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Parental Confidence in Relation to Antipyretic Use, Warning Signs, Symptoms and Well-Being in Fever Management—Results from an App-Based Registry

Parents’ confidence regarding their children’s fever is a key factor in its management and there is still unnecessary anxiety and associated antipyretic overuse. The FeverApp application collects naturalistic real-time data on febrile infections and educates parents on fever management. Logistic reg...

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Autores principales: Möhler, Ricarda, Jenetzky, Ekkehart, Schwarz, Silke, Gwiasda, Moritz, Rathjens, Larisa, Szoke, Henrik, Martin, David
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9654195/
https://www.ncbi.nlm.nih.gov/pubmed/36361379
http://dx.doi.org/10.3390/ijerph192114502
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author Möhler, Ricarda
Jenetzky, Ekkehart
Schwarz, Silke
Gwiasda, Moritz
Rathjens, Larisa
Szoke, Henrik
Martin, David
author_facet Möhler, Ricarda
Jenetzky, Ekkehart
Schwarz, Silke
Gwiasda, Moritz
Rathjens, Larisa
Szoke, Henrik
Martin, David
author_sort Möhler, Ricarda
collection PubMed
description Parents’ confidence regarding their children’s fever is a key factor in its management and there is still unnecessary anxiety and associated antipyretic overuse. The FeverApp application collects naturalistic real-time data on febrile infections and educates parents on fever management. Logistic regression examined the associations between (1) parental confidence and (2) antipyretics use with fever relevant parameters. First entry data of 3721 children (mean age 21 months; SD 22.97) was assessed. A total of 58.0% of parents felt confident upon first fever documentation. Warning signs [OR = 0.49, 95% CI: 0.40–0.61], dehydration [OR = 0.65, 95% CI: 0.52–0.81], fever [OR = 0.67, 95% CI: 0.57–0.80] and having a female child [OR = 0.77, 95% CI: 0.66–0.90] had the highest negative association with parental confidence. Antipyretics were used initially in 14.7% of children. Fever had the highest positive [OR = 2.58, 95% CI: 1.89–3.50] and well-being the highest negative association with antipyretic use [OR = 0.37, 95% CI: 0.22–0.63). In the first entry data, parental confidence was related to children’s health condition in a reasonable medical manner. The use of antipyretics was mostly associated with febrile temperature, but also low well-being. Thus, associations were partly in accordance with recent guidelines.
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spelling pubmed-96541952022-11-15 Parental Confidence in Relation to Antipyretic Use, Warning Signs, Symptoms and Well-Being in Fever Management—Results from an App-Based Registry Möhler, Ricarda Jenetzky, Ekkehart Schwarz, Silke Gwiasda, Moritz Rathjens, Larisa Szoke, Henrik Martin, David Int J Environ Res Public Health Article Parents’ confidence regarding their children’s fever is a key factor in its management and there is still unnecessary anxiety and associated antipyretic overuse. The FeverApp application collects naturalistic real-time data on febrile infections and educates parents on fever management. Logistic regression examined the associations between (1) parental confidence and (2) antipyretics use with fever relevant parameters. First entry data of 3721 children (mean age 21 months; SD 22.97) was assessed. A total of 58.0% of parents felt confident upon first fever documentation. Warning signs [OR = 0.49, 95% CI: 0.40–0.61], dehydration [OR = 0.65, 95% CI: 0.52–0.81], fever [OR = 0.67, 95% CI: 0.57–0.80] and having a female child [OR = 0.77, 95% CI: 0.66–0.90] had the highest negative association with parental confidence. Antipyretics were used initially in 14.7% of children. Fever had the highest positive [OR = 2.58, 95% CI: 1.89–3.50] and well-being the highest negative association with antipyretic use [OR = 0.37, 95% CI: 0.22–0.63). In the first entry data, parental confidence was related to children’s health condition in a reasonable medical manner. The use of antipyretics was mostly associated with febrile temperature, but also low well-being. Thus, associations were partly in accordance with recent guidelines. MDPI 2022-11-04 /pmc/articles/PMC9654195/ /pubmed/36361379 http://dx.doi.org/10.3390/ijerph192114502 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Möhler, Ricarda
Jenetzky, Ekkehart
Schwarz, Silke
Gwiasda, Moritz
Rathjens, Larisa
Szoke, Henrik
Martin, David
Parental Confidence in Relation to Antipyretic Use, Warning Signs, Symptoms and Well-Being in Fever Management—Results from an App-Based Registry
title Parental Confidence in Relation to Antipyretic Use, Warning Signs, Symptoms and Well-Being in Fever Management—Results from an App-Based Registry
title_full Parental Confidence in Relation to Antipyretic Use, Warning Signs, Symptoms and Well-Being in Fever Management—Results from an App-Based Registry
title_fullStr Parental Confidence in Relation to Antipyretic Use, Warning Signs, Symptoms and Well-Being in Fever Management—Results from an App-Based Registry
title_full_unstemmed Parental Confidence in Relation to Antipyretic Use, Warning Signs, Symptoms and Well-Being in Fever Management—Results from an App-Based Registry
title_short Parental Confidence in Relation to Antipyretic Use, Warning Signs, Symptoms and Well-Being in Fever Management—Results from an App-Based Registry
title_sort parental confidence in relation to antipyretic use, warning signs, symptoms and well-being in fever management—results from an app-based registry
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9654195/
https://www.ncbi.nlm.nih.gov/pubmed/36361379
http://dx.doi.org/10.3390/ijerph192114502
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