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Fever in under 5s: assessment and initial management [CG160]

Measuring the use of this guidance

Recommendation: 1.2.1.1

First, healthcare professionals should identify any immediately life-threatening features, including compromise of the airway, breathing or circulation, and decreased level of consciousness. [2007]

What was measured: Proportion of children aged under 5 presenting to an emergency department with fever or febrile illness as part of their presenting complaint whose Glasgow Coma Scale score (or Alert Verbal Painful Unresponsiveness scale) was measured and recorded within 15 minutes of arrival.
Data collection end: January 2019
49%
Area covered: UK
Source: Royal College of Emergency Medicine. Feverish Child.


Recommendation: 1.2.2.1

Assess children with feverish illness for the presence or absence of symptoms and signs that can be used to predict the risk of serious illness using the traffic light system (see table 1). [2013]

What was measured: Proportion of children aged under 5 presenting to an emergency department with fever or febrile illness as part of their presenting complaint and without apparent source of infection who were assessed as per NICE feverish child traffic light guidance.
Data collection end: January 2019
69%
Area covered: UK
Source: Royal College of Emergency Medicine. Feverish Child.


Recommendation: 1.2.2.6

Measure and record temperature, heart rate, respiratory rate and capillary refill time as part of the routine assessment of a child with fever.

What was measured: Proportion of patients presenting with a fever who have their temperature, heart rate, respiratory rate and capillary refill time measured and recorded
Data collection end: January 2014
62%
Area covered: Local
Source: Andrews A (2015) The assessment and management of the febrile child under five in the primary care setting. Archives of Disease in Childhood, Conference (var.pagings): April

What was measured: Percentage of emergency department notes where the vital sign 'temperature' was recorded.
Data collection end: March 2016
95%
Area covered: UK
Source: Royal College of Emergency Medicine. Vital signs in children .

What was measured: Percentage of emergency department notes where the vital sign 'heart rate' was recorded.
Data collection end: March 2016
95%
Area covered: UK
Source: Royal College of Emergency Medicine. Vital signs in children .

What was measured: Percentage of emergency department notes where the vital sign 'respiratory rate' was recorded.
Data collection end: March 2016
89%
Area covered: UK
Source: Royal College of Emergency Medicine. Vital signs in children .

What was measured: Percentage of emergency department notes where the vital sign 'capillary refill time' was recorded.
Data collection end: March 2016
53%
Area covered: UK
Source: Royal College of Emergency Medicine. Vital signs in children .

What was measured: Proportion of children aged under 5 presenting to an emergency department with fever or febrile illness as part of their presenting complaint whose respiratory rate was measured and recorded within 15 minutes of arrival.
Data collection end: January 2019
54%
Area covered: UK
Source: Royal College of Emergency Medicine. Feverish Child.

What was measured: Proportion of children aged under 5 presenting to an emergency department with fever or febrile illness as part of their presenting complaint whose pulse was measured and recorded within 15 minutes of arrival.
Data collection end: January 2019
55%
Area covered: UK
Source: Royal College of Emergency Medicine. Feverish Child.

What was measured: Proportion of infants and children under 5 years seen by a healthcare professional and suspected of having a fever who have their temperature, heart rate, respiratory rate and capillary refill time measured and recorded.
Data collection end: January 2019
38%
Area covered: UK
Source: Royal College of Emergency Medicine. Feverish Child.

What was measured: Proportion of children aged under 5 presenting to an emergency department with fever or febrile illness as part of their presenting complaint whose temperature was measured and recorded within 15 minutes of arrival.
Data collection end: January 2019
55%
Area covered: UK
Source: Royal College of Emergency Medicine. Feverish Child.



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