Comparison of the accuracy of body temperature measurements with temporal artery thermometer and axillary mercury thermometer in term newborns
Abstract
Abstract
Background Rectal mercury thermometer (RT) has been
considered to be a clinical thermometer that measures body
temperature close to core temperature. Unfortunately it is relatively
uncomfortable to the patient. Axillary mercury thermometer (AT)
is a relatively safe method, but time consuming and its accuracy
has been questioned. Temporal artery thermometer (TAT) is
relatively a new method that can measure body temperature
faster, and well tolerated.
Objective To compare the accuracy of temperature measurement
between TAT and AT in neonates.
Methods Cross-sectional analytic study was conducted at
Neonatology Division at Sanglah Hospital, Denpasar. Every healthy
term newborn who met the criteria were measured their body
temperature by using three kinds of thermometer consecutively. The
limits of agreement, correlation and linear regression analysis were
done to find TAT and AT’s agreement and correlation to RT.
Results One hundred and thirty four newborns were enrolled
in this study. TAT had a better agreement to RT with the mean
ô€‡ô€Œô€‰ô€‰ô€ˆô€•ô€ˆô€‘ô€†ô€ˆô€€ƒô€’ô€‰ô€€ƒô€€ô€€“ô€€‘ô€€“ô€€”ô€‚žô€€¦ô€€ƒô€šô€Œô€—ô€‹ô€€ƒô€€•ô€€ƒô€€¶ô€€§ô€€ƒô€ô€’ô€šô€ˆô€•ô€€ƒô€ô€Œô€ô€Œô€—ô€€ƒô€’ô€‰ô€€ƒô€€ô€€“ô€€‘ô€€•ô€€™ô€‚žô€€¦ô€€ƒô€„ô€‘ô€‡ô€€ƒô€˜ô€“ô€“ô€ˆô€•ô€€ƒ
ô€ô€Œô€ô€Œô€—ô€€ƒô€’ô€‰ô€€ƒô€€“ô€€‘ô€€•ô€€–ô€‚žô€€¦ô€€ô€€ƒô€†ô€’ô€ô€“ô€„ô€•ô€ˆô€‡ô€€ƒô€—ô€’ô€€ƒô€„ô€Šô€•ô€ˆô€ˆô€ô€ˆô€‘ô€—ô€€ƒô€…ô€ˆô€—ô€šô€ˆô€ˆô€‘ô€€ƒô€€¤ô€€·ô€€ƒô€„ô€‘ô€‡ô€€ƒô€€µô€€·ô€€ô€€ƒô€šô€Œô€—ô€‹ô€€ƒ
ô€ô€ˆô€„ô€‘ô€€ƒô€‡ô€Œô€‰ô€‰ô€ˆô€•ô€ˆô€‘ô€†ô€ˆô€€ƒô€€ô€€“ô€€‘ô€€–ô€€˜ô€‚žô€€¦ô€€ô€€ƒô€€•ô€€ƒô€€¶ô€€§ô€€ƒô€ô€’ô€šô€ˆô€•ô€€ƒô€ô€Œô€ô€Œô€—ô€€ƒô€€ô€€“ô€€‘ô€€šô€€“ô€‚žô€€¦ô€€ƒô€„ô€‘ô€‡ô€€ƒô€˜ô€“ô€“ô€ˆô€•ô€€ƒô€ô€Œô€ô€Œô€—ô€€ƒ
ô€’ô€‰ô€€ƒô€€“ô€€‘ô€€“ô€€“ô€‚žô€€¦ô€€‘ô€€ƒô€€·ô€‹ô€ˆô€•ô€ˆô€€ƒô€šô€„ô€–ô€€ƒô€„ô€€ƒô€–ô€Œô€Šô€‘ô€Œô€‰ô€Œô€†ô€„ô€‘ô€—ô€€ƒô€ô€Œô€‘ô€ˆô€„ô€•ô€€ƒô€„ô€–ô€–ô€’ô€†ô€Œô€„ô€—ô€Œô€’ô€‘ô€€ƒô€…ô€ˆô€—ô€šô€ˆô€ˆô€‘ô€€ƒô€€·ô€€¤ô€€·ô€€ƒ
and RT with correlation coefficient ô€•ô€€ƒô€€ ô€€ƒô€€“ô€€‘ô€€›ô€€šô€€ƒô€€‹ô€“ô€€Ÿô€€“ô€€‘ô€€“ô€€“ô€€”ô€€Œô€€ô€€ƒô€Œô€‘ô€—ô€ˆô€•ô€†ô€ˆô€“ô€—ô€€ƒ
ô€€“ô€€‘ô€€œô€€›ô€€šô€€ƒô€„ô€‘ô€‡ô€€ƒô€–ô€ô€’ô€“ô€ˆô€€ƒô€€“ô€€‘ô€€˜ô€€“ô€€œô€€‘ô€€ƒô€€·ô€‹ô€ˆô€€ƒô€ô€Œô€‘ô€ˆô€„ô€•ô€€ƒô€„ô€–ô€–ô€’ô€†ô€Œô€„ô€—ô€Œô€’ô€‘ô€€ƒô€…ô€ˆô€—ô€šô€ˆô€ˆô€‘ô€€ƒô€€¤ô€€·ô€€ƒô€„ô€‘ô€‡ô€€ƒô€€µô€€·ô€€ƒ
ô€–ô€‹ô€’ô€šô€ˆô€‡ô€€ƒô€—ô€‹ô€ˆô€€ƒô€†ô€’ô€•ô€•ô€ˆô€ô€„ô€—ô€Œô€’ô€‘ô€€ƒô€†ô€’ô€ˆô€‰ô€‰ô€Œô€†ô€Œô€ˆô€‘ô€—ô€€ƒô€•ô€€ƒô€€ ô€€ƒô€€“ô€€‘ô€€šô€€™ô€€ƒô€€‹ô€“ô€€Ÿô€€“ô€€‘ô€€“ô€€“ô€€”ô€€Œô€€ô€€ƒô€Œô€‘ô€—ô€ˆô€•ô€†ô€ˆô€“ô€—ô€€ƒ
ô€€”ô€€“ô€€ô€€•ô€€šô€€”ô€€ƒô€‡ô€„ô€‘ô€€ƒô€–ô€ô€’ô€“ô€ˆô€€ƒô€€“ô€€ô€€šô€€–ô€€“ô€€‘
Conclusion TAT is more accurate than AT for body temperature
measurement in the healthy term newborns. [Paediatr Indones.
2010;50:67-72].
References
Levin DL, Morrris FC, Moore GC, editors. A practical guide
to pediatric intensive care. 2nd edition. St. Louis: Mosby,
ô€€”ô€€œô€€›ô€€—ô€€žô€€ƒô€“ô€€‘ô€€ƒô€€”ô€€•ô€€“ô€€ô€€œô€€‘
2. Sinclair JC. Management of the thermal environment.
In: Sinclair JC, Bracken MB, editors. Effective care of the
ô€‘ô€ˆô€šô€…ô€’ô€•ô€‘ô€€ƒô€Œô€‘ô€‰ô€„ô€‘ô€—ô€€‘ô€€ƒô€€²ô€›ô€‰ô€’ô€•ô€‡ô€€ô€€ƒô€€²ô€›ô€‰ô€’ô€•ô€‡ô€€ƒô€˜ô€‘ô€Œô€™ô€ˆô€•ô€–ô€Œô€—ô€œô€€ƒô€“ô€•ô€ˆô€–ô€–ô€€ô€€ƒô€€”ô€€œô€€œô€€•ô€€žô€€ƒô€“ô€€‘ô€€ƒ
ô€€—ô€€“ô€€ô€€˜ô€€›ô€€‘ô€€ƒ
3. Pompei M. Temperature assessment via the temporal artery:
validation of a new method [homepage on the internet].
ô€€¨ô€›ô€ˆô€•ô€Šô€ˆô€‘ô€€ƒô€†ô€’ô€•ô€“ô€’ô€•ô€„ô€—ô€Œô€’ô€‘ô€€ƒ ô€€‹ô€†ô€Œô€—ô€ˆô€‡ô€€ƒô€€•ô€€“ô€€“ô€€šô€€ƒ ô€€²ô€†ô€—ô€’ô€…ô€ˆô€•ô€€ƒô€€•ô€€“th). Available
from:http://www.exergen.com/medical/PDFs/tempassess.
ô€€—ô€€‘ô€€ƒ ô€€¦ô€’ô€ô€ô€˜ô€‘ô€Œô€—ô€œô€€ƒô€€³ô€„ô€ˆô€‡ô€Œô€„ô€—ô€•ô€Œô€†ô€–ô€€ƒô€€¦ô€’ô€ô€ô€Œô€—ô€—ô€ˆô€€‘ô€€ƒô€€·ô€ˆô€ô€“ô€ˆô€•ô€„ô€—ô€˜ô€•ô€ˆô€€ƒô€ô€ˆô€„ô€–ô€˜ô€•ô€ˆô€ô€ˆô€‘ô€—ô€€ƒ
in paediatrics [homepage on the internet]. Canadian Paediatric
ô€€¶ô€’ô€†ô€Œô€ˆô€—ô€œô€€ƒô€€•ô€€“ô€€“ô€€šô€€ƒô€€‹ô€†ô€Œô€—ô€ˆô€‡ô€€ƒô€€•ô€€“ô€€“ô€€šô€€ƒô€€²ô€†ô€—ô€’ô€…ô€ˆô€•ô€€ƒô€€•ô€€“th). Available from: http://
ô€šô€šô€šô€€‘ô€€¦ô€“ô€–ô€€‘ô€†ô€„ô€€’ô€ˆô€‘ô€Šô€ô€Œô€–ô€‹ô€€’ô€–ô€—ô€ˆô€—ô€ô€ˆô€‘ô€—ô€–ô€€’ô€€¦ô€€³ô€€’ô€†ô€“ô€€ƒô€€“ô€€“ô€€“ô€€”ô€€‘ô€‹ô€—ô€l
5. Greenbaum EI, Carson M, Kincannon WN, O’loughlin BJ.
Rectal thermometer induced pneumoperitoneum in the
ô€‘ô€ˆô€šô€…ô€’ô€•ô€‘ô€€ô€€ƒô€€µô€ˆô€“ô€’ô€•ô€—ô€€ƒô€’ô€‰ô€€ƒô€—ô€šô€’ô€€ƒô€†ô€„ô€–ô€ˆô€–ô€€‘ô€€ƒô€€³ô€ˆô€‡ô€Œô€„ô€—ô€•ô€Œô€†ô€–ô€€‘ô€€ƒô€€”ô€€œô€€™ô€€œô€€žô€€—ô€€—ô€€ô€€˜ô€€–ô€€œô€€ô€€—ô€€•ô€€‘
ô€€™ô€€‘ô€€ƒ ô€€½ô€ˆô€‘ô€Šô€ˆô€œô€„ô€€ƒô€€¶ô€€·ô€€ô€€ƒô€€¥ô€ô€˜ô€ô€ˆô€‘ô€—ô€‹ô€„ô€ô€€ƒô€€¬ô€€‘ô€€ƒô€€°ô€’ô€‡ô€ˆô€•ô€‘ô€€ƒô€ˆô€ô€ˆô€†ô€—ô€•ô€’ô€‘ô€Œô€†ô€€ƒô€„ô€‘ô€‡ô€€ƒô€†ô€‹ô€ˆô€ô€Œô€†ô€„ô€ô€€ƒ
thermometers used in the axilla are inaccurate. Eur J Pediatr.
ô€€”ô€€œô€€œô€€™ô€€žô€€”ô€€˜ô€€˜ô€€ô€€”ô€€“ô€€“ô€€˜ô€€ô€€›ô€€‘
ô€€šô€€‘ô€€ƒ ô€€¦ô€•ô€„ô€Œô€Šô€€ƒ ô€€ô€€¹ô€€ô€€ƒ ô€€¯ô€„ô€‘ô€†ô€„ô€–ô€—ô€ˆô€•ô€€ƒ ô€€ªô€€¤ô€€ô€€ƒ ô€€ºô€Œô€ô€ô€Œô€„ô€ô€–ô€’ô€‘ô€€ƒ ô€€³ô€€µô€€ô€€ƒ ô€€¶ô€ô€œô€—ô€‹ô€€ƒ ô€€µô€€¯ô€€‘ô€€ƒ
Temperature measured at the axilla compared with rectal
in children and young people: systematic review. Br Med J.
ô€€•ô€€“ô€€“ô€€“ô€€žô€€–ô€€•ô€€“ô€€ô€€”ô€€”ô€€šô€€—ô€€ô€€›ô€€‘
8. Madiyono B, Mz Moeslichan S, Sastroasmoro S, Budiman
I, Purwata HS. Perkiraan besar sampel. In: Sastroasmoro S,
Ismail S, editors. Dasar-dasar metodologi penelitian klinis.
2ndô€€ƒô€ˆô€‡ô€Œô€—ô€Œô€’ô€‘ô€€‘ô€€ƒô€€ô€„ô€Žô€„ô€•ô€—ô€„ô€€ô€€ƒô€€¦ô€€¹ô€€ƒô€€¶ô€„ô€Šô€˜ô€‘ô€Šô€€ƒô€€¶ô€ˆô€—ô€’ô€€ô€€ƒô€€•ô€€“ô€€“ô€€•ô€€žô€€ƒô€“ô€€‘ô€€•ô€€™ô€€›ô€€ô€€œô€€‘
9. Bland JM, Altman DG. Statistical methods for assessing
agreement between two methods of clinical measurement.
ô€€¯ô€„ô€‘ô€†ô€ˆô€—ô€€‘ô€€ƒô€€”ô€€œô€€›ô€€™ô€€žô€Œô€€ô€€–ô€€“ô€€šô€€ô€€”ô€€“ô€€‘
ô€€”ô€€“ô€€‘ô€€ƒ ô€€°ô€œô€ô€ˆô€–ô€€ƒô€€³ô€€¶ô€€ô€€ƒô€€¦ô€˜ô€Œô€€ƒô€€ô€€‘ô€€ƒô€€¸ô€–ô€Œô€‘ô€Šô€€ƒô€€¥ô€ô€„ô€‘ô€‡ô€€ô€€¤ô€ô€—ô€ô€„ô€‘ô€€ƒô€ô€ˆô€—ô€‹ô€’ô€‡ô€€ƒô€—ô€’ô€€ƒô€ô€ˆô€„ô€–ô€˜ô€•ô€ˆô€€ƒ
ô€„ô€Šô€•ô€ˆô€ˆô€ô€ˆô€‘ô€—ô€€ƒô€šô€Œô€—ô€‹ô€€ƒô€•ô€ˆô€“ô€ˆô€„ô€—ô€ˆô€‡ô€€ƒô€ô€ˆô€„ô€–ô€˜ô€•ô€ˆô€–ô€€‘ô€€ƒô€€¥ô€•ô€€ƒô€€ô€€ƒô€€¤ô€‘ô€„ô€ˆô€–ô€—ô€‹ô€€‘ô€€ƒô€€•ô€€“ô€€“ô€€šô€€žô€€œô€€œô€€ô€€–ô€€“ô€€œô€€
􀀔􀀔􀀑
ô€€”ô€€”ô€€‘ô€€ƒ ô€€«ô€ˆô€…ô€…ô€„ô€•ô€€ƒô€€®ô€€ô€€ƒô€€©ô€’ô€•ô€—ô€ˆô€‘ô€…ô€ˆô€•ô€•ô€œô€€ƒô€€ô€€§ô€€ô€€ƒô€€µô€’ô€Šô€ˆô€•ô€–ô€€ƒô€€®ô€€ô€€ƒô€€°ô€ˆô€•ô€•ô€Œô€—ô€—ô€€ƒô€€µô€€ô€€ƒô€€¨ô€„ô€–ô€ô€ˆô€œô€€ƒô€€®ô€€‘ô€€ƒ
Comparison of temporal artery thermometer to standar
temperature measurement in pediatric intensive care unit
ô€“ô€„ô€—ô€Œô€ˆô€‘ô€—ô€–ô€€‘ô€€ƒô€€³ô€ˆô€‡ô€Œô€„ô€—ô€•ô€€ƒô€€¦ô€•ô€Œô€—ô€€ƒô€€¦ô€„ô€•ô€ˆô€€ƒô€€°ô€ˆô€‡ô€€‘ô€€ƒô€€•ô€€“ô€€“ô€€˜ô€€žô€€™ô€€ô€€˜ô€€˜ô€€šô€€ô€€™ô€€”ô€€‘
ô€€”ô€€•ô€€‘ô€€ƒ ô€€¯ô€ˆô€‰ô€•ô€„ô€‘ô€—ô€€ƒô€€ô€€¼ô€€ô€€ƒô€€°ô€˜ô€ô€ô€ˆô€•ô€€ƒô€€¯ô€€ô€€ƒô€€¦ô€’ô€˜ô€–ô€–ô€„ô€œô€ˆô€€ƒô€€ô€€¨ô€€ô€€ƒô€€¯ô€Œô€…ô€•ô€Œô€–ô€€ƒô€€¦ô€€ô€€ƒô€€½ô€ˆô€Œô€—ô€’ô€‘ô€€ƒô€€±ô€€ô€€ƒô€€°ô€„ô€•ô€Œô€€ƒô€€¦ô€€ô€€ƒ
et al. Temperature measurement in intensive care patients:
comparison of urinary bladder, oesophageal, rectal, axillary,
and inguinal methods versus pulmonary artery core method.
ô€€¬ô€‘ô€—ô€ˆô€‘ô€–ô€Œô€™ô€ˆô€€ƒô€€¦ô€„ô€•ô€ˆô€€ƒô€€°ô€ˆô€‡ô€€‘ô€€ƒô€€•ô€€“ô€€“ô€€–ô€€žô€€•ô€€œô€€ô€€—ô€€”ô€€—ô€€ô€€›ô€€‘
ô€€”ô€€–ô€€‘ô€€ƒ ô€€ªô€•ô€ˆô€ˆô€‘ô€ˆô€–ô€€ƒ ô€€§ô€€¶ô€€ô€€ƒ ô€€©ô€ô€ˆô€Œô€–ô€‹ô€ˆô€•ô€€ƒ ô€€ªô€€µô€€‘ô€€ƒ ô€€¤ô€†ô€†ô€˜ô€•ô€„ô€†ô€œô€€ƒ ô€’ô€‰ô€€ƒ ô€„ô€€ƒ ô€‘ô€’ô€‘ô€Œô€‘ô€™ô€„ô€–ô€Œô€™ô€ˆô€€ƒ
temporal artery thermometer for use in infants. Arch pediatr
ô€„ô€‡ô€’ô€ô€ˆô€–ô€†ô€€ƒô€ô€ˆô€‡ô€€‘ô€€ƒô€€•ô€€“ô€€“ô€€”ô€€žô€€”ô€€˜ô€€˜ô€€ô€€–ô€€šô€€™ô€€ô€€›ô€€”ô€€‘
ô€€”ô€€—ô€€‘ô€€ƒ ô€€¥ô€„ô€‘ô€‘ô€Œô€–ô€—ô€ˆô€•ô€€ƒô€€¯ô€€«ô€€ô€€ƒô€€¥ô€ˆô€•ô€•ô€œô€€ƒô€€°ô€€°ô€€ô€€ƒô€€¦ô€’ô€ô€ô€Œô€‘ô€–ô€€ƒô€€³ô€€ô€€ƒô€€§ô€œô€–ô€’ô€‘ô€€ƒô€€°ô€€ô€€ƒô€€§ô€˜ô€–ô€–ô€ˆô€Žô€€ƒô€€ô€€¨ô€€ô€€ƒ
Ferguson MWJ. Gray’s anatomy: the anatomical basis of
ô€ô€ˆô€‡ô€Œô€†ô€Œô€‘ô€ˆô€€ƒ ô€„ô€‘ô€‡ô€€ƒ ô€–ô€˜ô€•ô€Šô€ˆô€•ô€œô€€‘ô€€ƒ ô€€”ô€€–th edition. Edinburgh: Churchill
ô€€¯ô€Œô€™ô€Œô€‘ô€Šô€–ô€—ô€’ô€‘ô€ˆô€€žô€€ƒô€€•ô€€“ô€€“ô€€“ô€€‘ô€€ƒô€“ô€€‘ô€€”ô€€˜ô€€”ô€€–ô€€ô€€™ô€€—ô€€‘
ô€€”ô€€˜ô€€‘ô€€ƒ ô€€¥ô€ô€„ô€Žô€ˆô€€ƒô€€ºô€€ºô€€ô€€ƒô€€°ô€˜ô€•ô€•ô€„ô€œô€€ƒô€€ô€€¤ô€€‘ô€€ƒô€€«ô€ˆô€„ô€—ô€€ƒô€…ô€„ô€ô€„ô€‘ô€†ô€ˆô€€‘ô€€ƒô€€¬ô€‘ô€€ô€€ƒô€€°ô€ˆô€•ô€ˆô€‘ô€–ô€—ô€ˆô€Œô€‘ô€€ƒô€€ªô€€¥ô€€ô€€ƒ
Gardner SL, editors. Handbook of neonatal intensive care.
3rdô€€ƒô€ˆô€‡ô€Œô€—ô€Œô€’ô€‘ô€€‘ô€€ƒô€€¶ô€—ô€€‘ô€€ƒô€€¯ô€’ô€˜ô€Œô€–ô€€ô€€ƒô€€°ô€’ô€–ô€…ô€œô€€ô€€ƒô€€”ô€€œô€€œô€€–ô€€žô€€ƒô€“ô€€‘ô€€”ô€€“ô€€“ô€€ô€€”ô€€–ô€€‘
ô€€”ô€€™ô€€‘ô€€ƒ ô€€¶ô€†ô€‹ô€ô€Œô€—ô€ô€€ƒô€€·ô€€ô€€ƒô€€¥ô€„ô€Œô€•ô€€ƒô€€±ô€€ô€€ƒô€€©ô€„ô€ô€Žô€€ƒô€€°ô€€ô€€ƒô€€¯ô€ˆô€™ô€Œô€‘ô€ˆô€€ƒô€€¦ô€€‘ô€€ƒô€€¤ô€€ƒô€†ô€’ô€ô€“ô€„ô€•ô€Œô€–ô€’ô€‘ô€€ƒô€’ô€‰ô€€ƒô€‰ô€Œô€™ô€ˆô€€ƒ
methods of temperature measurement in febrile intensive
ô€†ô€„ô€•ô€ˆô€€ƒô€“ô€„ô€—ô€Œô€ˆô€‘ô€—ô€–ô€€‘ô€€ƒô€€¤ô€ô€€ƒô€€ô€€ƒô€€¦ô€•ô€Œô€—ô€€ƒô€€¦ô€„ô€•ô€ˆô€€ƒô€€°ô€ˆô€‡ô€€‘ô€€ƒô€€”ô€€œô€€œô€€˜ô€€žô€€—ô€€ô€€•ô€€›ô€€™ô€€ô€€œô€€•ô€€‘
Authors who publish with this journal agree to the following terms:
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
Accepted 2016-08-16
Published 2010-04-30