Fever Clinical Trial
Official title:
The Fever and Antipyretic in Critically Illness Evaluation Study
The purpose of this multination multicenter observational study is to determine the impact of fever and antipyretic on outcomes in critically ill patients.
Fever is common in critically ill patients.Antipyretic therapy for fever is routinely
performed in intensive care.There are studies to assess the relationship between fever and
mortality in non-neurological ICU. However, all of them did not have any information of
antipyretic therapy. There are two small, single center RCT, which suggested a potential
risk for antipyretic therapy. Thus, a large RCT might be ethically difficult.
It is unfortunate that there is not enough information on how the investigators should
control body temperature in non-neurological critically ill patients, because fever is a
very common physiological abnormality in this cohort. From the beginning, it would,
therefore, be desirable to understand several aspects of fever and antipyretic therapy in
ICU patients, as 1)How often fever occurs in our ICUs, 2)To what degree fever is
independently associated with mortality?, 3)How often antipyretic therapy is prescribed?,
4)How effectively antipyretic can decrease temperature?, 5)How different is lowering
temperature with medications compared with cooling?, 6)To what degree antipyretic is
independently associated with mortality?
Thus, the investigators plan to address these questions by conducting a multi-national
multi-center prospective observational trial, named "The Fever and Antipyretic in Critically
illness evaluation study" (The FACE study)
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Observational Model: Case Control, Time Perspective: Prospective
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