TABLE 1.
Study design | Patients | Number of patients | Therapeutic intervention | Findings | References |
---|---|---|---|---|---|
Prospective uncontrolled interventional trial | Gonococcal infections | 100 | Hyperthermia chambers, warming to 41°C for 5 h, 3–4 sessions | 81% cure rate in patients who completed the treatment; 24% did not complete due to non-tolerance, 12% did not complete due to comorbidities | Owens |
(Owens, 1936) | |||||
Case series | Community-acquired bacterial meningitis | 10 | Induced hypothermia (32°C–34°C). | 6 out of 10 patients survived | Lepur et al. (2011) |
Multicenter RCT | Community-acquired bacterial meningitis | 98 | Hypothermia group (32°C–34°C) vs standard care | Trial stopped early because of higher mortality in the hypothermia group (51% vs. 31%, p = 0.04) | Mourvillier et al. (2013) |
Multicenter RCT | Severe sepsis or septic shock | 436 | Hypothermia group (32°C–34°C) vs standard care | Trial stopped early for futility. Higher mortality in the hypothermia group (44.2% vs. 35.8%, p = 0.07) | Itenov et al. (2018) |
Multicenter RCT | Known or suspected infection receiving antimicrobial therapy | 700 | Acetaminophen group vs placebo group | Early administration of acetaminophen to treat fever due to probable infection did not affect the number of ICU-free days | Young et al. (2015) |
Single-center retrospective study | Mechanically ventilated septic adults | 76 | Lower vs higher temperature group | No differences in use of vasopressors, parameters of mechanical ventilation or survival, significantly greater use of paracetamol, esophageal cooling and acquisition of MDRP in the low temperature group | Markota et al. (2022) |
Pilot RCT | Mechanically ventilated afebrile septic adults | 56 | Forced-air warming of critically ill afebrile patients (1.5°C above the lowest temperature documented) | External warming had lower 28-day mortality (18% vs 43%, p = ) | Drewry et al. (2022) |
Legend: RCT, randomized controlled trial; ICU, intensive care unit; MDRP, multiple-drug resistant pathogen.