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Effectiveness of warm compresses in reducing the temperature of febrile children: A pilot randomized clinical trial (*)

OBJECTIVE: To evaluate the effect of the application of a warm compress in association with the prescribed antipyretic drug compared to the effect of the prescribed antipyretic alone, in reducing fever in hospitalized children. METHOD: This is a pilot randomized clinical trial performed in pediatric...

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Autores principales: de Souza, Mariana Vieira, de Souza, Danton Matheus, Damião, Elaine Buchhorn Cintra, Buchhorn, Soraia Matilde Marques, Rossato, Lisabelle Mariano, Salvetti, Marina de Goés
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Universidade de São Paulo, Escola de Enfermagem 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10081614/
https://www.ncbi.nlm.nih.gov/pubmed/36219590
http://dx.doi.org/10.1590/1980-220X-REEUSP-2022-0168en
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author de Souza, Mariana Vieira
de Souza, Danton Matheus
Damião, Elaine Buchhorn Cintra
Buchhorn, Soraia Matilde Marques
Rossato, Lisabelle Mariano
Salvetti, Marina de Goés
author_facet de Souza, Mariana Vieira
de Souza, Danton Matheus
Damião, Elaine Buchhorn Cintra
Buchhorn, Soraia Matilde Marques
Rossato, Lisabelle Mariano
Salvetti, Marina de Goés
author_sort de Souza, Mariana Vieira
collection PubMed
description OBJECTIVE: To evaluate the effect of the application of a warm compress in association with the prescribed antipyretic drug compared to the effect of the prescribed antipyretic alone, in reducing fever in hospitalized children. METHOD: This is a pilot randomized clinical trial performed in pediatric units of a secondary-level hospital. The convenience sample consisted of 33 children with axillary temperature greater than or equal to 37.8°C (100°F), randomized to the control group (antipyretics) or intervention group (antipyretics + warm compresses). Temperature was monitored in both groups for 3 hours and data were collected using standardized instruments, analyzed using Mann Whitney, Fisher’s Exact, Chi-Square, and ANOVA tests. RESULTS: The control group consisted of 17 children and the intervention group of 16 children. The temperature of all children decreased over time, with progressive attenuation, with a lower final mean in the control group (p=0.035). In the intervention group, irritability and crying were observed in 12.5% of the children. CONCLUSION: The application of warm compresses in association with antipyretics was not effective in reducing fever in hospitalized children compared to the use of pharmacological measures alone. CLINICAL TRIAL REGISTRATION PROTOCOL: UTN-U1111-1229-1599.
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spelling pubmed-100816142023-04-14 Effectiveness of warm compresses in reducing the temperature of febrile children: A pilot randomized clinical trial (*) de Souza, Mariana Vieira de Souza, Danton Matheus Damião, Elaine Buchhorn Cintra Buchhorn, Soraia Matilde Marques Rossato, Lisabelle Mariano Salvetti, Marina de Goés Rev Esc Enferm USP Original Article OBJECTIVE: To evaluate the effect of the application of a warm compress in association with the prescribed antipyretic drug compared to the effect of the prescribed antipyretic alone, in reducing fever in hospitalized children. METHOD: This is a pilot randomized clinical trial performed in pediatric units of a secondary-level hospital. The convenience sample consisted of 33 children with axillary temperature greater than or equal to 37.8°C (100°F), randomized to the control group (antipyretics) or intervention group (antipyretics + warm compresses). Temperature was monitored in both groups for 3 hours and data were collected using standardized instruments, analyzed using Mann Whitney, Fisher’s Exact, Chi-Square, and ANOVA tests. RESULTS: The control group consisted of 17 children and the intervention group of 16 children. The temperature of all children decreased over time, with progressive attenuation, with a lower final mean in the control group (p=0.035). In the intervention group, irritability and crying were observed in 12.5% of the children. CONCLUSION: The application of warm compresses in association with antipyretics was not effective in reducing fever in hospitalized children compared to the use of pharmacological measures alone. CLINICAL TRIAL REGISTRATION PROTOCOL: UTN-U1111-1229-1599. Universidade de São Paulo, Escola de Enfermagem 2022-10-07 /pmc/articles/PMC10081614/ /pubmed/36219590 http://dx.doi.org/10.1590/1980-220X-REEUSP-2022-0168en Text en https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
de Souza, Mariana Vieira
de Souza, Danton Matheus
Damião, Elaine Buchhorn Cintra
Buchhorn, Soraia Matilde Marques
Rossato, Lisabelle Mariano
Salvetti, Marina de Goés
Effectiveness of warm compresses in reducing the temperature of febrile children: A pilot randomized clinical trial (*)
title Effectiveness of warm compresses in reducing the temperature of febrile children: A pilot randomized clinical trial (*)
title_full Effectiveness of warm compresses in reducing the temperature of febrile children: A pilot randomized clinical trial (*)
title_fullStr Effectiveness of warm compresses in reducing the temperature of febrile children: A pilot randomized clinical trial (*)
title_full_unstemmed Effectiveness of warm compresses in reducing the temperature of febrile children: A pilot randomized clinical trial (*)
title_short Effectiveness of warm compresses in reducing the temperature of febrile children: A pilot randomized clinical trial (*)
title_sort effectiveness of warm compresses in reducing the temperature of febrile children: a pilot randomized clinical trial (*)
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10081614/
https://www.ncbi.nlm.nih.gov/pubmed/36219590
http://dx.doi.org/10.1590/1980-220X-REEUSP-2022-0168en
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