KMID : 1037620180050010013
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Pediatric Emergency Medicine Journal 2018 Volume.5 No. 1 p.13 ~ p.18
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An analysis of caregivers¡¯ preference regarding fever management in the emergency department
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Kim Hae-Jung
Kim Ho-Jung
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Abstract
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Purpose: To investigate caregivers¡¯ preference regarding fever management in the emergency department.
Methods: Between July 2011 and June 2014, we surveyed the preference in fever management by caregivers of febrile
children aged 7 years or younger who visited the emergency department. The questionnaire consisted of the characteristics of the children and their caregivers, usefulness of tepid massage, and the caregivers¡¯ preference in fever management, in particular the combination of methods and the doses of antipyretics.
Results: Among a total of 161 children, 161 were enrolled in the study, with the mean age of 5.0 years. Of the caregivers,
64.6% were in their 30s and 50.9% were parents, and 70.2% and 24.2% reported that tepid massage was ¡°very useful¡± and ¡°a little useful,¡± respectively. The most preferred combination of methods was ¡°tepid massage, acetaminophen, and ibuprofen (50.9%; P < 0.001).¡± ¡°Tepid massage and ibuprofen¡± was preferred to ¡°tepid massage and acetaminophen (24.2% vs 7.5%).¡± The most preferred dose of antipyretics was 1 mL/kg/day (divided into 3 doses; 60.2%; P = 0.012), followed by 1 mL/kg/day (divided into 3 doses) plus 2 mL/dose (29.1%).
Conclusion: Caregivers may recognize tepid massage as a useful fever management. The most preferred fever management was the combination of tepid massage, acetaminophen, and ibuprofen with a dose of 1 mL/kg/day.
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KEYWORD
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Acetaminophen, Antipyretics, Child, Emergency Medicine, Fever, Ibuprofen
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