Subjective assessment of fever by parents : Comparison with measurement by noncontact tympanic thermometer and calibrated rectal glass mercury thermometer.
To assess the ability of parents to subjectively evaluate their children for fever and to compare their assessments with temperature measurements made with the use of a noncontact tympanic (NCT) or rectal glass mercury thermometer.
A secondary goal was to assess how well a recently developed definition of fever for NCT thermometers, when used in the ear-equivalent mode (temperature of 37.7° C or more), performed in a clinical situation.
This 6-month prospective observational study employed a convenience sample of 180 children, aged birth to 4 years, who presented to the emergency department of a tertiary care children's hospital.
Parents were asked to subjectively assess whether their child had a fever.
The child's temperature was then measured with an NCT thermometer (three times in the rectal-equivalent mode and three times in the actual-ear mode).
Both the subjective assessment and the NCT temperatures were compared with the rectal temperature measured by a rectal glass mercury thermometer.
The mean age of participants was 14.6±11.8 months (range, 2 days to 48 months) ; 56% were boys.
The sensitivity of parental detection of fever by subjective means was 81.8% and the specificity 76.5%. The parent and the rectal glass thermometer agreed 79% of the time (95% confidence interval [Cl], 73% to 85%). The sensitivity of the first temperature reading obtained with the NCT thermometer in rectal-equivalent mode was 74. (...)
Mots-clés Pascal : Fièvre, Evaluation subjective, Parent, Thermomètre, Etude comparative, Enfant, Homme
Mots-clés Pascal anglais : Fever, Subjective evaluation, Parent, Thermometer, Comparative study, Child, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0446704
Code Inist : 002B30A03B. Création : 10/04/1997.