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Incidence of Fever Following Endobronchial Ultrasound–Guided Transbronchial Needle Aspiration

BACKGROUND: Endobronchial ultrasound–guided transbronchial needle aspiration (EBUS-TBNA) is a minimally invasive diagnostic method for mediastinal and hilar lymphadenopathy. This study aimed to investigate the incidence of fever following EBUS-TBNA. METHODS: A total of 684 patients who underwent EBU...

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Autores principales: Kim, Seo Yun, Lee, Jin woo, Park, Young Sik, Lee, Chang-Hoon, Lee, Sang-Min, Yim, Jae-Joon, Kim, Young Whan, Han, Sung Koo, Yoo, Chul-Gyu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Academy of Tuberculosis and Respiratory Diseases 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5256340/
https://www.ncbi.nlm.nih.gov/pubmed/28119746
http://dx.doi.org/10.4046/trd.2017.80.1.45
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author Kim, Seo Yun
Lee, Jin woo
Park, Young Sik
Lee, Chang-Hoon
Lee, Sang-Min
Yim, Jae-Joon
Kim, Young Whan
Han, Sung Koo
Yoo, Chul-Gyu
author_facet Kim, Seo Yun
Lee, Jin woo
Park, Young Sik
Lee, Chang-Hoon
Lee, Sang-Min
Yim, Jae-Joon
Kim, Young Whan
Han, Sung Koo
Yoo, Chul-Gyu
author_sort Kim, Seo Yun
collection PubMed
description BACKGROUND: Endobronchial ultrasound–guided transbronchial needle aspiration (EBUS-TBNA) is a minimally invasive diagnostic method for mediastinal and hilar lymphadenopathy. This study aimed to investigate the incidence of fever following EBUS-TBNA. METHODS: A total of 684 patients who underwent EBUS-TBNA from May 2010 to July 2012 at Seoul National University Hospital were retrospectively reviewed. The patients were evaluated for fever by a physician every 6–8 hours during the first 24 hours following EBUS-TBNA. Fever was defined as an increase in axillary body temperature over 37.8℃. RESULTS: Fever after EBUS-TBNA developed in 110 of 552 patients (20%). The median onset time and duration of fever was 7 hours (range, 0.5–32 hours) after EBUS-TBNA and 7 hours (range, 1–52 hours), respectively, and the median peak body temperature was 38.3℃ (range, 37.8–39.9℃). In most patients, fever subsided within 24 hours; however, six cases (1.1%) developed fever lasting longer than 24 hours. Infectious complications developed in three cases (0.54%) (pneumonia, 2; mediastinal abscess, 1), and all three patients had diabetes mellitus. The number or location of sampled lymph nodes and necrosis of lymph node were not associated with fever after EBUS-TBNA. Multiple logistic regression analysis did not reveal any risk factors for developing fever after EBUS-TBNA. CONCLUSION: Fever is relatively common after EBUS-TBNA, but is transient in most patients. However, clinicians should be aware of the possibility of infectious complications among patients with diabetes mellitus.
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spelling pubmed-52563402017-01-24 Incidence of Fever Following Endobronchial Ultrasound–Guided Transbronchial Needle Aspiration Kim, Seo Yun Lee, Jin woo Park, Young Sik Lee, Chang-Hoon Lee, Sang-Min Yim, Jae-Joon Kim, Young Whan Han, Sung Koo Yoo, Chul-Gyu Tuberc Respir Dis (Seoul) Original Article BACKGROUND: Endobronchial ultrasound–guided transbronchial needle aspiration (EBUS-TBNA) is a minimally invasive diagnostic method for mediastinal and hilar lymphadenopathy. This study aimed to investigate the incidence of fever following EBUS-TBNA. METHODS: A total of 684 patients who underwent EBUS-TBNA from May 2010 to July 2012 at Seoul National University Hospital were retrospectively reviewed. The patients were evaluated for fever by a physician every 6–8 hours during the first 24 hours following EBUS-TBNA. Fever was defined as an increase in axillary body temperature over 37.8℃. RESULTS: Fever after EBUS-TBNA developed in 110 of 552 patients (20%). The median onset time and duration of fever was 7 hours (range, 0.5–32 hours) after EBUS-TBNA and 7 hours (range, 1–52 hours), respectively, and the median peak body temperature was 38.3℃ (range, 37.8–39.9℃). In most patients, fever subsided within 24 hours; however, six cases (1.1%) developed fever lasting longer than 24 hours. Infectious complications developed in three cases (0.54%) (pneumonia, 2; mediastinal abscess, 1), and all three patients had diabetes mellitus. The number or location of sampled lymph nodes and necrosis of lymph node were not associated with fever after EBUS-TBNA. Multiple logistic regression analysis did not reveal any risk factors for developing fever after EBUS-TBNA. CONCLUSION: Fever is relatively common after EBUS-TBNA, but is transient in most patients. However, clinicians should be aware of the possibility of infectious complications among patients with diabetes mellitus. The Korean Academy of Tuberculosis and Respiratory Diseases 2017-01 2016-12-30 /pmc/articles/PMC5256340/ /pubmed/28119746 http://dx.doi.org/10.4046/trd.2017.80.1.45 Text en Copyright©2017. The Korean Academy of Tuberculosis and Respiratory Diseases. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ It is identical to the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/)
spellingShingle Original Article
Kim, Seo Yun
Lee, Jin woo
Park, Young Sik
Lee, Chang-Hoon
Lee, Sang-Min
Yim, Jae-Joon
Kim, Young Whan
Han, Sung Koo
Yoo, Chul-Gyu
Incidence of Fever Following Endobronchial Ultrasound–Guided Transbronchial Needle Aspiration
title Incidence of Fever Following Endobronchial Ultrasound–Guided Transbronchial Needle Aspiration
title_full Incidence of Fever Following Endobronchial Ultrasound–Guided Transbronchial Needle Aspiration
title_fullStr Incidence of Fever Following Endobronchial Ultrasound–Guided Transbronchial Needle Aspiration
title_full_unstemmed Incidence of Fever Following Endobronchial Ultrasound–Guided Transbronchial Needle Aspiration
title_short Incidence of Fever Following Endobronchial Ultrasound–Guided Transbronchial Needle Aspiration
title_sort incidence of fever following endobronchial ultrasound–guided transbronchial needle aspiration
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5256340/
https://www.ncbi.nlm.nih.gov/pubmed/28119746
http://dx.doi.org/10.4046/trd.2017.80.1.45
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