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'Silent' pyrexia in the elderly.

J H Downton, K Andrews, J A Puxty

    Age and Ageing
    |January 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Oral and axillary temperature readings are unreliable for detecting fever in elderly patients. Rectal temperature measurement is crucial for accurately identifying pyrexia in this population.

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    Area of Science:

    • Geriatric Medicine
    • Clinical Thermometry

    Background:

    • Accurate temperature measurement is vital for diagnosing infections in elderly patients.
    • Subnormal temperature readings from oral or axillary sites can mask fever.

    Purpose of the Study:

    • To compare the accuracy of oral, rectal, and axillary temperature measurements in elderly patients.
    • To determine if oral or axillary temperatures are adequate for screening pyrexia in geriatrics.

    Main Methods:

    • Simultaneous oral, rectal, and axillary temperatures were recorded in 73 elderly patients.
    • Data were analyzed to compare readings from different sites.

    Main Results:

    • Axillary and oral temperatures were significantly lower than rectal temperatures.

    Related Experiment Videos

  • Using oral or axillary measurements alone would have missed significant pyrexia in 66-75% of patients.
  • Conclusions:

    • Oral and axillary temperature measurements are inadequate for screening pyrexia in the elderly.
    • Rectal temperature measurement is recommended for accurate fever detection in geriatric patients.