185: Subjective Fever Assessment in Children by Palpation – Are Fathers as Reliable as Mothers?
Notice bibliographique
Résumé
Fever as a chief complaint is one of the common presenting problems for the pediatric patient in the emergency department. Although previous studies have demonstrated reliability in mothers' tactile fever assessment, there are no studies that have investigated the reliability of such measurement in fathers. The objective of this study was to assess the reliability of fathers compared to mothers at detecting fever by palpation in their children. With Hospital Ethics Board approval, the inclusion criteria consisted of children zero to four years of age with both parents, and in stable condition, presenting to the emergency department with a complaint which included fever. After consent, parents were separated and blinded to one another. In addition to being asked for their demographic information and their usual methods of fever determination, each parent was also asked if their child currently had a fever, and if so, asked for an estimate of the temperature. Emergency department nurses then obtained a rectal temperature with consent. A total of 435 parents submitted complete forms. Sensitivity and specificity of mothers in identifying ‘any fever’ in their child by palpation were 84.5% and 44.9% respectively, and for fathers, 89.1% and 35.4%. For fevers greater than 39°C in triage, mothers' sensitivity and specificity in assigning a fever greater than 39°C by palpation were 48.4% and 76.5% respectively, and for fathers, 47.4% and 65.4%. In this latter category, fathers' specificity of assessment of fever greater than 39°C was significantly lower (P<0.05). As well, in both ‘any fever’ and fever greater than 39°C categories, unemployed participants were significantly inferior in their assessment compared to those working 20 to 60 h/week; odds ratio of 0.50 and 0.53 respectively. Fathers' specificity assessment of ‘high’ fevers was poorer compared to mothers' assessment. Furthermore, in groups of unemployed persons, regardless of degree of fever, this group performed inferiorly. Treating the description of tactile fevers as any diagnostic test, sensitivities greater than 80% by fathers and mothers indicates palpation to be a fairly good screening test. Therefore, dismissing a parent's report of fever by palpation is misguided.
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».