Analysis of Risk Factors of Fever among Inpatients in Rehabilitation Department Based on Lasso Regression Analysis

Ling Liu,Yitao Mao,Jiayi Wang,Yu Chen,Yingxue Zhong,Zhiwei Mou,Chunhua Wang

doi:10.4236/jbm.2020.85012

Abstract

Purpose: To explore the fever-related risk factors of inpatients in Rehabilitation Department, and to provide reference for patients with high risk of fever to take corresponding nursing measures. Methods: The study was conducted on the Rehabilitation Department of The First Affiliated Hospital of Jinan University from July 2019 to December 2019. The fever group included 51 patients and the non-fever group included 49 patients without fever. The two groups of clinical data, comorbidities, related laboratory values, possible risk factors of fever were analyzed by case regression analysis, and the relevant risk factors were screened out by LASSO (least absolute shrinkage and selection operator) regression analysis. Results: According to the results of Lasso regression analysis, pressure sore or skin infection, history of hypertension, current history of respiratory tract infection, feeding patterns were the higher risk factors of fever in inpatients in Rehabilitation Department, while the first course of disease, main diagnosis, history of respiratory tract infection within half a year, kidney damage and hospitalization days were lower risk factors. Conclusion: This study is helpful to early identify the fever risk of inpatients in Rehabilitation Department, and provide reference basis for high-risk fever patients to take positive and effective nursing measures.

Highlights

Body temperature is an objective reflection of the internal activities of the body and an important indicator of vital signs
The two groups of clinical data, comorbidities, related laboratory values, possible risk factors of fever were analyzed by case regression analysis, and the relevant risk factors were screened out by LASSO regression analysis
The results of this study show that there is a correlation between pressure sores or skin infections and fever in inpatients in the Rehabilitation Department, that is, patients with pressure sores or skin infections are more likely to develop fever

Summary

Introduction

Body temperature is an objective reflection of the internal activities of the body and an important indicator of vital signs. The number of patients in the rehabilitation ward is increasing year by year, and most of the patients in the Rehabilitation Department come from other hospitals, with many complications, long hospitalization time, low immune function and low self-care ability [2]. All of these are easy to cause nosocomial infection and increase the risk of fever. Fever will lead to the disorder of the internal environment of the body, and even affect the prognosis of the disease, which brings great trouble to clinical treatment and nursing care

Results

Discussion

Conclusion