Febrile children self-referred to ER usually less severely ill

February 28, 2012
Febrile children self-Referred to ER usually less severely ill

(HealthDay) -- In 45 percent of self-referred cases, parents properly judge their child's febrile illness as urgent when they bring their child to the emergency department, according to a study published online Feb. 27 in Pediatrics.

Yvette van Ierland, M.D., from MC/Sophia Children's in Rotterdam, Netherlands, and colleagues conducted an observational study of 4,609 children (aged <16 years) with fever who presented to the , as general practitioner (GP)-referred or self-referred patients. Markers for severity of illness were urgency according to the Manchester Triage System, diagnostic interventions, therapeutic interventions, and follow-up.

The researchers found that 38 percent of the febrile children were referred by their GP and 62 percent were self-referred. Forty-six percent of GP-referred children were classified as high urgency (immediate/very urgent categories) cases, compared with 45 percent of self-referrals. Forty-three percent of GP referrals and 27 percent of self-referrals needed extensive diagnostic intervention, intravenous medication/ treatment, hospitalization, or a combination of these (odds ratio, 2.0). In all subgroups, high urgency was not associated with referral type. GP-referred and self-referred children with dyspnea had similar frequencies of illness-severity markers.

"Although febrile self-referred children were less severely ill than GP-referred children, many parents properly judged and acted on the severity of their child's illness," the authors write.

Explore further: Study urges parents to enforce booster seat use when carpooling

More information: Abstract
Full Text

Related Stories

Study urges parents to enforce booster seat use when carpooling

January 30, 2012
Most parents report that they typically require their child to use a life-saving booster seat, but more than 30 percent said they do not enforce this rule when their child is riding with another driver.

Middle-aged mothers and fathers only as happy as their least happy grown child, research shows

August 24, 2011
(Medical Xpress) -- Despite the fact that middle-aged parents are no longer responsible for their grown children, the parents' emotional well-being and life satisfaction remain linked to those children's successes and problems ...

Study: No significant rise in seizure risk from common kids' vaccine

February 22, 2012
(HealthDay) -- Children who receive a combination vaccine known as DTaP-IPV-Hib have no significant increased risk of febrile seizure, a convulsion triggered by a fever, during the week after vaccination, researchers in Denmark ...

Crash experts find car seats protect overweight kids, too

November 29, 2011
Researchers at the Children's Hospital of Philadelphia's Center for Injury Research and Prevention studied nearly 1,000 1- to 8-year-old children involved in crashes and found no evidence of increased injury risk for children ...

Recommended for you

Who uses phone apps to track sleep habits? Mostly the healthy and wealthy in US

January 16, 2018
The profile of most Americans who use popular mobile phone apps that track sleep habits is that they are relatively affluent, claim to eat well, and say they are in good health, even if some of them tend to smoke.

Improvements in mortality rates are slowed by rise in obesity in the United States

January 15, 2018
With countless medical advances and efforts to curb smoking, one might expect that life expectancy in the United States would improve. Yet according to recent studies, there's been a reduction in the rate of improvement in ...

Teens likely to crave junk food after watching TV ads

January 15, 2018
Teenagers who watch more than three hours of commercial TV a day are more likely to eat hundreds of extra junk food snacks, according to a report by Cancer Research UK.

Can muesli help against arthritis?

January 15, 2018
It is well known that healthy eating increases a general sense of wellbeing. Researchers at Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU) have now discovered that a fibre-rich diet can have a positive influence ...

Your dishwasher is not as sterile as you think

January 13, 2018
(HealthDay)—Your dishwasher may get those plates spotless, but it is also probably teeming with bacteria and fungus, a new study suggests.

Study reveals what sleep talkers have to say

January 12, 2018
A team of researchers with members from several institutions in France has conducted a study regarding sleep talking and has found that most sleep talking is not only negative in nature, but involves a large amount of swearing. ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.