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Papers of the Week


2020 Oct 31


Cochrane Database Syst Rev


10

Interventions to reduce body temperature to 35 ⁰C to 37 ⁰C in adults and children with traumatic brain injury.

Authors

Lewis SR, Baker PE, Andrews P J, Cheng A, Deol K, Hammond N, Saxena M
Cochrane Database Syst Rev. 2020 Oct 31; 10:CD006811.
PMID: 33126293.

Abstract

Traumatic brain injury (TBI) is a major cause of death and disability, with an estimated 5.5 million people experiencing severe TBI worldwide every year. Observational clinical studies of people with TBI suggest an association between raised body temperature and unfavourable outcome, although this relationship is inconsistent. Additionally, preclinical models suggest that reducing temperature to 35 °C to 37.5 °C improves biochemical and histopathological outcomes compared to reducing temperature to a lower threshold of 33 °C to 35 °C. It is unknown whether reducing body temperature to 35 °C to 37.5 °C in people admitted to hospital with TBI is beneficial, has no effect, or causes harm. This is an update of a review last published in 2014.