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 |
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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 |
format | Article |
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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 < 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.</description><identifier>ISSN: 0099-1767</identifier><identifier>EISSN: 1527-2966</identifier><identifier>DOI: 10.1016/j.jen.2009.07.017</identifier><identifier>PMID: 20211398</identifier><language>eng</language><publisher>United States: Mosby, Inc</publisher><subject>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</subject><ispartof>Journal of emergency nursing, 2010-03, Vol.36 (2), p.101-104</ispartof><rights>2010 Emergency Nurses Association</rights><rights>Copyright (c) 2010 Emergency Nurses Association. Published by Mosby, Inc. All rights reserved.</rights><rights>Copyright Elsevier Science Ltd. Mar 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c409t-85d52d0e49227e786b89d712d0487d0058e65308a7acf2fe8a3e5c1a5e95b56c3</citedby><cites>FETCH-LOGICAL-c409t-85d52d0e49227e786b89d712d0487d0058e65308a7acf2fe8a3e5c1a5e95b56c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jen.2009.07.017$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,778,782,3539,27907,27908,30982,30983,45978</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20211398$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fortuna, Ezio L.</creatorcontrib><creatorcontrib>Carney, Michele M.</creatorcontrib><creatorcontrib>Macy, Michelle</creatorcontrib><creatorcontrib>Stanley, Rachel M.</creatorcontrib><creatorcontrib>Younger, John G.</creatorcontrib><creatorcontrib>Bradin, Stuart A.</creatorcontrib><title>Accuracy of Non-contact Infrared Thermometry Versus Rectal Thermometry in Young Children Evaluated in the Emergency Department for Fever</title><title>Journal of emergency nursing</title><addtitle>J Emerg Nurs</addtitle><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.</description><subject>Accuracy</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Childrens health</subject><subject>Emergency medical care</subject><subject>Emergency Nursing</subject><subject>Emergency Service, Hospital</subject><subject>Fever</subject><subject>Fever - diagnosis</subject><subject>Fevers</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Linear models</subject><subject>Measurement</subject><subject>Michigan</subject><subject>Non-contact infrared</subject><subject>Nursing</subject><subject>Rectal thermometry</subject><subject>Sensitivity and Specificity</subject><subject>Thermography</subject><subject>Thermometers</subject><issn>0099-1767</issn><issn>1527-2966</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp9kc-KFDEQh4Mo7rj6AF4kXvTUbf50OgmelnFWFxYFWQVPIZOu3ummOxmT9MC8gY9tllkFPewpUPXVL1R9CL2kpKaEtu_GegRfM0J0TWRNqHyEVlQwWTHdto_RqjR0RWUrz9CzlEZCiJBUP0VnjDBKuVYr9OvCuSVad8Shx5-Dr1zw2bqMr3wfbYQO3-wgzmGGHI_4O8S0JPwVXLbTP53B4x9h8bd4vRumLoLHm4OdFptLQunlHeDNDPEWfPnqA-xtzDP4jPsQ8SUcID5HT3o7JXhx_56jb5ebm_Wn6vrLx6v1xXXlGqJzpUQnWEeg0YxJkKrdKt1JWkqNkl1ZUEErOFFWWtezHpTlIBy1ArTYitbxc_T2lLuP4ecCKZt5SA6myXoISzKScyGVbppCvnmQFJI3XGhRwNf_gWNYoi9bGKWZalouC0NPjIshpQi92cdhtvFoKDF3Ms1oikxzJ9MQaYrMMvPqPnfZztD9nfhjrwDvTwCUgx0GiCa5oVwYuiEWRaYLwwPxvwF8YrBY</recordid><startdate>20100301</startdate><enddate>20100301</enddate><creator>Fortuna, Ezio L.</creator><creator>Carney, Michele M.</creator><creator>Macy, Michelle</creator><creator>Stanley, Rachel M.</creator><creator>Younger, John G.</creator><creator>Bradin, Stuart A.</creator><general>Mosby, Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20100301</creationdate><title>Accuracy of Non-contact Infrared Thermometry Versus Rectal Thermometry in Young Children Evaluated in the Emergency Department for Fever</title><author>Fortuna, Ezio L. ; Carney, Michele M. ; Macy, Michelle ; Stanley, Rachel M. ; Younger, John G. ; Bradin, Stuart A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c409t-85d52d0e49227e786b89d712d0487d0058e65308a7acf2fe8a3e5c1a5e95b56c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Accuracy</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Childrens health</topic><topic>Emergency medical care</topic><topic>Emergency Nursing</topic><topic>Emergency Service, Hospital</topic><topic>Fever</topic><topic>Fever - diagnosis</topic><topic>Fevers</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Linear models</topic><topic>Measurement</topic><topic>Michigan</topic><topic>Non-contact infrared</topic><topic>Nursing</topic><topic>Rectal thermometry</topic><topic>Sensitivity and Specificity</topic><topic>Thermography</topic><topic>Thermometers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fortuna, Ezio L.</creatorcontrib><creatorcontrib>Carney, Michele M.</creatorcontrib><creatorcontrib>Macy, Michelle</creatorcontrib><creatorcontrib>Stanley, Rachel M.</creatorcontrib><creatorcontrib>Younger, John G.</creatorcontrib><creatorcontrib>Bradin, Stuart A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of emergency nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fortuna, Ezio L.</au><au>Carney, Michele M.</au><au>Macy, Michelle</au><au>Stanley, Rachel M.</au><au>Younger, John G.</au><au>Bradin, Stuart A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Accuracy of Non-contact Infrared Thermometry Versus Rectal Thermometry in Young Children Evaluated in the Emergency Department for Fever</atitle><jtitle>Journal of emergency nursing</jtitle><addtitle>J Emerg Nurs</addtitle><date>2010-03-01</date><risdate>2010</risdate><volume>36</volume><issue>2</issue><spage>101</spage><epage>104</epage><pages>101-104</pages><issn>0099-1767</issn><eissn>1527-2966</eissn><abstract>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.</abstract><cop>United States</cop><pub>Mosby, Inc</pub><pmid>20211398</pmid><doi>10.1016/j.jen.2009.07.017</doi><tpages>4</tpages></addata></record> |
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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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