Comparison between temporal and rectal temperature measurement

Hanne  Nygaard; Christian Peter Maschmann; Anette Ekmann

Comparison between temporal and rectal temperature measurement

Bidragets oversatte titel: Sammenlignende undersøgelse af temporal arterie termometer og rektal termometer for voksne i Akutmodtagelsen

Hanne Nygaard, Christian Peter Maschmann, Anette Ekmann

Abstract

Dansk resume
Brug af digitale termometer til non-invasiv temperaturmåling, bla. Temporal Arterie Termometer (TAT) er udbredt på danske hospitaler. Videnskabelige studier, der inkluderer børn, kirurgiske, intensiv- og cancerpatienter, har dog vist, at temperaturmåling med TAT er unøjagtig blandt de patientgrupper. Formålet med studiet, var at sammenligne temperaturmålinger mellem TAT og konventionel rektaltermometer hos voksne (+18 år) patienter, der indlægges akut med medicinske problemstillinger i Akutmodtagelsen.
Studiet blev designet som et prospektivt, komparativt studie. I løbet af to måneder blev 381 patienter inkluderet i studiet. Patientens temperatur blev først målt med Exergen TAT-500 og efter en pause på maksimalt 7 minutter målt igen med et rektaltermometer af mærket Omron MC-341-E. Målingerne blev analyseret i et Bland-Altman plot, mens sensitivitet og specificitet blev beregnet.
Analyserne viste en spredning af målingerne mellem TAT og rektaltermometer på -1,7 til +1,7°C. Medianen på forskellene i Blandt-Altman plottet var 0,17 (SD 0,47). Sensitiviteten på TAT målingerne var 67 %, mens specificiteten blev beregnet til 96 %.
På baggrund af resultaterne kan det ikke anbefales at anvende TAT som et alternativ til rektaltermometer, når der skal foretages non-invasiv temperaturmåling hos voksne akut indlagte patienter med medicinske problemstillinger i Akutmodtagelsen.

Bidragets oversatte titel	Sammenlignende undersøgelse af temporal arterie termometer og rektal termometer for voksne i Akutmodtagelsen
Originalsprog	Engelsk
Artikelnummer	A04200270
Tidsskrift	Ugeskrift for Læger
Vol/bind	67
Udgave nummer	11
ISSN	0041-5782
Status	Udgivet - 20 okt. 2020

Andre filer og links

https://ugeskriftet.dk/dmj/comparison-between-temporal-and-rectal-temperature-measurement

Citationsformater

@article{9a206a7a990c4ca4861016620bc3e7f3,

title = "Comparison between temporal and rectal temperature measurement",

abstract = "Introduction – Various digital thermometers for non-invasive use have been used increasingly in Danish hospitals, including the Temporal Artery Thermometer (TAT). However, previous studies have concluded that the accuracy of the TAT is unsatisfying at paediatric, surgical, cancer and intensive care patients. The purpose of this study was to compare the accuracy of the TAT to a conventional rectal thermometer within acutely admitted medical patients at the Emergency Department. Method - The study was designed as a prospective, comparative research. For two months, 381 patients were included. With no more than 7 minutes apart the temperature was measured first with an Exergen TAT-5000 and then controlled with a rectal thermometer from Omron MC-341-E. The measurements were analysed in a Bland-Altman plot, and the sensitivity and specificity of the TAT were calculated. Result – The differences between TAT and rectal thermometer spread from -1.7°C – 1.7°C. The mean of the differences was drawn in the Bland-Altman plot through 0.17 with a standard deviation at 0.47. The sensitivity and specificity were calculated to 67 % and 96 %, respectively. Conclusion – Based on this study, we do not recommend the use of TAT as an alternative to rectal thermometer for non-invasive measuring of the body temperature in acutely admitted medical patients.Funding and trial registration - All authors received honoraria from The Region Capital of Denmark. Study procedures were approved by the local ethical committee and submitted to www.clinicaltrials.org (NCT01817881).",

author = "Hanne Nygaard and Maschmann, {Christian Peter} and Anette Ekmann",

year = "2020",

month = oct,

day = "20",

language = "English",

volume = "67",

journal = "Ugeskrift for L{\ae}ger",

issn = "0041-5782",

publisher = "Almindelige Danske Laegeforening",

number = "11",

}

TY - JOUR

T1 - Comparison between temporal and rectal temperature measurement

AU - Nygaard, Hanne

AU - Maschmann, Christian Peter

AU - Ekmann, Anette

PY - 2020/10/20

Y1 - 2020/10/20

N2 - Introduction – Various digital thermometers for non-invasive use have been used increasingly in Danish hospitals, including the Temporal Artery Thermometer (TAT). However, previous studies have concluded that the accuracy of the TAT is unsatisfying at paediatric, surgical, cancer and intensive care patients. The purpose of this study was to compare the accuracy of the TAT to a conventional rectal thermometer within acutely admitted medical patients at the Emergency Department. Method - The study was designed as a prospective, comparative research. For two months, 381 patients were included. With no more than 7 minutes apart the temperature was measured first with an Exergen TAT-5000 and then controlled with a rectal thermometer from Omron MC-341-E. The measurements were analysed in a Bland-Altman plot, and the sensitivity and specificity of the TAT were calculated. Result – The differences between TAT and rectal thermometer spread from -1.7°C – 1.7°C. The mean of the differences was drawn in the Bland-Altman plot through 0.17 with a standard deviation at 0.47. The sensitivity and specificity were calculated to 67 % and 96 %, respectively. Conclusion – Based on this study, we do not recommend the use of TAT as an alternative to rectal thermometer for non-invasive measuring of the body temperature in acutely admitted medical patients.Funding and trial registration - All authors received honoraria from The Region Capital of Denmark. Study procedures were approved by the local ethical committee and submitted to www.clinicaltrials.org (NCT01817881).

AB - Introduction – Various digital thermometers for non-invasive use have been used increasingly in Danish hospitals, including the Temporal Artery Thermometer (TAT). However, previous studies have concluded that the accuracy of the TAT is unsatisfying at paediatric, surgical, cancer and intensive care patients. The purpose of this study was to compare the accuracy of the TAT to a conventional rectal thermometer within acutely admitted medical patients at the Emergency Department. Method - The study was designed as a prospective, comparative research. For two months, 381 patients were included. With no more than 7 minutes apart the temperature was measured first with an Exergen TAT-5000 and then controlled with a rectal thermometer from Omron MC-341-E. The measurements were analysed in a Bland-Altman plot, and the sensitivity and specificity of the TAT were calculated. Result – The differences between TAT and rectal thermometer spread from -1.7°C – 1.7°C. The mean of the differences was drawn in the Bland-Altman plot through 0.17 with a standard deviation at 0.47. The sensitivity and specificity were calculated to 67 % and 96 %, respectively. Conclusion – Based on this study, we do not recommend the use of TAT as an alternative to rectal thermometer for non-invasive measuring of the body temperature in acutely admitted medical patients.Funding and trial registration - All authors received honoraria from The Region Capital of Denmark. Study procedures were approved by the local ethical committee and submitted to www.clinicaltrials.org (NCT01817881).

UR - https://ugeskriftet.dk/dmj/comparison-between-temporal-and-rectal-temperature-measurement

M3 - Journal article

SN - 0041-5782

VL - 67

JO - Ugeskrift for Læger

JF - Ugeskrift for Læger

IS - 11

M1 - A04200270

ER -

Comparison between temporal and rectal temperature measurement

Abstract

Andre filer og links

Fingeraftryk

Citationsformater