IMEMR
EMRO
66.92
Index Copernicus
ICICICICICICICIC
Volume 1, Issue 3 (2020)
J Clinic Care Skill 2020, 1(3): 147-151 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Mahmoudi Z, Jahanpour F, Azodi P, Ostovar A. Comparison of the Specificity and Sensitivity of the Infrared Temporal Artery and Digital Axillary Body Temperature Measurements with Nasopharyngeal Method in Adult Patients. J Clinic Care Skill 2020; 1 (3) :147-151
URL: http://jccs.yums.ac.ir/article-1-51-en.html
URL: http://jccs.yums.ac.ir/article-1-51-en.html
1- Paramedical Faculty, Yasuj University of Medical Sciences, Yasuj, Iran
2- Pediatric Nursing Department, Nursing & Midwifery Faculty, Bushehr University of Medical Sciences, Bushehr, Iran. , f_jahanpour@yahoo.com
3- Paramedic Faculty, Bushehr University of Medical Sciences, Bushehr, Iran
4- Persian Gulf Tropical Medicine Research Center, Persian Gulf Biomedical Sciences Research Institute, Bushehr University of Medical Sciences, Bushehr, Iran
2- Pediatric Nursing Department, Nursing & Midwifery Faculty, Bushehr University of Medical Sciences, Bushehr, Iran. , f_jahanpour@yahoo.com
3- Paramedic Faculty, Bushehr University of Medical Sciences, Bushehr, Iran
4- Persian Gulf Tropical Medicine Research Center, Persian Gulf Biomedical Sciences Research Institute, Bushehr University of Medical Sciences, Bushehr, Iran
Abstract: (1791 Views)
Aims: Accurate and timely determination of body temperature as one of the vital signs of the body is the key to diagnosis and treatment. Temporal artery thermometer is one of the new tools for measuring body temperature that is still unknown regarding for its accuracy and reliability. Therefore, this study aimed at comparing the specificity and sensitivity of two methods of body temperature measurement by electric subroutine thermometer and digital temporal artery in comparison with nasopharyngeal thermometer in adult patients.
Materials & Methods: This descriptive-analytical and cross-sectional study was performed on 200 adult patients over 17 years old admitted to the ICU of Shohadaye Khalije Fars Hospital, Bushehr, Iran in 2015. The samples were selected by convenience sampling method. For all samples, body temperature was measured and recorded using three methods, including nasopharyngeal (gold standard), axillary, and temporal arterial methods. Data were analyzed by SPSS 20 and STATA 11 software using Pearson correlation coefficient, chi-square test and ROC curve.
Findings: The sensitivity, specificity, and accuracy of the temporal artery method with fever threshold of 37.7°C were 94.0%, 85.0% and 86.5%, respectively, and showed a good agreement between the axillary and temporal artery methods with a kappa coefficient of 0.67.
Conclusion: Body temperature measurement by temporal artery method is precise, fast, comfortable and safe for patients in comparison with nasopharyngeal and axillary methods and the best threshold for fever in this method is 37.7°C.
Materials & Methods: This descriptive-analytical and cross-sectional study was performed on 200 adult patients over 17 years old admitted to the ICU of Shohadaye Khalije Fars Hospital, Bushehr, Iran in 2015. The samples were selected by convenience sampling method. For all samples, body temperature was measured and recorded using three methods, including nasopharyngeal (gold standard), axillary, and temporal arterial methods. Data were analyzed by SPSS 20 and STATA 11 software using Pearson correlation coefficient, chi-square test and ROC curve.
Findings: The sensitivity, specificity, and accuracy of the temporal artery method with fever threshold of 37.7°C were 94.0%, 85.0% and 86.5%, respectively, and showed a good agreement between the axillary and temporal artery methods with a kappa coefficient of 0.67.
Conclusion: Body temperature measurement by temporal artery method is precise, fast, comfortable and safe for patients in comparison with nasopharyngeal and axillary methods and the best threshold for fever in this method is 37.7°C.
Article Type: Descriptive Study |
Subject:
General
Received: 2019/04/6 | Accepted: 2019/09/1 | Published: 2020/09/21
Received: 2019/04/6 | Accepted: 2019/09/1 | Published: 2020/09/21
References
1. Kimberger O, Cohen D, Illievich U, Lenhardt R. Temporal artery versus bladder thermometry during perioperative and intensive care unit monitoring. Anesth Analg. 2007;105(4):1042-7. [Link] [DOI:10.1213/01.ane.0000281927.88935.e0] [PMID]
2. Zare N, Namdari M, Jahanpour F. Comparison of axillary, tympanic and rectal body temperatures using a covariate-adjusted receiver operating characteristic approach. Iran Red Crescent Med J. 2010;12(3):293-7. [Link]
3. Oncel MY, Tekgunduz KS, Ozdemir R, Calisici E, Karahan S, Erdeve O, et al. A comparison of different methods of temperature measurement by mothers and physicians in healthy newborns. Indian J Pediatr. 2013;80(3):190-4. [Link] [DOI:10.1007/s12098-012-0790-0] [PMID]
4. Bijur PE, Shah PD, Esses D. Temperature measurement in the adult emergency department: oral, tympanic membrane and temporal artery temperatures versus rectal temperature. Emerg Med J. 2016;33(12):843-7. [Link] [DOI:10.1136/emermed-2015-205122] [PMID]
5. Sahin SH, Duran R, Sut N, Colak A, Acunas B, Aksu B. Comparison of temporal artery, nasopharyngeal, and axillary temperature measurement during anesthesia in children. J Clin Anesth. 2012;24(8):647-51. [Link] [DOI:10.1016/j.jclinane.2012.05.003] [PMID]
6. Duran R, Vatansever Ü, Acunaş B, Süt N. Comparison of temporal artery, mid‐forehead skin and axillary temperature recordings in preterm infants< 1500 g of birthweight. J Paediatr Child Health. 2009;1;45(7‐8):444-7. [Link] [DOI:10.1111/j.1440-1754.2009.01526.x] [PMID]
7. Allegaert K, Casteels K, Van Gorp I, Bogaert G. Tympanic, infrared skin, and temporal artery scan thermometers compared with rectal measurement in children: a real-life assessment. Curr Ther Res Clin Exp. 2014;76:34-8. [Link] [DOI:10.1016/j.curtheres.2013.11.005] [PMID] [PMCID]
8. Haddad L, Smith S, Phillips KD, Heidel RE. Comparison of temporal artery and axillary temperatures in healthy newborns. J Obstet Gynecol Neonatal Nurs. 2012;41(3):383-8. [Link] [DOI:10.1111/j.1552-6909.2012.01367.x] [PMID]
9. Forrest AJ, Juliano ML, Conley SP, Cronyn PD, McGlynn A, Auten JD. Temporal artery and axillary thermometry comparison with rectal thermometry in children presenting to the ED. Am J Emerg Med. 2017;35(12):1855-8. [Link] [DOI:10.1016/j.ajem.2017.06.017] [PMID]
10. Goswami E, Batra P, Khurana R, Dewan P. Comparison of temporal artery thermometry with axillary and rectal thermometry in full term neonates. Indian J Pediatr. 2017;84(3):195-9. [Link] [DOI:10.1007/s12098-016-2259-z] [PMID]
11. Lee G, Flannery-Bergey D, Randall-Rollins K, Curry D, Rowe S, Teague M, et al. Accuracy of temporal artery thermometry in neonatal intensive care unit infants. Adv Neonatal Care. 2011;11(1):62-70. [Link] [DOI:10.1097/ANC.0b013e3182087d2b] [PMID]
12. Sim MA, Leow SY, Hao Y, Yeo CL. A practical comparison of temporal artery thermometry and axillary thermometry in neonates under different environments. J Paediatr Child Health. 2016;52(4):391-6. [Link] [DOI:10.1111/jpc.13107] [PMID]
13. Bahorski J, Repasky T, Ranner D, Fields A, Jackson M, Moultry L, et al. Temperature measurement in pediatrics: a comparison of the rectal method versus the temporal artery method. J Pediatr Nurs. 2012;27(3):243-7. [Link] [DOI:10.1016/j.pedn.2010.12.015] [PMID]
14. Işler A, Aydin R, Tutar Güven S, Günay S. Comparison of temporal artery to mercury and digital temperature measurement in pediatrics. Int Emerg Nurs. 2014;22(3):165-8. [Link] [DOI:10.1016/j.ienj.2013.09.003] [PMID]
15. Carr EA, Wilmoth ML, Eliades AB, Baker PJ, Shelestak D, Heisroth KL, et al. Comparison of temporal artery to rectal temperature measurements in children up to 24 months. J Pediatr Nurs. 2011;26(3):179-85. [Link] [DOI:10.1016/j.pedn.2009.12.072] [PMID]
16. Padiy AV. Methods and devices for measuring core body temperature [Internet]. Washington, DC: Google Patent; 2016 [cited 2017 May 24]. Available from: https://patents.google.com/patent/US9410854B2/en. [Link]
17. Barringer LB, Evans CW, Ingram LL, Tisdale PP, Watson SP, Janken JK. Agreement between temporal artery, oral, and axillary temperature measurements in the perioperative period. J Perianesth Nurs. 2011;26(3):143-50. [Link] [DOI:10.1016/j.jopan.2011.03.010] [PMID]
18. Greenes DS, Fleisher GR. Accuracy of a noninvasive temporal artery thermometer for use in infants. Arch Pediatr Adolesc Med. 2001;155(3):376-81. [Link] [DOI:10.1001/archpedi.155.3.376] [PMID]
19. Dzarr AA, Kamal M, Baba AA. A comparison between infrared tympanic thermometry, oral and axilla with rectal thermometry in neutropenic adults. Eur J Oncol Nurs. 2009;13(4):250-4. [Link] [DOI:10.1016/j.ejon.2009.03.006] [PMID]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |