TY - JOUR
T1 - Unexplained fever in the ED
T2 - Analysis of 139 patients
AU - Gur, Hanan
AU - Aviram, Ronen
AU - Or, Jacob
AU - Sidi, Yechezkel
PY - 2003/5
Y1 - 2003/5
N2 - This study examined consecutive patients with unexplained fever (UF) presenting to the ED to define their characteristics and to compare distinctive parameters between admitted and discharged patients. During a 3-month period, all adult patients presenting to the ED with UF were prospectively followed for 1 month. Of 139 patients with UF, 58 patients (42%) were admitted to the hospital, whereas 81 patients (58%) were discharged. Whereas most of the discharged patients had self-limited febrile disease and eventually recovered, the admitted patients had more unresolved fever, serious infections, or systemic diseases and a 5% mortality rate. The admitted patients were older, had more comorbidity, higher leukocyte count, and anemia, but not a higher degree of fever. Older age, comorbidity, leukocytosis, and anemia, but not higher degree of fever, should direct the decision toward admission of a patient with UF.
AB - This study examined consecutive patients with unexplained fever (UF) presenting to the ED to define their characteristics and to compare distinctive parameters between admitted and discharged patients. During a 3-month period, all adult patients presenting to the ED with UF were prospectively followed for 1 month. Of 139 patients with UF, 58 patients (42%) were admitted to the hospital, whereas 81 patients (58%) were discharged. Whereas most of the discharged patients had self-limited febrile disease and eventually recovered, the admitted patients had more unresolved fever, serious infections, or systemic diseases and a 5% mortality rate. The admitted patients were older, had more comorbidity, higher leukocyte count, and anemia, but not a higher degree of fever. Older age, comorbidity, leukocytosis, and anemia, but not higher degree of fever, should direct the decision toward admission of a patient with UF.
KW - ED
KW - Fever of unknown origin (FUO)
KW - Unexplained fever
UR - http://www.scopus.com/inward/record.url?scp=0037708487&partnerID=8YFLogxK
U2 - 10.1016/S0735-6757(03)00038-X
DO - 10.1016/S0735-6757(03)00038-X
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AN - SCOPUS:0037708487
VL - 21
SP - 230
EP - 235
JO - American Journal of Emergency Medicine
JF - American Journal of Emergency Medicine
SN - 0735-6757
IS - 3
ER -