Abstract
BackgroundFever is one of the most common symptoms of pediatric consultations and its mismanagement is a health care burden. Guidelines on fever management are incoherent and data on fever management are still missing. This study protocol describes an app-based registry to evaluate the fever management of parents.ObjectiveThe primary objectives are to assess guideline adherence (primary outcome) and parental confidence in managing fever, and thus to reduce overuse of antipyretics, antibiotics and healthcare providers.Secondary objectives include creating a “FeverApp” that will enable parents to handle fever safely and to use the FeverApp registry as symptom and fever management diary. Further objectives include developing and testing a symptom-led registry model by app-based acquisition of parental entries of febrile illness cycle data and developing and testing models of how an interactive app-based registry can enable nationwide EMA information to inform science, guideline and policy makers, and the public.MethodsA FeverApp, guiding parents and carers in handling and documenting fever, will be developed with family pediatricians according to current guidelines and recommended for all parents in Germany. A registry will anonymously document features, management and outcomes of febrile episodes: basic sociodemographic and medical information, initial symptoms, course of fever, pharmacological and non-pharmacological interventions, consultations with doctors, outcomes, fever-associated fears, and app satisfaction.ResultsThis app may improve communication quality and health, e.g. asthma and antimicrobial resistance. Results will be published via website www.feverapp.de.Trial registrationThis app-based registry protocol is registered in the German Clinical Trials Register (DRKS) with registration number: DRKS00016591.
Highlights
Results will be published via website www.feverapp.de
Relevance We focus on the most common reason for pediatric consultation, the acute febrile infection [1]
Note that this may not apply to all children since up to now no study has tested this question at the scale we are expecting the FeverApp registry to reach – which is one of the reasons for the registry
Summary
Relevance We focus on the most common reason for pediatric consultation, the acute (viral or bacterial) febrile infection [1]. Across all levels of society and health care professionals there is a striking spectrum of conflicting views and approaches regarding fever management, Martin et al BMC Medical Informatics and Decision Making (2020) 20:249 leading to confusion, irrational fears and overuse of antibiotics and antipyretics [2, 3]. This is reflected by the plethora of opinions as found by a systematic review of all available official guidelines on how to handle fever from 195 countries that we performed during the conception phase. This study protocol describes an app-based registry to evaluate the fever management of parents
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