Accuracy of Non-contact Infrared Thermometry Versus Rectal Thermometry in Young Children Evaluated in the Emergency Department for Fever

We evaluated the accuracy of a non-contact infrared thermometer compared with a rectal thermometer. Two hundred patients, ages 1 month to 4 years, were included in the study. Each child underwent contemporaneous standard rectal thermometry and mid forehead non-contact infrared thermometry. Clinical...

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Veröffentlicht in:Journal of emergency nursing 2010-03, Vol.36 (2), p.101-104
Hauptverfasser: Fortuna, Ezio L., Carney, Michele M., Macy, Michelle, Stanley, Rachel M., Younger, John G., Bradin, Stuart A.
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container_end_page 104
container_issue 2
container_start_page 101
container_title Journal of emergency nursing
container_volume 36
creator Fortuna, Ezio L.
Carney, Michele M.
Macy, Michelle
Stanley, Rachel M.
Younger, John G.
Bradin, Stuart A.
description We evaluated the accuracy of a non-contact infrared thermometer compared with a rectal thermometer. Two hundred patients, ages 1 month to 4 years, were included in the study. Each child underwent contemporaneous standard rectal thermometry and mid forehead non-contact infrared thermometry. Clinical features, including chief complaint, recently administered antipyretic agents, and ambient temperature at the time of measurement, were included. Linear models were used to compare agreement between the 2 techniques, as well as to determine bias of infrared thermometry at different rectal temperatures. Multivariate linear models were used to evaluate the impact of clinical variables and ambient temperature. A linear relationship between rectal and infrared temperature measurements was observed; however, the coefficient of determination (r 2) value between was only 0.48 ( P < 0.01). Infrared thermometry tended to overestimate the temperature of afebrile children and underestimate the temperature of febrile patients ( P < .01). Ambient temperature and child age did not affect the accuracy of the device. In this study, non-contact infrared thermometry did not sufficiently agree with rectal thermometer to indicate its routine use.
doi_str_mv 10.1016/j.jen.2009.07.017
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Two hundred patients, ages 1 month to 4 years, were included in the study. Each child underwent contemporaneous standard rectal thermometry and mid forehead non-contact infrared thermometry. Clinical features, including chief complaint, recently administered antipyretic agents, and ambient temperature at the time of measurement, were included. Linear models were used to compare agreement between the 2 techniques, as well as to determine bias of infrared thermometry at different rectal temperatures. Multivariate linear models were used to evaluate the impact of clinical variables and ambient temperature. A linear relationship between rectal and infrared temperature measurements was observed; however, the coefficient of determination (r 2) value between was only 0.48 ( P &lt; 0.01). Infrared thermometry tended to overestimate the temperature of afebrile children and underestimate the temperature of febrile patients ( P &lt; .01). Ambient temperature and child age did not affect the accuracy of the device. 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Two hundred patients, ages 1 month to 4 years, were included in the study. Each child underwent contemporaneous standard rectal thermometry and mid forehead non-contact infrared thermometry. Clinical features, including chief complaint, recently administered antipyretic agents, and ambient temperature at the time of measurement, were included. Linear models were used to compare agreement between the 2 techniques, as well as to determine bias of infrared thermometry at different rectal temperatures. Multivariate linear models were used to evaluate the impact of clinical variables and ambient temperature. A linear relationship between rectal and infrared temperature measurements was observed; however, the coefficient of determination (r 2) value between was only 0.48 ( P &lt; 0.01). Infrared thermometry tended to overestimate the temperature of afebrile children and underestimate the temperature of febrile patients ( P &lt; .01). Ambient temperature and child age did not affect the accuracy of the device. 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source MEDLINE; Elsevier ScienceDirect Journals Complete; Applied Social Sciences Index & Abstracts (ASSIA)
subjects Accuracy
Child, Preschool
Children
Childrens health
Emergency medical care
Emergency Nursing
Emergency Service, Hospital
Fever
Fever - diagnosis
Fevers
Humans
Infant
Infant, Newborn
Linear models
Measurement
Michigan
Non-contact infrared
Nursing
Rectal thermometry
Sensitivity and Specificity
Thermography
Thermometers
title Accuracy of Non-contact Infrared Thermometry Versus Rectal Thermometry in Young Children Evaluated in the Emergency Department for Fever
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