Abstract:
OBJECTIVES:This study seeks to determine not only the reliability of parental touch in detecting fever as compared to rectal thermometry in under-five children, but also the sociodemographic factors that may predict its reliability. SETTING:The study was carried out in the Emergency Paediatric Unit of a tertiary hospital in North Central Nigeria. PARTICIPANTS:409 children aged less than 5 years with a history of fever in the 48 h prior to presentation and their mothers were recruited consecutively. All the children recruited completed the study. Children with clinical parameters suggestive of shock, and those who were too ill, were excluded from the study. PRIMARY AND SECONDARY OUTCOME MEASURES:The primary outcome was the proportion of mothers who could accurately predict if their child was febrile or not (defined by rectal temperature) using tactile assessment only. Secondary outcomes were the validity and accuracy of touch in detecting fever and factors related to its accuracy. RESULTS:About 85% of the children were febrile using rectal thermometry. The sensitivity, specificity, positive predictive and negative predictive values for touch as a screening tool were 63%, 54%, 88.3% and 21%, respectively. High maternal socioeconomic status and low maternal age influenced positively the accuracy of touch in correctly determining the presence or absence of fever. CONCLUSIONS:This study has shown that tactile assessment of temperature is not reliable and that absence of fever in a previously febrile child should be confirmed by objective methods of temperature measurement.
journal_name
BMJ Openjournal_title
BMJ openauthors
Abdulkadir MB,Johnson WBR,Ibraheem RMdoi
10.1136/bmjopen-2014-005776subject
Has Abstractpub_date
2014-10-10 00:00:00pages
e005776issue
10issn
2044-6055pii
bmjopen-2014-005776journal_volume
4pub_type
杂志文章相关文献
BMJ Open文献大全abstract:OBJECTIVES:The aim was to study whether a workplace-registered frequent short-term sick leave spell pattern was an early indicator of future disability pension or future long-term sick leave among municipal eldercare workers. SETTING:The municipal healthcare sector in the city of Aarhus, which is the second largest ci...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-003941
更新日期:2014-02-07 00:00:00
abstract:INTRODUCTION:An ageing population has become an urgent concern for Asia in recent times. In nursing homes, polypharmacy has also become a compounding issue. Deprescribing practice is an evidence-based strategy to provide a better outcome in this group of patients; however, its implementation in nursing homes is often c...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2016-015293
更新日期:2017-05-09 00:00:00
abstract:OBJECTIVES:To establish the rates of publication and reporting of results for interventional clinical trials across Polish academic medical centres (AMCs) completed between 2009 and 2013. We aim also to compare the publication and reporting success between adult and paediatric trials. DESIGN:Cross-sectional study. SE...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-034666
更新日期:2020-01-22 00:00:00
abstract:OBJECTIVES:This study aims to examine the tracking and predictability of physical activity in old age from overall physical activity and participation in sport, recreational activity and walking in mid-life. DESIGN:Prospective population-based cohort study. SETTING:British Regional Heart Study participants recruited ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-017378
更新日期:2017-09-21 00:00:00
abstract:PURPOSE:Pakistan is faced with an increasing prevalence of diabetes in addition to its existing high burden of tuberculosis (TB). Diabetes has a detrimental effect on treatment outcomes of patients with TB, which may hinder achieving the goals of the End-TB strategy by 2030. We conducted a prospective cohort study to d...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-012970
更新日期:2016-12-02 00:00:00
abstract:OBJECTIVES:Cost-efficient active case finding (ACF) approaches are needed for their large-scale adoption in national tuberculosis (TB) programmes. Our aim was to assess if community health workers' (CHW) knowledge about families' health status can improve the cost efficiency of the ACF programme without adversely affec...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-036625
更新日期:2020-10-01 00:00:00
abstract:OBJECTIVE:The purpose of this meta-analysis was to evaluate the association between enlarged right atrial area (RAA), as measured by echocardiography, and prognosis of patients with pulmonary arterial hypertension (PAH). DESIGN:Systematic review and meta-analysis. DATA SOURCES:To identify potential publications, a co...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-031316
更新日期:2020-09-22 00:00:00
abstract:INTRODUCTION:Delayed graft function due to ischaemia-reperfusion injury is a frequent complication in deceased donor renal transplantation. Experimental evidence indicates that remote ischaemic conditioning (RIC) provides systemic protection against ischaemia-reperfusion injury in various tissues. METHODS AND ANALYSIS...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2015-007941
更新日期:2015-08-20 00:00:00
abstract:OBJECTIVE:To review and summarise the available literature regarding breastfeeding experiences of medical students, residents and physicians. ELIGIBILITY CRITERIA:Articles of any design, including non-peer reviewed data that examine the experiences of breast feeding of medical students, residents and staff physicians....
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-039418
更新日期:2020-10-15 00:00:00
abstract:OBJECTIVE:In 2001, Chinese guidelines for the care of acute myocardial infarction (AMI) included a new recommendation against the routine use of magnesium. We studied temporal trends and institutional variation in the use of intravenous magnesium sulfate in nationally representative samples of individuals hospitalised ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-033269
更新日期:2020-03-26 00:00:00
abstract:OBJECTIVES:To compare the subsequent fertility and risk of recurrence of an ectopic pregnancy (EP) in women who had had an EP, according to the type of surgical treatment they received--that is, salpingectomy, salpingostomy or tubal anastomosis. METHODS:A retrospective cohort study was carried out between January 2003...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-007339
更新日期:2015-09-08 00:00:00
abstract:OBJECTIVES:To identify and evaluate interventions aimed at increasing uptake of, or access to, physical health screening by adults with severe mental illness; to examine why interventions might work. DESIGN:Realist review. SETTING:Primary, secondary and tertiary care. RESULTS:A systematic search identified 1448 stud...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2017-019412
更新日期:2018-02-10 00:00:00
abstract:OBJECTIVE:To report outcomes of patients with localised prostate cancer (PCa) managed with active surveillance (AS) in a standard clinical setting. DESIGN:Single-centre, prospective, observational study. SETTING:Non-academic, average-size hospital in Switzerland. PARTICIPANTS:Prospective, observational study at a no...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-010191
更新日期:2016-02-17 00:00:00
abstract:INTRODUCTION:Type 2 diabetes mellitus is among the foremost health challenges facing policy makers in Thailand as its prevalence has more than tripled over the last two decades, accounting for considerable death, disability and healthcare expenditure. Diabetes self-management education (DSME) programmes show promise in...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-036963
更新日期:2020-10-05 00:00:00
abstract:OBJECTIVES:To assess the communication potential of three-dimensional (3D) patient-specific models of congenital heart defects and their acceptability in clinical practice for cardiology consultations. DESIGN:This was a questionnaire-based study in which participants were randomised into two groups: the 'model group' ...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2014-007165
更新日期:2015-04-30 00:00:00
abstract:OBJECTIVES:To derive priority weights for access to bariatric surgery for obese adults, from the perspective of the public. SETTING:Australian public hospital system. PARTICIPANTS:Adults (N=1994), reflecting the age and gender distribution of Queensland and South Australia. PRIMARY AND SECONDARY OUTCOME MEASURES:A d...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-008919
更新日期:2015-10-15 00:00:00
abstract:INTRODUCTION:Depressive disorders are very common diseases entailing a great burden on affected people. However, comprehensive information on long-term disease course in patients with severe depression is lacking so far. The objectives of the DELTA study are to examine long-term outcomes and their predicting factors, t...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032507
更新日期:2019-12-23 00:00:00
abstract:INTRODUCTION:Dextro-transposition of the great arteries (d-TGA) is a life-threatening congenital health defect that requires rapid surgery. The most widely used approach is the arterial switch operation (ASO) developed by Jatene in the 1970s. The first set of children who received this intervention are now adults. The ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-005123
更新日期:2014-06-11 00:00:00
abstract:OBJECTIVES:Cancer is the leading cause of death among Asian Americans. Chinese Americans comprise the largest Asian American ethnic group. Low health literacy (LHL) is associated with lower cancer screening rates, but this association has not been studied in Chinese Americans. We examined the relationship between LHL a...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006104
更新日期:2015-01-05 00:00:00
abstract:OBJECTIVES:To understand how the uptake of an extended primary care service in the evenings and weekend varied by day of week and over time. Secondary objectives were to understand patient demographics of users of the service and how these varied by type of appointment and to core hour users. DESIGN:Observational stud...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-028138
更新日期:2019-09-05 00:00:00
abstract:INTRODUCTION:Acute kidney injury (AKI) is a frequent complication after cardiac surgery with adverse short-term and long-term outcomes. Although prevention of AKI (PrevAKI) is strongly recommended, the optimal strategy is uncertain. The Kidney Disease: Improving Global Outcomes (KDIGO) guideline recommended a bundle of...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-034201
更新日期:2020-04-06 00:00:00
abstract:INTRODUCTION:Sepsis is defined as detrimental immune response to an infection. This overwhelming reaction often abolishes a normal reconstitution of the immune cell homeostasis that in turn increases the risk for further complications. Recent studies revealed a favourable impact of ketone bodies on resolution of inflam...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-038532
更新日期:2020-07-08 00:00:00
abstract:INTRODUCTION:Bicycling is promoted as a transportation and population health strategy globally. Yet bicycling has low uptake in North America (1%-2% of trips) compared with European bicycling cities (15%-40% of trips) and shows marked sex and age trends. Safety concerns due to collisions with motor vehicles are primary...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-019130
更新日期:2018-01-21 00:00:00
abstract:OBJECTIVES:The objectives of this study are: (1) to estimate the prevalence of unmet need for family planning among married women using Botswana Family Health Survey 2007 data and (2) to identify risk factors for unmet need for family planning among married women. DESIGN:This study used secondary data from a cross-sec...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006603
更新日期:2015-03-31 00:00:00
abstract:INTRODUCTION:The development of malignant pleural effusion (MPE) results in disabling breathlessness, pain and reduced physical capability with treatment a palliative strategy. Ambulatory management of MPE has the potential to improve quality of life (QoL). The OPTIMUM trial is designed to determine whether full outpat...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2016-012795
更新日期:2016-10-18 00:00:00
abstract:INTRODUCTION:Premature infants are particularly vulnerable to brain injuries with associated cognitive and behavioural deficits. The worldwide first randomised interventional multicentre trial investigating the neuroprotective effects of erythropoietin (entitled 'Does erythropoietin improve outcome in very preterm infa...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-022157
更新日期:2018-04-24 00:00:00
abstract:OBJECTIVE:To describe the circumstances of the elderly with dementia and their caregivers' characteristics in order to examine factors related to activities of daily living (ADL) and household income to propose a long-term care policy for rural areas of Thailand. SETTING:A cross-sectional study at the household level ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032637
更新日期:2020-03-24 00:00:00
abstract:OBJECTIVES:To understand stakeholders' views regarding the content and design of paediatric clinical trial multimedia websites. To describe how this knowledge informed the development of the multimedia websites. DESIGN:Qualitative study comprising two rounds of interviews or focus groups, with thematic analysis of int...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-023984
更新日期:2019-01-09 00:00:00
abstract:INTRODUCTION:Current management of primary spontaneous pneumothorax (PSP) is variable, with little evidence from randomised controlled trials to guide treatment. Guidelines emphasise intervention in many patients, which involves chest drain insertion, hospital admission and occasionally surgery. However, there is evide...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2016-011826
更新日期:2016-09-13 00:00:00
abstract:OBJECTIVES:Since population-based data on prognostic factors affecting survival in patients with breast cancer with bone metastasis (BM) are currently limited, we conducted this nationwide retrospective cohort study to examine the prognostic role of disease stage at breast cancer diagnosis and length of BM-free interva...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-007702
更新日期:2015-04-29 00:00:00