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A Murine Model of Subarachnoid Hemorrhage
Published on: November 21, 2013
Temperature rhythm in aneurysmal subarachnoid hemorrhage.
Catherine J Kirkness1, Robert L Burr, Hilaire J Thompson
1Biobehavioral Nursing and Health Systems, University of Washington, 1959 NE Pacific Street, Health Sciences Building, Room T620A, Box 357266, Seattle, WA 98195-7266, USA. kirkness@u.washington.edu
Altered body temperature rhythms after cerebral aneurysm rupture are common and linked to worse outcomes. These temperature pattern changes offer predictive insights beyond initial neurological status.
Area of Science:
- Neurology
- Critical Care Medicine
- Physiology
Background:
- Temperature dysregulation is common after brain injury and linked to poor outcomes.
- Few studies have investigated temperature rhythms post-cerebral aneurysm rupture.
- Understanding these rhythms is crucial for managing patients.
Purpose of the Study:
- To describe diurnal temperature patterns in patients with ruptured cerebral aneurysms.
- To examine the association between temperature rhythm parameters and clinical factors.
- To assess the relationship with mortality and functional outcomes.
Main Methods:
- Cosinor analysis was used to estimate temperature mesor, amplitude, and acrophase.
- 86 patients hospitalized for acute management of cerebral aneurysms were studied.
- Associations with clinical condition, mortality, and 6-month outcomes were analyzed.
Main Results:
- Most patients had elevated temperature mesors and blunted amplitudes.
- Acrophases were widely dispersed, deviating from normative patterns.
- Altered cosinor parameters correlated with worse initial condition and poorer outcomes.
Conclusions:
- Abnormal temperature rhythm parameters predict outcomes beyond initial neurological status.
- Further research is needed to elucidate the pathophysiology of temperature dysregulation.
- Investigating temperature management strategies may improve patient outcomes.
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