Failure of infant observation scales in detecting serious illness in febrile, 4- to 8-week-old infants

M. D. Baker, J. R. Avner, L. M. Bell

Research output: Contribution to journalArticle

127 Citations (Scopus)

Abstract

All infants aged 29 to 56 days with rectal temperatures in excess of 38.2°C who presented to the Emergency Department of The Children's Hospital of Philadelphia from July 1987 through July 1988 were studied. Each infant was scored (1 to 5) on each of the six items in the Yale Observation Scale by an Emergeny Department attending physician before history and physical examination. Individual scores were then added to yield a total score for each patient. An observation score of 10 or less was indicative of a generally well-appearing child, and a score of 16 or more represented and ill-appearing child. Of 126 infants enrolled, 37 (29%) had serious illness; 12 (9.5%) had culture-proven bacterial disease. Of all infants with an observation score ≤ 10(n = 91), 22% had serious illness, and of all infants with an observation score ≥ 16 (n = 20), only 45% had serious illness. The findings suggest that even in experienced hands, the Yale Observation Scale alone does not provide sufficient data to identify serious illness in febrile, 1- to 2-month-old infants.

Original languageEnglish (US)
Pages (from-to)1040-1043
Number of pages4
JournalPediatrics
Volume85
Issue number6
StatePublished - 1990
Externally publishedYes

Fingerprint

Fever
Observation
Physical Examination
Hospital Emergency Service
History
Physicians
Temperature

Keywords

  • fever
  • Infant Observation Scale

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Failure of infant observation scales in detecting serious illness in febrile, 4- to 8-week-old infants. / Baker, M. D.; Avner, J. R.; Bell, L. M.

In: Pediatrics, Vol. 85, No. 6, 1990, p. 1040-1043.

Research output: Contribution to journalArticle

Baker, M. D. ; Avner, J. R. ; Bell, L. M. / Failure of infant observation scales in detecting serious illness in febrile, 4- to 8-week-old infants. In: Pediatrics. 1990 ; Vol. 85, No. 6. pp. 1040-1043.
@article{9d49b7750c884bd38a0ad095490c32cb,
title = "Failure of infant observation scales in detecting serious illness in febrile, 4- to 8-week-old infants",
abstract = "All infants aged 29 to 56 days with rectal temperatures in excess of 38.2°C who presented to the Emergency Department of The Children's Hospital of Philadelphia from July 1987 through July 1988 were studied. Each infant was scored (1 to 5) on each of the six items in the Yale Observation Scale by an Emergeny Department attending physician before history and physical examination. Individual scores were then added to yield a total score for each patient. An observation score of 10 or less was indicative of a generally well-appearing child, and a score of 16 or more represented and ill-appearing child. Of 126 infants enrolled, 37 (29{\%}) had serious illness; 12 (9.5{\%}) had culture-proven bacterial disease. Of all infants with an observation score ≤ 10(n = 91), 22{\%} had serious illness, and of all infants with an observation score ≥ 16 (n = 20), only 45{\%} had serious illness. The findings suggest that even in experienced hands, the Yale Observation Scale alone does not provide sufficient data to identify serious illness in febrile, 1- to 2-month-old infants.",
keywords = "fever, Infant Observation Scale",
author = "Baker, {M. D.} and Avner, {J. R.} and Bell, {L. M.}",
year = "1990",
language = "English (US)",
volume = "85",
pages = "1040--1043",
journal = "Pediatrics",
issn = "0031-4005",
publisher = "American Academy of Pediatrics",
number = "6",

}

TY - JOUR

T1 - Failure of infant observation scales in detecting serious illness in febrile, 4- to 8-week-old infants

AU - Baker, M. D.

AU - Avner, J. R.

AU - Bell, L. M.

PY - 1990

Y1 - 1990

N2 - All infants aged 29 to 56 days with rectal temperatures in excess of 38.2°C who presented to the Emergency Department of The Children's Hospital of Philadelphia from July 1987 through July 1988 were studied. Each infant was scored (1 to 5) on each of the six items in the Yale Observation Scale by an Emergeny Department attending physician before history and physical examination. Individual scores were then added to yield a total score for each patient. An observation score of 10 or less was indicative of a generally well-appearing child, and a score of 16 or more represented and ill-appearing child. Of 126 infants enrolled, 37 (29%) had serious illness; 12 (9.5%) had culture-proven bacterial disease. Of all infants with an observation score ≤ 10(n = 91), 22% had serious illness, and of all infants with an observation score ≥ 16 (n = 20), only 45% had serious illness. The findings suggest that even in experienced hands, the Yale Observation Scale alone does not provide sufficient data to identify serious illness in febrile, 1- to 2-month-old infants.

AB - All infants aged 29 to 56 days with rectal temperatures in excess of 38.2°C who presented to the Emergency Department of The Children's Hospital of Philadelphia from July 1987 through July 1988 were studied. Each infant was scored (1 to 5) on each of the six items in the Yale Observation Scale by an Emergeny Department attending physician before history and physical examination. Individual scores were then added to yield a total score for each patient. An observation score of 10 or less was indicative of a generally well-appearing child, and a score of 16 or more represented and ill-appearing child. Of 126 infants enrolled, 37 (29%) had serious illness; 12 (9.5%) had culture-proven bacterial disease. Of all infants with an observation score ≤ 10(n = 91), 22% had serious illness, and of all infants with an observation score ≥ 16 (n = 20), only 45% had serious illness. The findings suggest that even in experienced hands, the Yale Observation Scale alone does not provide sufficient data to identify serious illness in febrile, 1- to 2-month-old infants.

KW - fever

KW - Infant Observation Scale

UR - http://www.scopus.com/inward/record.url?scp=0025279147&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0025279147&partnerID=8YFLogxK

M3 - Article

VL - 85

SP - 1040

EP - 1043

JO - Pediatrics

JF - Pediatrics

SN - 0031-4005

IS - 6

ER -