow Coma Scale (GCS) score ≤8, but not age, was independently associated with 30-day mortality. The 30-day mortality rate was 8.3%, and most of the patients died from sepsis. These findings may help physicians make decisions about geriatric patients with fever.

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