Accuracy of Noninvasive core temperature measurement in acutely ill adults: The state of the science
Accuracy of Noninvasive core temperature measurement in acutely ill adults: The state of the science
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DOI：
10.1177/1099800406289151
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发表时间：
2006-07-01
影响因子：
2.5
通讯作者：
Andrews, Jeannette O.
中科院分区：
文献类型：
--
作者：
Hooper, Valfire D.;Andrews, Jeannette O.
准确的体温测量对于评估和管理急症成人的体温波动至关重要。不幸的是，尚未建立一种准确、无创的测量核心温度的方法，并且当前的仪器可以为任何特定患者产生广泛的温度范围。本文对危重住院成人患者中选定的有创和无创体温测量方法进行比较的研究进行了综合综述。对 Medline 和 CINAHL 数据库进行了搜索，以找到已发表的关于成年住院患者体温测量的研究。主要搜索术语的部分列表包括核心温度测量、口腔温度测量、颞动脉温度测量和鼓室温度计。分析中包括基于数据的研究，包括将成人中鼓室、颞动脉和/或口腔无创温度测量与肺动脉或食管侵入性核心测量进行比较。检索方法产生了 223 篇出版物和摘要供初步审查； 23 名 (10%) 符合纳入标准。唯一一项评估颞动脉测温在成年人中使用的研究发现该仪器不可靠。结果还表明，缺乏支持鼓膜温度测量准确性的高质量证据，鼓膜温度测量是许多急症护理环境中无创核心温度测量的首选仪器，事实上，评估该仪器准确性的最新高质量研究未能支持其使用。然而，证据确实支持使用口腔测温作为成人急病人群体温评估的准确手段。
Accurate temperature measurement is critical to the assessment and management of temperature fluctuation in the acutely ill adult. Unfortunately, an accurate, noninvasive method to measure core temperature has yet to be established, and current instruments produce a wide range of temperatures for any given patient. This article provides an integrative review of studies comparing selected invasive and noninvasive temperature measurement methods in acutely ill, hospitalized adult patients. Medline and CINAHL databases were searched to locate published studies on temperature measurement in the adult hospitalized patient. A partial list of primary search terms included core temperature measurement, oral temperature measurement, temporal artery thermometry, and tympanic thermometers. Studies that were data based and included comparison of a tympanic, temporal artery, and/or oral noninvasive temperature measurement to a pulmonary artery or esophageal invasive core measurement in an adult population were included in the analysis. The search method produced 223 publications and abstracts for initial review; 23 (10%) met the inclusion criteria. The only study evaluating the use of temporal artery thermometry in the adult population found the instrument to be unreliable. Results also indicate that high-quality evidence supporting the accuracy of tympanic thermometry, the preferred instrument for noninvasive core temperature measurement in many acute care settings, is lacking, and in fact, the most recent high-quality studies evaluating the accuracy of this instrument fail to show support for its use. Evidence does, however, support the use of oral thermometry as an accurate means of temperature assessment in the adult, acutely ill population.