Evidence map›Paper›PMID 17026728›Full record

SynthesisJournal of general internal medicine2006

Brief report: incidence, etiology, risk factors, and outcome of hospital-acquired fever: a systematic, evidence-based review.

Daniel R Kaul, Scott A Flanders, James M Beck, Sanjay Saint

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of general internal medicine, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Pseudogout in an Acute-care Hospital: Hospitalists as the Key to Optimized Care.Journal of community hospital internal medicine perspectives · 2025
    Article
  5. Article
  6. [Fever in rheumatological diseases].Zeitschrift fur Rheumatologie · 2024
    Review
  7. Article
  8. Temperature control in sepsis.Frontiers in medicine · 2023
    Review
  9. Article
  10. Article
  11. Article
  12. Hospital-acquired fever in oriental medical hospitals.BMC health services research · 2018
    Article
  13. The pathophysiological basis and consequences of fever.Critical care (London, England) · 2016
    Review
  14. Drug-induced hyperthermia in critical care.Journal of the Intensive Care Society · 2015
    Review
  15. Getting hot and bothered….Journal of the Intensive Care Society · 2015
    Article
  16. Article
  17. Article
  18. Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Daniel R KaulDivision of Infectious Diseases, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI 48109-0378, USA. kauld@umich.edu
Scott A Flanders
James M Beck
Sanjay Saint

Funding

Targeting Interventions to Reduce ErrorsP20HS011540 · AHRQ · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HOFER, TIMOTHY P · 2001 to 2003
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AHRQ HHS P20 HS011540AHRQ HHS P20-HS11540
6 · The paper itself

Abstract

objectivesTemperature is universally measured in the hospitalized patient, but the literature on hospital-acquired fever has not been systematically reviewed. This systematic review is intended to provide clinicians with an overview of the incidence, etiology, and outcome of hospital-acquired fever. DATA SOURCES: We searched MEDLINE (1970 to 2005), EMBASE (1988 to 2004), and Web of Knowledge. References of all included articles were reviewed. Articles that focused on children, fever in the developing world, classic fever of unknown origin, or specialized patient populations were excluded. REVIEW

methodsArticles were reviewed independently by 2 authors before inclusion; a third author acted as arbiter.

resultsOf over 1,000 studies reviewed, 7 met the criteria for inclusion. The incidence of hospital-acquired fever ranged from 2% to 17%. The etiology of fever was infection in 37% to 74%. Rates of antibiotic use for patients with a noninfectious cause of fever ranged from 29% to 55% for a mean duration of 6.6 to 9.6 days. Studies varied widely in their methodology and the patient population studied.

conclusionsLimited information is available to guide an evidence-based approach to hospital-acquired fever. We propose criteria to help standardize future studies of this important clinical situation.

Indexed as

Cohort StudiesCross InfectionFeverHumansIncidenceOutcome Assessment, Health CareRisk FactorsTreatment Outcome

Identifiers

PMID17026728
PMCPMC1831668

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.