Evidence map›Paper›PMID 36198469›Full record

ArticleBMJ open2022

Fever among preschool-aged children: a cross-sectional study assessing Lebanese parents' knowledge, attitudes and practices regarding paediatric fever assessment and management.

Fouad Sakr, Zeinab Toufaili, Zeina Akiki, Marwan Akel, Diana Malaeb, Mariam Dabbous, Pascale Salameh

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 6 institutions in 6 countries.

Fouad SakrSchool of Pharmacy, Lebanese International University, Beirut, Lebanon fouad.sakr@liu.edu.lb.ORCID 0000-0002-6905-5814
Zeinab ToufailiDepartment of Operations, Primary Health Care Corporation, Doha, Qatar.
Zeina AkikiFaculty of Public Health, Lebanese University, Fanar, Lebanon.
Marwan AkelSchool of Pharmacy, Lebanese International University, Beirut, Lebanon.
Diana MalaebSchool of Pharmacy, Lebanese International University, Beirut, Lebanon.
Mariam DabbousSchool of Pharmacy, Lebanese International University, Beirut, Lebanon.
Pascale SalamehFaculty of Public Health, Lebanese University, Fanar, Lebanon.
Lebanese University · LBGulf Medical University · AEInserm · FRInternational Pharmaceutical Federation · NLLebanese International University · LBPrimary Health Care · QA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study investigated parental knowledge, attitudes and practices towards fever in preschool children to help address gaps in public health and provide information with the aim of supporting clinical reports for parental education.

designA cross-sectional study design was used to explore parental experiences with fever.

settingParticipants were recruited randomly from schools all over Lebanon targeting the preschool divisions.

participantsParents of children aged 5 years or less.

interventionsAn electronic self-administered questionnaire was sent to the parents through the schools' emails and e-learning mobile applications. PRIMARY AND SECONDARY OUTCOMES: The primary outcome measure was to assess parental knowledge about the precise definition of fever, correct use of medications and to evaluate the impact of sociodemographic factors on this knowledge. The secondary outcome measures were to assess parental attitudes and practices of fever management, sources of information and reasons to seek primary medical attention.

resultsA total of 733 parents were included in the study. Only 44% identified fever correctly according to the recognised definition by international guidelines. A significant association between parents' knowledge of antibiotics and years of parenting experience was found (adjusted OR, ORa=4.23, 95% CI 1.41 to 12.68, p=0.01). Other sociodemographic factors that were significantly associated with parents' knowledge of antibiotics were age (ORa=3.42, 95% CI 1.09 to 10.73, p=0.036) and education level (ORa=7.99, 95% CI 3.71 to 17.23, p<0.001). Greater than 75% usually give their children antipyretics without consulting a doctor. Approximately one-quarter of parents (26.3%) consulted different doctors at the same time, of which more than half (58.4%) had received different medical information.

conclusionsThis research determines deficiencies in parents' knowledge of fever with some malpractices in its management particularly regarding antipyretic use. It provides insight for healthcare providers to empower parental experiences by offering the necessary information to enhance general outcomes of febrile sickness.

Indexed as

AntipyreticsAnti-Bacterial AgentsChildChild, PreschoolCross-Sectional StudiesFeverHealth Knowledge, Attitudes, PracticeHumansParentsSurveys and QuestionnairesAnti-Bacterial AgentsAntipyreticsCommunity child healthEPIDEMIOLOGYGENERAL MEDICINE (see Internal Medicine)PUBLIC HEALTH

Identifiers

PMID36198469
PMCPMC9535157
OpenAlexW4302010892

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.