Jenetzky Ekkehart, Schwarz Silke, Fingerhut Ingo, Kerdar Sara Hamideh, Gwiasda Moritz, Rathjens Larisa, Kulikova Olga, Martin David
Department für Humanmedizin, Fakultät für Gesundheit Universität Witten/Herdecke, Witten, Deutschland.
Klinik und Poliklinik für Kinder- und Jugendpsychiatrie, - und -psychotherapie, Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Mainz, Deutschland.
Gesundheitswesen. 2021 Nov;83(S 01):S4-S11. doi: 10.1055/a-1581-8155. Epub 2021 Nov 3.
To demonstrate the feasibility and exemplarity of an app-based parent registry.
The app as an elaborated interactive electronic case report form and the underlying data structure of the registry are presented. The initial recruitment efforts are illustrated and the temperature distribution, as well as the distribution of fever events in 2020, are analyzed.
The FeverApp successfully collects data into a central registry. Like every study, it also provides information on the current knowledge. The ecological momentary assessment can represent the illness situation at several levels (measurement, fever episode, individual, family, practice, country). Methods for data collection needed to be developed in a flexible manner due to pandemic conditions. The initial recruitment goal of 2400 fever phases in the first two years was met, with nationwide dissemination pending. It is shown that body temperature does not rise indefinitely; fevers reach an average of 39 degrees without antipyretics, although in rare cases temperatures beyond 41 degrees are reached without harm. Furthermore, a comparison with a reference practice shows that fever episodes can be recorded more comprehensively in the app, including infections that do not come to the presentation in a pediatrician's office. Thus, the FeverApp fulfills in a model-like fashion the use of registers in persons basically healthy and maps a multi-level diagnostics.
The FeverApp could basically establish itself as a supporting tool, the registry can reliably collect data with the method used and maps the current infection situation. In researching the question of how infections develop in the post-Covid period, the app could perform an important task.
证明基于应用程序的家长登记系统的可行性和示范性。
介绍了作为详细交互式电子病例报告表的应用程序以及登记系统的基础数据结构。阐述了最初的招募工作，并分析了2020年的体温分布以及发热事件的分布情况。
“发热应用程序”成功地将数据收集到中央登记系统中。与每项研究一样，它也提供了有关当前知识的信息。生态瞬时评估可以在多个层面（测量、发热发作、个体、家庭、诊所、国家）反映疾病情况。由于疫情状况，需要灵活制定数据收集方法。头两年最初招募2400个发热阶段的目标得以实现，有待在全国范围内推广。结果表明，体温不会无限制升高；在不使用退烧药的情况下，发热平均达到39度，尽管在极少数情况下体温会超过41度但并无危害。此外，与一个参考诊所的比较表明，该应用程序能够更全面地记录发热发作情况，包括那些未在儿科诊所就诊的感染病例。因此，“发热应用程序”以类似模型的方式实现了在基本健康人群中使用登记系统，并绘制了多层次诊断图。
“发热应用程序”基本上可以确立为一种辅助工具，登记系统能够通过所使用的方法可靠地收集数据，并描绘当前的感染情况。在研究新冠疫情后感染如何发展的问题上，该应用程序可以发挥重要作用。
