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  1. Reliability of subjective fever in triage of adult patients.

    Article - En anglais

    Study objective 

    To determine whether a historical complaint of fever is predictive of fever on emergency department triage.

    Methods 

    We prospectively questioned 651 ambulatory adult patients in a military tertiary care emergency department as to whether they had fever before oral temperature was taken.

    Fever was defined as a temperature of 38°C (100.4°F) or greater.

    Results 

    Sensitivity and specificity were 83% (95% confidence interval [CI], 71% to 95%) and 83% (95% CI, 80% to 86%), respectively.

    The prevalence of objective fever was 6.4%, yielding positive and negative predictive values of 25% (95% CI, 18% to 32%) and 99% (95% CI, 93% to 100%), respectively.

    Overall accuracy was 83% (95% CI, 80% to 86%). Conclusion : In this study, outpatients were fairly accurate in predicting fever.

    However, in an outpatient population with a low overall prevalence of objective fever, the predictive value of a complaint of fever representing an objective fever remained low.

    Therefore the complaint of subjective fever should be interpreted with caution when it is used to support a given diagnosis in an ambulatory care setting.

    Mots-clés Pascal : Fièvre, Soin, Urgence, Aide diagnostic, Incidence, Service hospitalier, Epidémiologie, Homme

    Mots-clés Pascal anglais : Fever, Care, Emergency, Diagnostic aid, Incidence, Hospital ward, Epidemiology, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0308842

    Code Inist : 002B30A01A2. Création : 10/04/1997.