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'Redefining normal: a fresh perspective on oral temperature

Por: Javaid · W.

Commentary on: Ley C, Heath F, Hastie T, et al. Defining Usual Oral Temperature Ranges in Outpatients Using an Unsupervised Learning Algorithm. JAMA Intern Med. 2023 Oct 1;183(10):1128-1135. doi: 10.1001/jamainternmed.2023.4291.

Implications for practice and researchPractice

  • This study suggests that clinicians should consider age, sex, height, weight and time of day when assessing a patient’s oral temperature.

  • Consider moving away from a one-size-fits-all approach to fever diagnosis.

  • Research

  • Future research should focus on how these individualised temperature norms can be integrated into clinical decision-making processes.

  • Develop new diagnostic criteria for fever.

  • Context

    Traditionally, the ‘normal’ oral temperature of 37°C has been a long-standing benchmark in health assessments. However, this standard fails to consider individual variability influenced by age, sex and metabolism. Ley et al1 study addresses this gap by exploring the range of normal temperatures across a...

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