{"id":"https://openalex.org/W756533304","doi":"https://doi.org/10.14442/general.16.84","title":"Causes of New Onset Fever among Hospitalized Patients and Predictors for In-Hospital Mortality in a Teaching Hospital in Japan","display_name":"Causes of New Onset Fever among Hospitalized Patients and Predictors for In-Hospital Mortality in a Teaching Hospital in Japan","publication_year":2015,"publication_date":"2015-01-01","ids":{"openalex":"https://openalex.org/W756533304","doi":"https://doi.org/10.14442/general.16.84","mag":"756533304"},"language":"en","primary_location":{"id":"doi:10.14442/general.16.84","doi":"https://doi.org/10.14442/general.16.84","is_oa":true,"landing_page_url":"https://doi.org/10.14442/general.16.84","pdf_url":null,"source":{"id":"https://openalex.org/S4210221025","display_name":"General Medicine","issn_l":"1346-0072","issn":["1346-0072","1883-6011"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"General Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.14442/general.16.84","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5046067336","display_name":"Kohta Katayama","orcid":"https://orcid.org/0000-0001-8076-7188","observed_orcids":["https://orcid.org/0000-0001-8076-7188"]},"institutions":[{"id":"https://openalex.org/I146399215","display_name":"University of Tsukuba","ror":"https://ror.org/02956yf07","country_code":"JP","type":"education","lineage":["https://openalex.org/I146399215"]},{"id":"https://openalex.org/I4405256059","display_name":"Mito Kyodo General Hospital","ror":"https://ror.org/03qd78f09","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405256059"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Kohta Katayama","raw_affiliation_strings":["Mito Kyodo General Hospital, University of Tsukuba"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mito Kyodo General Hospital, University of Tsukuba","institution_ids":["https://openalex.org/I146399215","https://openalex.org/I4405256059"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002801923","display_name":"Manami Suzuki","orcid":"https://orcid.org/0000-0002-7504-9680","observed_orcids":["https://orcid.org/0000-0002-7504-9680"]},"institutions":[{"id":"https://openalex.org/I146399215","display_name":"University of Tsukuba","ror":"https://ror.org/02956yf07","country_code":"JP","type":"education","lineage":["https://openalex.org/I146399215"]},{"id":"https://openalex.org/I4405256059","display_name":"Mito Kyodo General Hospital","ror":"https://ror.org/03qd78f09","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405256059"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Manami Suzuki","raw_affiliation_strings":["Mito Kyodo General Hospital, University of Tsukuba"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mito Kyodo General Hospital, University of Tsukuba","institution_ids":["https://openalex.org/I146399215","https://openalex.org/I4405256059"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Yukiko Seki","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I146399215","display_name":"University of Tsukuba","ror":"https://ror.org/02956yf07","country_code":"JP","type":"education","lineage":["https://openalex.org/I146399215"]},{"id":"https://openalex.org/I4405256059","display_name":"Mito Kyodo General Hospital","ror":"https://ror.org/03qd78f09","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405256059"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Yukiko Seki","raw_affiliation_strings":["Mito Kyodo General Hospital, University of Tsukuba"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mito Kyodo General Hospital, University of Tsukuba","institution_ids":["https://openalex.org/I146399215","https://openalex.org/I4405256059"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5042537742","display_name":"Nanami Mori","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I146399215","display_name":"University of Tsukuba","ror":"https://ror.org/02956yf07","country_code":"JP","type":"education","lineage":["https://openalex.org/I146399215"]},{"id":"https://openalex.org/I4405256059","display_name":"Mito Kyodo General Hospital","ror":"https://ror.org/03qd78f09","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405256059"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Nanami Mori","raw_affiliation_strings":["Mito Kyodo General Hospital, University of Tsukuba"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mito Kyodo General Hospital, University of Tsukuba","institution_ids":["https://openalex.org/I146399215","https://openalex.org/I4405256059"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Takao Kanai","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I146399215","display_name":"University of Tsukuba","ror":"https://ror.org/02956yf07","country_code":"JP","type":"education","lineage":["https://openalex.org/I146399215"]},{"id":"https://openalex.org/I4405256059","display_name":"Mito Kyodo General Hospital","ror":"https://ror.org/03qd78f09","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405256059"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Takao Kanai","raw_affiliation_strings":["Mito Kyodo General Hospital, University of Tsukuba"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mito Kyodo General Hospital, University of Tsukuba","institution_ids":["https://openalex.org/I146399215","https://openalex.org/I4405256059"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5036014752","display_name":"Yasuharu Tokuda","orcid":"https://orcid.org/0000-0002-9325-7934","observed_orcids":["https://orcid.org/0000-0002-9325-7934"]},"institutions":[{"id":"https://openalex.org/I4210132540","display_name":"Japan Community Healthcare Organization","ror":"https://ror.org/03q11y497","country_code":"JP","type":"government","lineage":["https://openalex.org/I4210132540"]},{"id":"https://openalex.org/I4405284842","display_name":"Tokyo Joto Hospital","ror":"https://ror.org/049vc1w70","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210132540","https://openalex.org/I4405284842"]}],"countries":["JP"],"is_corresponding":true,"raw_author_name":"Yasuharu Tokuda","raw_affiliation_strings":["Department of Medicine, JCHO Tokyo Joto Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, JCHO Tokyo Joto Hospital","institution_ids":["https://openalex.org/I4210132540","https://openalex.org/I4405284842"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5036014752"],"corresponding_institution_ids":["https://openalex.org/I4210132540","https://openalex.org/I4405284842"],"apc_list":null,"apc_paid":null,"fwci":0.2671,"has_fulltext":false,"cited_by_count":3,"citation_normalized_percentile":{"value":0.59561962,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":87,"max":93},"biblio":{"volume":"16","issue":"2","first_page":"84","last_page":"89"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10218","display_name":"Sepsis Diagnosis and Treatment","score":0.9541000127792358,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10218","display_name":"Sepsis Diagnosis and Treatment","score":0.9541000127792358,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11861","display_name":"Thermal Regulation in Medicine","score":0.03500000014901161,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13374","display_name":"Hematological disorders and diagnostics","score":0.0017999999690800905,"subfield":{"id":"https://openalex.org/subfields/2720","display_name":"Hematology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/hospitalized-patients","display_name":"hospitalized patients","score":0.8259999752044678},{"id":"https://openalex.org/keywords/in-hospital-mortality","display_name":"in-hospital mortality","score":0.9879999756813049},{"id":"https://openalex.org/keywords/risk-factors-for-mortality","display_name":"mortality risk factors","score":0.7070000171661377},{"id":"https://openalex.org/keywords/infectious-causes-of-fever","display_name":"infectious causes of fever","score":0.7480000257492065},{"id":"https://openalex.org/keywords/respiratory-tract-infections","display_name":"respiratory infections","score":0.953000009059906},{"id":"https://openalex.org/keywords/urinary-tract-infection","display_name":"urinary tract infection","score":1.0},{"id":"https://openalex.org/keywords/neoplastic-fever","display_name":"neoplastic fever","score":0.843999981880188},{"id":"https://openalex.org/keywords/drug-fever","display_name":"drug fever","score":0.8379999995231628},{"id":"https://openalex.org/keywords/inflammatory-diseases","display_name":"inflammatory diseases","score":0.7820000052452087},{"id":"https://openalex.org/keywords/vital-signs","display_name":"vital signs","score":0.8399999737739563},{"id":"https://openalex.org/keywords/hypotension","display_name":"hypotension","score":0.8529999852180481},{"id":"https://openalex.org/keywords/tachycardia","display_name":"tachycardia","score":0.9940000176429749},{"id":"https://openalex.org/keywords/tachypnea","display_name":"tachypnea","score":0.9980000257492065}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8643747568130493},{"id":"https://openalex.org/C2778312941","wikidata":"https://www.wikidata.org/wiki/Q570920","display_name":"Tachypnea","level":3,"score":0.7414810061454773},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.6056974530220032},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.5676187872886658},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.5668289065361023},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.5188023447990417},{"id":"https://openalex.org/C2779310458","wikidata":"https://www.wikidata.org/wiki/Q1405631","display_name":"Fever of unknown origin","level":2,"score":0.48755329847335815},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.4271126985549927},{"id":"https://openalex.org/C2776012195","wikidata":"https://www.wikidata.org/wiki/Q754447","display_name":"Respiratory tract infections","level":3,"score":0.4260998070240021},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.39487209916114807},{"id":"https://openalex.org/C2780283014","wikidata":"https://www.wikidata.org/wiki/Q209583","display_name":"Tachycardia","level":2,"score":0.36942440271377563},{"id":"https://openalex.org/C534529494","wikidata":"https://www.wikidata.org/wiki/Q7891","display_name":"Respiratory system","level":2,"score":0.21700528264045715}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.14442/general.16.84","doi":"https://doi.org/10.14442/general.16.84","is_oa":true,"landing_page_url":"https://doi.org/10.14442/general.16.84","pdf_url":null,"source":{"id":"https://openalex.org/S4210221025","display_name":"General Medicine","issn_l":"1346-0072","issn":["1346-0072","1883-6011"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"General Medicine","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.14442/general.16.84","doi":"https://doi.org/10.14442/general.16.84","is_oa":true,"landing_page_url":"https://doi.org/10.14442/general.16.84","pdf_url":null,"source":{"id":"https://openalex.org/S4210221025","display_name":"General Medicine","issn_l":"1346-0072","issn":["1346-0072","1883-6011"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"General Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":12,"referenced_works":["https://openalex.org/W127305188","https://openalex.org/W1796131488","https://openalex.org/W1993320924","https://openalex.org/W2051342726","https://openalex.org/W2068608989","https://openalex.org/W2073578815","https://openalex.org/W2088628064","https://openalex.org/W2129028806","https://openalex.org/W2132069206","https://openalex.org/W2155800098","https://openalex.org/W2461241141","https://openalex.org/W2613785804"],"related_works":["https://openalex.org/W3200349423","https://openalex.org/W2944932939","https://openalex.org/W4210805556","https://openalex.org/W2159109866","https://openalex.org/W2013577657","https://openalex.org/W2045321287","https://openalex.org/W2093732242","https://openalex.org/W2080935305","https://openalex.org/W1481904653","https://openalex.org/W2064433128"],"abstract_inverted_index":{"Background:":[0],"New":[1],"onset":[2,47,86,247],"fever":[3,80,115,175,234,248,253],"is":[4],"a":[5,15,36,62,125,146,231],"common":[6,156],"symptom":[7],"among":[8,81,95,160],"hospitalized":[9],"patients":[10,44,83,132,162],"and":[11,26,119,181,220,262,269],"it":[12],"may":[13],"be":[14],"manifestation":[16],"of":[17,50,79,114,127,148,158,199,233,243,266],"fatal":[18],"illnesses":[19],"such":[20],"as":[21,230],"infection.":[22,171],"However,":[23],"its":[24],"epidemiology":[25],"predictors":[27,91,99],"for":[28,92,173],"mortality":[29,94,185],"have":[30],"not":[31,236],"been":[32],"fully":[33],"determined":[34,76],"in":[35,150],"Japanese":[37],"teaching":[38],"hospital.":[39],"Methods:":[40],"We":[41,75,88],"investigated":[42],"adult":[43],"with":[45,84,145,188,195,206,214,223,238,245],"new":[46,85,246],"elevated":[48],"temperature":[49],"37.5":[51],"degrees":[52],"Celsius":[53],"or":[54],"greater":[55],"the":[56,67,77,112],"3rd":[57],"day":[58],"after":[59],"admission":[60],"during":[61],"4-month":[63],"study":[64],"period.":[65],"Only":[66],"first,":[68],"single":[69],"episode":[70],"per":[71],"patient":[72],"was":[73,163,186,235,254],"analyzed.":[74],"causes":[78],"these":[82,96,137],"fever.":[87,135,183,264],"also":[89,255],"analyzed":[90],"in-hospital":[93,275],"patients.":[97,153],"These":[98],"were":[100,272],"based":[101],"on":[102],"multivariable":[103],"adjusted":[104],"logistic":[105],"regression":[106],"using":[107],"demographics,":[108],"vital":[109,267],"signs":[110,268],"at":[111],"time":[113],"onset,":[116],"baseline":[117],"diseases,":[118,178,180,251,259],"basic":[120],"laboratory":[121],"data.":[122],"Results:":[123],"From":[124],"total":[126],"2,271":[128],"admitted":[129,152],"patients,":[130,139],"126":[131],"(5.6%)":[133],"developed":[134],"Among":[136],"febrile":[138],"98":[140],"(78%)":[141],"had":[142,249],"infectious":[143,250],"diseases":[144,261],"prevalence":[147],"4.3%":[149],"all":[151],"The":[154,241],"most":[155],"cause":[157,232],"infection":[159],"those":[161],"respiratory":[164],"tract":[165,170],"infection,":[166],"followed":[167],"by":[168,257],"urinary":[169],"Causes":[172],"non-infectious":[174],"included":[176],"neoplastic":[177,221,258,270],"inflammatory":[179,260],"drug":[182,263],"In-hospital":[184],"associated":[187,237],"lower":[189],"mean":[190],"blood":[191],"pressure":[192],"<60":[193],"mmHg":[194],"odds":[196],"ratio":[197],"(OR)":[198],"12.7":[200],"(95%":[201,209,217,226],"CI,":[202,210,218,227],"1.3\u2013121),":[203],"tachycardia":[204],">90/min":[205],"OR":[207,215,224],"4.1":[208,225],"1.2\u201313.5),":[211],"tachypnea":[212],">20/min":[213],"10.0":[216],"2.8\u201335.2),":[219],"disease":[222,271],"1.3\u201313.1).":[228],"Infection":[229],"mortality.":[239,276],"Conclusion:":[240],"majority":[242],"inpatients":[244],"however":[252],"caused":[256],"Abnormality":[265],"related":[273],"to":[274]},"counts_by_year":[{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2018,"cited_by_count":1}],"updated_date":"2026-10-09T09:14:12.587421","created_date":"2016-06-24T00:00:00"}
