Manning L V, Touquet R
Accident and Emergency department, St Mary's Hospital, London, England.
Arch Emerg Med. 1988 Jun;5(2):86-90. doi: 10.1136/emj.5.2.86.
Over a 3-month period all adults presenting to the Accident and Emergency Department of St Mary's Hospital, Paddington, London, England, with a pyrexia of 37.6 degrees C or more were entered into this study. A questionnaire was used to document the incidence of pyrexia, the age, sex, specific diagnosis and the subsequent management of pyrexial patients. A total of 11,062 adults came through the Department during this time, of whom 834 (7.5%) were admitted. One hundred and eight-eight adults had a pyrexia of 37.6 degrees C or greater and, of these, 62 (33%) were admitted. Seventy-two per cent of patients aged 45 years or older were admitted, compared with 22% in the younger age groups. These results were statistically significant for the correlation between likelihood of admission and age. This study demonstrates that, for patients presenting to an accident and emergency department, pyrexia is a useful indicator of illness which may necessitate admission, especially in the elderly.
在3个月的时间里，所有前往英国伦敦帕丁顿圣玛丽医院急诊科、体温达到或超过37.6摄氏度的成年人都被纳入了本研究。使用一份问卷来记录发热的发生率、年龄、性别、具体诊断以及发热患者随后的治疗情况。在此期间，共有11062名成年人前来该科室就诊，其中834人（7.5%）被收治入院。188名成年人的体温达到或超过37.6摄氏度，其中62人（33%）被收治入院。45岁及以上的患者中有72%被收治入院，而较年轻年龄组的这一比例为22%。入院可能性与年龄之间的相关性在统计学上具有显著意义。这项研究表明，对于前往急诊科就诊的患者来说，发热是疾病的一个有用指标，可能需要收治入院，尤其是在老年人中。
