Comparison of Rectal, Axillary, Tympanic, and Temporal Artery Thermometry in the Pediatric Emergency Room

Comparison of Rectal, Axillary, Tympanic, and Temporal Artery Thermometry in the Pediatric Emergency Room
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DOI:
10.1097/pec.0b013e31827b5427
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发表时间:
2013-01-01
影响因子:
1.4
通讯作者:
Goyal, Sudhanshu
Goyal, Sudhanshu
中科院分区:
医学4区
文献类型:
--
作者:
Batra, Prerna;Goyal, Sudhanshu

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背景:急诊室温度的准确测量对于诊断和调查患者非常重要。各种非侵入性的方法测温是今天,但没有共识,最准确的方法thermometry.Study Objective:本研究进行比较不同的方法,温度测量可在急诊室,即直肠,腋窝,颞动脉和鼓膜设计:这是一个横断面观察研究患者:纳入了50名发热和50名无发热儿童,年龄为2至12岁,在三级医院的儿科急诊室就诊。使用直肠、腋窝、鼓膜结果:所有温度与直肠温度均呈良好的相关性,其中颞动脉温度的相关性最好(相关系数,发热组为0.99,无发热组为0.91)。在忙碌的急诊室环境中,颞动脉测温有可能取代直肠测温。
Background: Accurate measurement of temperature in the emergency room is important for diagnosis as well as investigating a patient. Various noninvasive methods thermometry are available today, but there is no consensus on the most accurate method of thermometry.Study Objective: The present study was conducted to compare different methods of temperature measurement available in the emergency room, that is, rectal, axillary, and temporal artery and tympanic membrane.Design: This was a cross-sectional observational studyPatients: Fifty febrile and 50 afebrile children aged 2 to 12 years attending the pediatric emergency room of a tertiary care hospital were included. Temperatures were measured using rectal, axillary, tympanic (right and left), and temporal artery thermometers and were compared.Results: All the temperatures correlated well with rectal temperature, with temporal artery temperature showing the best correlation (correlation coefficients, 0.99 in the febrile and 0.91 in the afebrile group).Conclusions: Temporal artery thermometry has the potential to replace rectal thermometry in a busy emergency room setting.