The role of parental preferences in the management of fever without source among 3- to 36-month-old children: a decision analysis.

Abstract:

OBJECTIVES:Recent analyses assessing the impact of the conjugate pneumococcal vaccine on the care of febrile children do not reflect the role parental preferences play in physicians' decisions. The objective of this study was to identify the management strategy that would best suit parents, on the basis of their values for possible outcomes of fever of > or =39 degrees C without source among well-appearing, 3- to 36-month-old children. METHODS:A decision analysis was performed to compare the benefits and outcomes of 3 management options (treat: blood culture and antibiotics for all children; test: blood culture and complete blood count for all children, with antibiotics for selected children; observe: no immediate intervention). A hypothetical cohort of 100,000 children with fever of > or =39 degrees C with no obvious source of infection was modeled for each strategy. Using this model, we identified the treatment option that would best suit each parent's preferences, on the basis of parental utilities (from a prior study) for various interventions and outcomes at vaccine efficacies of 0% (ie, no vaccine) and 95%. In addition, we performed survival analyses to assess the morbidity and mortality rates associated with each treatment strategy at various vaccine efficacies. RESULTS:At a vaccine efficacy of 0%, the majority of parents' preferences suggested the treat option, the strategy with the lowest mortality rate. At a vaccine efficacy of 95%, mortality rates were similar for all 3 management options (approximately 1 in 100,000), but parental preferences were still aligned with different options; 50% suggested observe, 42% suggested test, and 8% suggested treat. CONCLUSIONS:Like physicians, parents have different approaches to risk. With the conjugate pneumococcal vaccine, risks of complications from fever without source are low regardless of treatment strategy. Rather than having a "one size fits all" approach, it is reasonable to incorporate parental preferences into the treatment decision.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Madsen KA,Bennett JE,Downs SM

doi

10.1542/peds.2005-1865

subject

Has Abstract

pub_date

2006-04-01 00:00:00

pages

1067-76

issue

4

eissn

0031-4005

issn

1098-4275

pii

117/4/1067

journal_volume

117

pub_type

杂志文章
  • Longitudinal study of exposure to entertainment media and alcohol use among german adolescents.

    abstract:BACKGROUND:Entertainment media exposure may predict teenager alcohol use, but few longitudinal studies have been reported. METHODS:A longitudinal study was conducted of 2708 German adolescents aged 10 to 16 years who had never drunk alcohol. Each adolescent was surveyed at school about daily television use, whether th...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2008-1465

    authors: Hanewinkel R,Sargent JD

    更新日期:2009-03-01 00:00:00

  • One-Year Language Outcomes in Toddlers With Language Delays: An RCT Follow-up.

    abstract:OBJECTIVES:The current study is a 1-year follow-up analysis of data from a randomized controlled trial of Enhanced Milieu Teaching (EMT) for toddlers with language delays. Outcomes and predictors of child language and parent intervention implementation were examined 6 and 12 months after the end of the intervention. M...

    journal_title:Pediatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1542/peds.2016-3646

    authors: Hampton LH,Kaiser AP,Roberts MY

    更新日期:2017-11-01 00:00:00

  • Human metapneumovirus infection in the United States: clinical manifestations associated with a newly emerging respiratory infection in children.

    abstract:OBJECTIVE:Respiratory tract infections are a leading cause of morbidity and mortality worldwide. Recently, a newly identified human respiratory virus, human metapneumovirus (hMPV), was reported by investigators in the Netherlands. We sought to determine whether hMPV was circulating in our community and to determine the...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.111.6.1407

    authors: Esper F,Boucher D,Weibel C,Martinello RA,Kahn JS

    更新日期:2003-06-01 00:00:00

  • Racial and ethnic disparities in medical and dental health, access to care, and use of services in US children.

    abstract:BACKGROUND:Not enough is known about the national prevalence of racial/ethnic disparities in children's medical and dental care. OBJECTIVE:The purpose of this work was to examine racial/ethnic disparities in medical and oral health, access to care, and use of services in a national sample. METHODS:The National Survey...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2007-1243

    authors: Flores G,Tomany-Korman SC

    更新日期:2008-02-01 00:00:00

  • Effects of kidney transplantation on cognitive performance in a pediatric population.

    abstract::The cognitive functioning of 20 children and adolescents with end-stage renal disease was assessed 1 to 3 weeks prior to the onset of hemodialysis, and at 1 month and 1 year after successful kidney transplantation, and results were compared with those of a matched control group. A battery of intelligence, achievement,...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Fennell RS 3rd,Rasbury WC,Fennell EB,Morris MK

    更新日期:1984-08-01 00:00:00

  • Providing care for immigrant, migrant, and border children.

    abstract::This policy statement, which recognizes the large changes in immigrant status since publication of the 2005 statement "Providing Care for Immigrant, Homeless, and Migrant Children," focuses on strategies to support the health of immigrant children, infants, adolescents, and young adults. Homeless children will be addr...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2013-1099

    authors: Council on Community Pediatrics.

    更新日期:2013-06-01 00:00:00

  • Calcium, dairy products, and bone health in children and young adults: a reevaluation of the evidence.

    abstract:OBJECTIVE:Numerous nutrition policy statements recommend the consumption of 800 to 1500 mg of calcium largely from dairy products for osteoporosis prevention; however, the findings of epidemiologic and prospective studies have raised questions about the efficacy of the use of dairy products for the promotion of bone he...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2004-0548

    authors: Lanou AJ,Berkow SE,Barnard ND

    更新日期:2005-03-01 00:00:00

  • Does bed sharing affect the risk of SIDS? American Academy of Pediatrics. Task Force on Infant Positioning and SIDS.

    abstract::The American Academy of Pediatrics endorses and accepts as its policy the position on bed sharing as articulated below by a panel of experts convened by the National Institute of Child Health and Human Development (NICHD). The Panel attended a conference sponsored by the NICHD entitled "Infant Sleep Environment and SI...

    journal_title:Pediatrics

    pub_type: 指南,杂志文章

    doi:

    authors:

    更新日期:1997-08-01 00:00:00

  • Epstein-Barr virus-induced hemophagocytic lymphohistiocytosis and X-linked lymphoproliferative disease: a mimicker of sepsis in the pediatric intensive care unit.

    abstract::A rare complication of infection with the Epstein-Barr virus is the development of hemophagocytic lymphohistiocytosis. Although most cases of Epstein-Barr virus-induced hemophagocytic lymphohistiocytosis develop in immunocompetent individuals, the rare immunodeficiency X-linked lymphoproliferative disease is often unm...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2006-1534

    authors: Mischler M,Fleming GM,Shanley TP,Madden L,Levine J,Castle V,Filipovich AH,Cornell TT

    更新日期:2007-05-01 00:00:00

  • A Family-Centered Rounds Checklist, Family Engagement, and Patient Safety: A Randomized Trial.

    abstract:BACKGROUND AND OBJECTIVES:Family-centered rounds (FCRs) have become standard of care, despite the limited evaluation of FCRs' benefits or interventions to support high-quality FCR delivery. This work examines the impact of the FCR checklist intervention, a checklist and associated provider training, on performance of F...

    journal_title:Pediatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1542/peds.2016-1688

    authors: Cox ED,Jacobsohn GC,Rajamanickam VP,Carayon P,Kelly MM,Wetterneck TB,Rathouz PJ,Brown RL

    更新日期:2017-05-01 00:00:00

  • Initiation of breastfeeding among mothers of very low birth weight infants.

    abstract:OBJECTIVE:To examine factors that predict the initiation of expressed milk feedings and the transition to direct breastfeedings among mothers of very low birth weight (VLBW) infants. METHODS:The sample consists of 361 mother-infant pairs enrolled in a follow-up study of children aged 6 to 8 years who were born weighin...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1542/peds.111.6.1337

    authors: Smith MM,Durkin M,Hinton VJ,Bellinger D,Kuhn L

    更新日期:2003-06-01 00:00:00

  • Pulse Oximetry and Auscultation for Congenital Heart Disease Detection.

    abstract:OBJECTIVES:Pulse oximetry (POX) has been confirmed as a specific screening modality for critical congenital heart disease (CCHD), with moderate sensitivity. However, POX is not able to detect most serious and critical cardiac lesions (major congenital heart disease [CHD]) without hypoxemia. In this study, we investigat...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1542/peds.2017-1154

    authors: Hu XJ,Ma XJ,Zhao QM,Yan WL,Ge XL,Jia B,Liu F,Wu L,Ye M,Liang XC,Zhang J,Gao Y,Zhai XW,Huang GY

    更新日期:2017-10-01 00:00:00

  • Is office-based counseling about media use, timeouts, and firearm storage effective? Results from a cluster-randomized, controlled trial.

    abstract:OBJECTIVE:The objective of this study was to determine whether patients' families' violence-prevention behaviors would be affected by their primary care practitioner's use of a violence-prevention clinical intervention during the routine well-child examination. METHODS:In this cluster-randomized, controlled trial (200...

    journal_title:Pediatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1542/peds.2007-2611

    authors: Barkin SL,Finch SA,Ip EH,Scheindlin B,Craig JA,Steffes J,Weiley V,Slora E,Altman D,Wasserman RC

    更新日期:2008-07-01 00:00:00

  • Health Care Use and Health Behaviors Among Young Adults With History of Parental Incarceration.

    abstract:OBJECTIVES:To determine if longitudinal associations exist between parental incarceration (PI) and health care use or health behaviors among a national sample of young adults. METHODS:We used the National Longitudinal Survey of Adolescent to Adult Health to examine associations between history of mother incarceration ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2017-4314

    authors: Heard-Garris N,Winkelman TNA,Choi H,Miller AK,Kan K,Shlafer R,Davis MM

    更新日期:2018-09-01 00:00:00

  • Quality Improvement Incorporating a Feedback Loop for Accurate Medication Reconciliation.

    abstract:OBJECTIVES:Medication reconciliation errors on hospital admission can lead to significant patient harm. A pediatric intermediate care unit initiated a quality improvement project and aimed to reduce errors in admission medication reconciliation by 50% in 12 months. METHODS:From August 2017 to December 2018, a multidis...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2019-2464

    authors: Russ CM,Stone S,Treseler J,Vincuilla J,Partin L,Jones E,Chu E,Currier D,Kelly DP

    更新日期:2020-12-01 00:00:00

  • Association of intrapartum antibiotic exposure and late-onset serious bacterial infections in infants.

    abstract:OBJECTIVE:Recommendations to prevent vertical transmission of group B Streptococcus (GBS) infections have resulted in many women's receiving antibiotics during labor with an associated reduction in early-onset GBS infections in their newborn infants. However, a potential relationship of intrapartum antibiotics (IPA) to...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2004-2421

    authors: Glasgow TS,Young PC,Wallin J,Kwok C,Stoddard G,Firth S,Samore M,Byington CL

    更新日期:2005-09-01 00:00:00

  • Detection of Kingella kingae osteoarticular infections in children by oropharyngeal swab PCR.

    abstract:OBJECTIVE:The purpose of this study was to investigate if oropharyngeal swab polymerase chain reaction (PCR) could predict osteoarticular infection (OAI) due to Kingella kingae in young children. METHODS:One hundred twenty-three consecutive children aged 6 to 48 months presenting with atraumatic osteoarticular complai...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2012-0810

    authors: Ceroni D,Dubois-Ferriere V,Cherkaoui A,Gesuele R,Combescure C,Lamah L,Manzano S,Hibbs J,Schrenzel J

    更新日期:2013-01-01 00:00:00

  • Long-term follow-up care for pediatric cancer survivors.

    abstract::Progress in therapy has made survival into adulthood a reality for most children, adolescents, and young adults diagnosed with cancer today. Notably, this growing population remains vulnerable to a variety of long-term therapy-related sequelae. Systematic ongoing follow-up of these patients, therefore, is important fo...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2008-3688

    authors: American Academy of Pediatrics Section on Hematology\/Oncology Children's Oncology Group.

    更新日期:2009-03-01 00:00:00

  • Nasal continuous positive airway pressure and early surfactant therapy for respiratory distress syndrome in newborns of less than 30 weeks' gestation.

    abstract:OBJECTIVE:To determine whether early versus late treatment with porcine surfactant (Curosurf) reduces the requirement of mechanical ventilation in very preterm infants primarily supported by nasal continuous positive airway pressure (nasal CPAP). DESIGN:Multicenter randomized, controlled trial. PATIENTS:The study pop...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1542/peds.103.2.e24

    authors: Verder H,Albertsen P,Ebbesen F,Greisen G,Robertson B,Bertelsen A,Agertoft L,Djernes B,Nathan E,Reinholdt J

    更新日期:1999-02-01 00:00:00

  • Asthma morbidity after the short-term use of ibuprofen in children.

    abstract:OBJECTIVE:To test the hypothesis that short-term use of ibuprofen increases asthma morbidity in children. METHODS:A randomized, double-blind, acetaminophen-controlled clinical trial was conducted. Children who had asthma and a febrile illness were randomly assigned to receive either acetaminophen suspension or ibuprof...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1542/peds.109.2.e20

    authors: Lesko SM,Louik C,Vezina RM,Mitchell AA

    更新日期:2002-02-01 00:00:00

  • Hepatitis a vaccination coverage among adolescents in the United States.

    abstract:OBJECTIVE:Hepatitis A infection causes severe disease among adolescents and adults. The Advisory Committee on Immunization Practices instituted incremental recommendations for hepatitis A vaccination (HepA) at 2 years of age based on risk (1996), in selected states (1999), and universally at 1 year of age, with vaccina...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2011-2197

    authors: Dorell CG,Yankey D,Byrd KK,Murphy TV

    更新日期:2012-02-01 00:00:00

  • Acute illness care patterns change with use of telemedicine.

    abstract:OBJECTIVE:Health-e-Access, a telemedicine service providing care for acute illnesses in children, has delivered >6500 telemedicine visits from 10 primary care practices in Rochester, New York, by using telemedicine access at 22 child care and school sites. The goal was to assess the hypotheses that children served by H...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2008-2698

    authors: McConnochie KM,Wood NE,Herendeen NE,Ng PK,Noyes K,Wang H,Roghmann KJ

    更新日期:2009-06-01 00:00:00

  • Croup hospitalizations in Ontario: a 14-year time-series analysis.

    abstract:OBJECTIVE:Croup is the most common form of airway obstruction in children. Known to be primarily viral, the seasonality of croup has been examined largely through its association with the human parainfluenza viruses. This study examined the seasonal pattern of croup hospitalizations in relation to age and gender for th...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2004-1892

    authors: Segal AO,Crighton EJ,Moineddin R,Mamdani M,Upshur RE

    更新日期:2005-07-01 00:00:00

  • Etiologies of NICU deaths.

    abstract:BACKGROUND AND OBJECTIVES:Infant mortality is an indicator of overall societal health, and a significant proportion of infant deaths occur in NICUs. The objectives were to identify causes of death and to define potentially preventable factors associated with death as areas for quality improvement efforts in the NICU. ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2014-2967

    authors: Jacob J,Kamitsuka M,Clark RH,Kelleher AS,Spitzer AR

    更新日期:2015-01-01 00:00:00

  • Preventing neonatal group B streptococcal disease: cost-effectiveness in a health maintenance organization and the impact of delayed hospital discharge for newborns who received intrapartum antibiotics.

    abstract:OBJECTIVES:To estimate the cost and health benefits of implementing a risk factor-based prevention strategy for early-onset neonatal group B streptococcal (GBS) disease, using baseline assumptions and costs from a health maintenance organization. With the risk factor-based strategy, intrapartum antibiotics (IPAs) would...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.103.4.703

    authors: Mohle-Boetani JC,Lieu TA,Ray GT,Escobar G

    更新日期:1999-04-01 00:00:00

  • Clinical aspects of gastrointestinal food allergy in childhood.

    abstract::Gastrointestinal food allergies are a spectrum of disorders that result from adverse immune responses to dietary antigens. The named disorders include immediate gastrointestinal hypersensitivity (anaphylaxis), oral allergy syndrome, allergic eosinophilic esophagitis, gastritis, and gastroenterocolitis; dietary protein...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:

    authors: Sicherer SH

    更新日期:2003-06-01 00:00:00

  • Redefining the role of intestinal microbes in the pathogenesis of necrotizing enterocolitis.

    abstract::Neonatal necrotizing enterocolitis (NEC) remains an important cause of morbidity and mortality among very low birth weight infants. It has long been suspected that intestinal microbes contribute to the pathogenesis of NEC, but the details of this relationship remain poorly understood. Recent advances in molecular biol...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2009-3149

    authors: Morowitz MJ,Poroyko V,Caplan M,Alverdy J,Liu DC

    更新日期:2010-04-01 00:00:00

  • Pediatric Readiness in Emergency Medical Services Systems.

    abstract::This is a joint policy statement from the American Academy of Pediatrics, American College of Emergency Physicians, Emergency Nurses Association, National Association of Emergency Medical Services Physicians, and National Association of Emergency Medical Technicians on pediatric readiness in emergency medical services...

    journal_title:Pediatrics

    pub_type: 指南,杂志文章

    doi:10.1542/peds.2019-3307

    authors: Moore B,Shah MI,Owusu-Ansah S,Gross T,Brown K,Gausche-Hill M,Remick K,Adelgais K,Lyng J,Rappaport L,Snow S,Wright-Johnson C,Leonard JC,AMERICAN ACADEMY OF PEDIATRICS COMMITTEE ON PEDIATRIC EMERGENCY MEDICINE AND SECTION ON EMER

    更新日期:2020-01-01 00:00:00

  • Aspects of communication between patients and doctors: an analysis of the discourse in medical interviews.

    abstract::The transcripts of tape-recorded interviews of pediatric endocrinologists and patients with Turner's syndrome and their parents were reviewed in consultation with child psychoanalysts in order to evaluate certain aspects of communication between patients and doctors. The transcripts showed that the doctors often talke...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Raimbault G,Cachin O,Limal JM,Eliacheff C,Rappaport R

    更新日期:1975-03-01 00:00:00

  • Do parent perceptions predict continuity of publicly funded care for attention-deficit/hyperactivity disorder?

    abstract:OBJECTIVE:To examine whether parent perceptions about care (barriers, disorder knowledge, treatment willingness) vary among children who drop out of or stay in publicly funded care for attention-deficit/hyperactivity disorder (ADHD) and to explore whether parent perceptions are predictive of staying in care over time. ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2012-1427f

    authors: Zima BT,Bussing R,Tang L,Zhang L

    更新日期:2013-03-01 00:00:00