Threshold for defining fever varies with age, especially in children: A multi-site diagnostic accuracy study.
adult
age-based
body temperature
children
fever
infant
newborn
paediatrics
parents
sensitivity
specificity
thermometer
Journal
Nursing open
ISSN: 2054-1058
Titre abrégé: Nurs Open
Pays: United States
ID NLM: 101675107
Informations de publication
Date de publication:
09 2021
09 2021
Historique:
revised:
30
12
2020
received:
14
08
2020
accepted:
31
01
2021
pubmed:
19
3
2021
medline:
7
10
2021
entrez:
18
3
2021
Statut:
ppublish
Résumé
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. 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. 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. 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.
Identifiants
pubmed: 33735515
doi: 10.1002/nop2.831
pmc: PMC8363342
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
2705-2721Informations de copyright
© 2021 The Authors. Nursing Open published by John Wiley & Sons Ltd.
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