Navigation Links
Parents Often Right to Bring Kids With Fever to the ER: Study

By Steven Reinberg
HealthDay Reporter

TUESDAY, Feb. 28 (HealthDay News) -- Many parents who bring their children to the emergency room with fevers are making the right decision, Dutch investigators report.

"Self-referred febrile [feverish] children should not be generalized, and therefore not approached, as a uniform group of non-severely ill patients," said lead researcher Dr. Yvette van Ierland, from the department of pediatrics at Sophia Children's Hospital/Erasmus University Medical Center in Rotterdam.

"Measures to discourage parents from self-referral are undesirable," she added. "This may potentially result in delayed or missed diagnoses."

In general, illnesses that are associated with a fever for which early diagnosis is important are serious bacterial infections, such as meningitis, bacteremia, urinary tract infections or pneumonia, Ierland said.

The researchers found that one in four parents properly judged and acted on their child's illness by going to the emergency room, Ierland said.

The report is published in the March issue of Pediatrics.

To see if parents' judgments were on target, Ierland's team compared children with fevers referred to emergency rooms by doctors to children who were brought in by their parents.

Of more than 4,600 children under the age of 16 with fever included in the study, 38 percent were referred by general practitioners and 62 percent by parents.

Among the children referred by doctors, 46 percent were classified as needing urgent care, compared with 45 percent of the children taken in by a parent, the researchers found.

In addition, 43 percent of children referred by doctors needed extensive treatment such as intravenous medications, asthma treatment or were hospitalized, compared with 27 percent of the children parents brought in for care, they noted.

Children who needed urgent care, such as those with difficulty breathing, stomach problems, neurological problems or fever with no known reason, were referred equally by doctors and parents, they added.

However, Dr. Roya Samuels, a pediatrician at Cohen Children's Medical Center in New Hyde Park, N.Y., doesn't think the situation necessarily applies to the United States.

"I would take the results of this study with a grain of salt," she said. Perhaps parents in the Netherlands are better educated about the signs of serious illness in their children in the United States, she noted.

"Here a lot of parents bring in their children for a simple cold with fever that could very easily be handled over the phone by a medical professional," Samuels said.

If parents would call their doctor before deciding to take their child to the hospital "we could save parents a lot of trouble and time going to the emergency room for unnecessary visits," she added.

However, doctors should not discount parent's assessment of their child, Samuels stressed.

Some parents might overreact to a simple illness with fever, she said. "But parents have a sixth sense when it comes to their own children, and physicians need to take that seriously," she added.

Fever is the way the body fights off a viral illness, and most of the time the child does not need to go to an emergency room, Samuels said. "No intervention is needed unless there are other telltale signs that this could be a bacterial infection. We look for other more worrisome signs that accompany the fever."

Signs that an illness might be serious include whether the child with a fever is not as active as usual or not eating or drinking. "That's concerning to us," Samuels said.

"If there is any trouble breathing, if there is any dehydration, those would be immediate red flags for me," she said. "Duration of fever is another important factor. If a child has had fever over three to five days that child should be seen."

More information

For more on fever in children, visit the U.S. National Library of Medicine.

SOURCES: Yvette van Ierland, M.D., department of pediatrics, Sophia Children's Hospital/Erasmus University Medical Center, Rotterdam, the Netherlands; Roya Samuels, M.D., pediatrician, Cohen Children's Medical Center, New Hyde Park, N.Y.; March 2012 Pediatrics

Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Training parents is good medicine for children with autism behavior problems
2. Toddlers With Angry Parents May Have More Temper Tantrums
3. Many children with liver transplants from parents can safely stop using anti-rejection drugs
4. Pediatricians Group Urges More Input From Parents
5. U-M study urges parents to enforce booster seat use when carpooling
6. Parents May Hold Key to Treating Kids Obesity
7. Teens of Lesbian Parents Appear Well-Adjusted
8. Most Parents Tell Kids About Test Results for Breast Cancer Genes
9. Most parents who get tested for breast cancer genes share results with their children
10. ADHD Drug Shortage Pushes Parents to Seek Substitutes
11. Parents Speak Out on Catastrophic Youth Sports Injuries
Post Your Comments:
Related Image:
Parents Often Right to Bring Kids With Fever to the ER: Study
(Date:10/13/2017)... ... October 13, 2017 , ... ... Hannah Randall, PharmD ‘17, and Jennifer Huggins, PharmD ’17, along with clinical ... the primary prevention of cardiovascular diseases during the 15th Annual Women’s Health ...
(Date:10/13/2017)... ... October 13, 2017 , ... Ellevate Network, the leading network for ... for action towards gender equality at their inaugural Summit in New York City in ... reached a social audience of over 3 million. To watch the Mobilize Women video, ...
(Date:10/13/2017)... ... ... “The Journey: From the Mountains to the Mission Field”: the story of ... Philippines. “The Journey: From the Mountains to the Mission Field” is the creation of ... taught all ages and currently teaches a class of ladies at her church, which ...
(Date:10/12/2017)... ... October 12, 2017 , ... ... meet the demand of today’s consumer and regulatory authorities worldwide. From Children’s to ... and tested to meet the highest standard. , These products are also: ...
(Date:10/12/2017)... (PRWEB) , ... October 12, 2017 , ... ... Mohebi Hair Restoration, has recently contributed a medical article to the newly revamped ... Dr. Mohebi’s article spotlights the hair transplant procedure known as Follicular ...
Breaking Medicine News(10 mins):
(Date:10/10/2017)... EXTON, Pa. , Oct. 10, 2017   ... leader in innovative solutions for injectable drug administration, today ... of West,s ID Adapter for improving the intradermal administration ... the Fourth Skin Vaccination Summit in May 2017 by ... Team Lead, Polio Department, World Health Organization (WHO), and ...
(Date:10/4/2017)... Mass. , Oct. 4, 2017 ... of single-use, self-contained, illuminating medical devices, today announced ... National Health Surveillance Agency (or Agência Nacional de ... The first single-use, cordless surgical retractor with integrated ... provides optimal access, illumination and exposure of a ...
(Date:10/2/2017)... , Oct. 2, 2017 The Rebound mobile ... the struggle to reverse the tide of prescription drug addiction. ... regulating their medicine intake and stepping down their dosage in ... to launch in December 2017; the first 100,000 people to ... more at ...
Breaking Medicine Technology: