Threshold for defining fever varies with age, especially in children: A multi-site diagnostic accuracy study.
Nurs Open
; 8(5): 2705-2721, 2021 09.
Article
em En
| MEDLINE
| ID: mdl-33735515
ABSTRACT
AIM:
The American Academy of Pediatrics and the European Centre for Pediatric and Adolescent Medicine guideline define fever as a temperature >38.0°C for all ages and recommend use of rectal thermometers in children <3 years. Based on new literature, this definition of fever using a fixed threshold of 38.0°C needs to be re-examined.DESIGN:
A multi-site diagnostic accuracy study was conducted to compare an "age-based" threshold model with a "fixed" threshold over 38.0°C on a total of 894 patients of which 373 were ill.METHODS:
The "age-based" and "fixed" threshold fever determinations were then compared to a clinical categorization ("well" or "ill") conducted by a clinician through a comprehensive examination.RESULTS:
The sensitivity and accuracy for the age-based thresholds were found to be superior to the fixed thresholds in all ages and current ear thermometers were found equivalent to rectal thermometers in infants <6 months.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Termômetros
/
Temperatura Corporal
Tipo de estudo:
Diagnostic_studies
/
Guideline
/
Prognostic_studies
Limite:
Adolescent
/
Child
/
Humans
/
Infant
Idioma:
En
Revista:
Nurs Open
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Estados Unidos