ArticleArchives of disease in childhood2011
Evaluation of temperature-pulse centile charts in identifying serious bacterial illness: observational cohort study.
Article in Archives of disease in childhood, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
15 citing papers in PubMed, 29 citations in OpenAlex.
- Trial
- A primary healthcare approach to children with fever.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2026Article
- Acute kidney injury in infants hospitalized for viral bronchiolitis.European journal of pediatrics · 2023Article
- Heart rate and respiratory rate in predicting risk of serious bacterial infection in febrile children given antipyretics: prospective observational study.European journal of pediatrics · 2023Observational
- Integrating Clinical Signs at Presentation and Clinician's Non-analytical Reasoning in Prediction Models for Serious Bacterial Infection in Febrile Children Presenting to Emergency Department.Frontiers in pediatrics · 2022Article
- Acute kidney injury in children hospitalized for community acquired pneumonia.Pediatric nephrology (Berlin, Germany) · 2021Article
- A NICE combination for predicting hospitalisation at the Emergency Department: a European multicentre observational study of febrile children.The Lancet regional health. Europe · 2021Article
- Acute kidney injury in children hospitalized for acute gastroenteritis: prevalence and risk factors.Pediatric nephrology (Berlin, Germany) · 2021Article
- Management of Children With Fever at Risk for Pediatric Sepsis: A Prospective Study in Pediatric Emergency Care.Frontiers in pediatrics · 2020Article
- Value of parental concern and clinician's gut feeling in recognition of serious bacterial infections: a prospective observational study.BMC pediatrics · 2019Observational
- Application of the Rochester Criteria to Identify Febrile Infants With Bacteremia and Meningitis.Pediatric emergency care · 2019Article
- Fever in Children: Pearls and Pitfalls.Children (Basel, Switzerland) · 2017Review
- Heart rates in hospitalized children by age and body temperature.Pediatrics · 2015Article
- The use of vital signs as predictors for serious bacterial infections in children with acute febrile illness in a pediatric emergency setting in Sudan.Sudanese journal of paediatrics · 2014Article
- Derivation and validation of age and temperature specific reference values and centile charts to predict lower respiratory tract infection in children with fever: prospective observational study.BMJ (Clinical research ed.) · 2012Article
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Authors and funding
6 authors at 5 institutions in 3 countries.
Funding
Abstract
backgroundDistinguishing serious bacterial infection (SBI) from milder/self-limiting infections is often difficult. Interpretation of vital signs is confounded by the effect of temperature on pulse and respiratory rate. Temperature-pulse centile charts have been proposed to improve the predictive value of pulse rate in the clinical assessment of children with suspected SBI.
objectivesTo assess the utility of proposed temperature-pulse centile charts in the clinical assessment of children with suspected SBI. STUDY DESIGN AND
participantsThe predictive value for SBI of temperature-pulse centile categories, pulse centile categories and Advanced Paediatric Life Support (APLS) defined tachycardia were compared among 1360 children aged 3 months to 10 years presenting with suspected infection to a hospital emergency department (ED) in England; and among 325 children who presented to hospitals in the UK with meningococcal disease.
main outcome measureSBI.
resultsAmong children presenting to the ED, 55 (4.0%) had SBI. Pulse centile category, but not temperature-pulse centile category, was strongly associated with risk of SBI (p=0.0005 and 0.288, respectively). APLS defined tachycardia was also strongly associated with SBI (OR 2.90 (95% CI 1.60 to 5.26), p=0.0002). Among children with meningococcal disease, higher pulse and temperature-pulse centile categories were both associated with more severe disease (p=0.004 and 0.041, respectively).
conclusionsIncreased pulse rate is an important predictor of SBI, supporting National Institute for Health and Clinical Excellence recommendations that pulse rate be routinely measured in the assessment of febrile children. Temperature-pulse centile charts performed more poorly than pulse alone in this study. Further studies are required to evaluate their utility in monitoring the clinical progress of sick children over time.
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