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2 "Gaeul Joo"
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Original Articles
Accuracy, Precision, and Validity of Fever Detection using Non-invasive Temperature Measurement in Adult Coronary Care Unit Patients with Pulmonary Catheters
Gaeul Joo, Kyeong-Yae Sohng
J Korean Acad Nurs 2012;42(3):424-433.   Published online June 29, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.3.424
AbstractAbstract PDF
Purpose

To investigate the accuracy, precision and validity of fever detection of tympanic membrane (TM), temporal artery (TA) and axillary temperature (AT) compared with pulmonary artery temperature (PA).

Methods

Repeated-measures design was conducted for one year on 83 adult cardiac care unit patients with pulmonary artery catheters after open heart surgery. Sequential temperature measurements were taken three times at 20-minute intervals. Accuracy, precision, repeatability, and validity of fever detection were analyzed.

Results

Mean pulmonary artery temperature was 37.04℃ (SD 0.70℃). The mean (SD) offsets from PA, with the mean reflecting accuracy and SD reflecting precision, were -1.31℃ (0.75℃) for TA, -0.20℃ (0.24℃) for TM, and -0.97℃ (0.64℃) for AT. Percentage of pairs with differences within ±0.5℃ was 9.6% for TA, 19.7% for AT, and 91.6% for TM. Repeated measurements with all three methods had mean SD values within 0.04℃. Sensitivity, specificity, and positive and negative predictive values of tympanic measurements were 0.76, 1.0, and 1.0, and 0.90, respectively.

Conclusion

Results show that TM best reflects PA, and is most consistent, accurate, and precise. AT tends to underestimate PA, and TA is least accurate and precise. Therefore tympanic membrane measurement is a reliable alternative to other non-invasive methods of measuring temperatures.

Citations

Citations to this article as recorded by  
  • Axillary temperature measurements based on smart wearable thermometers in South Korean children: comparison with tympanic temperature measurements
    Younglee Choi, Hye Young Ahn
    Child Health Nursing Research.2022; 28(1): 62.     CrossRef
  • Smart Patch for Skin Temperature: Preliminary Study to Evaluate Psychometrics and Feasibility
    Heejung Kim, Sunkook Kim, Mingoo Lee, Yumie Rhee, Sungho Lee, Yi-Rang Jeong, Sunju Kang, Muhammad Naqi, Soyun Hong
    Sensors.2021; 21(5): 1855.     CrossRef
  • Core Temperature Evaluation in Different Body Parts in Patients Undergoing Laparoscope Surgery under Total Intravenous Anesthesia*
    Tae Soo Hahm, Won Ho Kim, Nam Cho Kim, Je Bog Yoo
    Journal of Korean Academy of Fundamentals of Nursing.2015; 22(4): 379.     CrossRef
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  • 3 Crossref
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Gluteal Subcutaneous Fat Thickness Measured by Computed Tomography as an Estimate of Proper Gluteal Intramuscular Injections in Korean Adults
Gaeul Joo, Kyeong-Yae Sohng
J Korean Acad Nurs 2010;40(2):247-254.   Published online April 30, 2010
DOI: https://doi.org/10.4040/jkan.2010.40.2.247
AbstractAbstract PDF
Purpose

To study the thickness of gluteal subcutaneous fat (SCF) and propose an adequate length for needle for gluteal intramuscular injections based on computed tomography (CT) measurements.

Methods

The thickness of gluteal SCF were measured and studied for 568 patients who visited a tertiary hospital in Seoul, Korea between January 2007 and February 2009 for routine health screening and who had abdominopelvic CT.

Results

The average thickness of gluteal SCF was 15.92±4.08 mm in males and 24.90±5.47 mm in females. The thickness of gluteal SCF differed significantly according to gender. The gluteal SCF thickness was greater than 20.4 mm for 54 (12.3%) of the 440 male patients and 99 (77.3%) of the 128 female patients.

Conclusion

The most common syringe needle used for gluteal intramuscular injections in Korea is a 23 G, 25.4 mm-needle. The SCF thickness must be less than 20.4 mm in order to reach the dorsogluteal muscles to a depth of at least 5 mm if this 25.4 mm needle is used. In many patients, especially in female patients, the 25.4 mm needles will result in improper intramuscular injections with the injection being into the SCF. Therefore an appropriate needle should be selected by considering the gender and SCF thickness of patients receiving gluteal intramuscular injections.

Citations

Citations to this article as recorded by  
  • Efficacy of 1060 nm Diode Laser for Non-Invasive Subcutaneous Fat Reduction in Mini-Pigs
    Yea-Jin Lee, Namgue Hong, Eun Seo Choi, Sun-Hyang Choi, Eun Young Kim, Hyeong Ju Park, Jin-Chul Ahn
    Clinical, Cosmetic and Investigational Dermatology.2024; Volume 17: 2097.     CrossRef
  • Analysis of gluteal subcutaneous and muscle thickness in infants and children for application to intramuscular injection, autologous fat grafting, and gluteal artery perforator flaps
    Hyung Jun Min, Yu Jin Kim
    Archives of Plastic Surgery.2018; 45(06): 550.     CrossRef
  • Comment on the New Indian Injection Technique Recommendations: Critical Appraisal of the Real-World Implementation of the Current Guidelines
    Felice Strollo, Sandro Gentile
    Diabetes Therapy.2017; 8(3): 507.     CrossRef
  • The Effect of Body Mass Index on Fluoroscopic Time and Radiation Dose During Sacroiliac Joint Injections
    Daniel Cushman, Alexandra Flis, Ben Jensen, Zachary McCormick
    PM&R.2016; 8(8): 767.     CrossRef
  • Pharmacokinetic-Pharmacodynamic Study of Subcutaneous Injection of Depot Nandrolone Decanoate Using Dried Blood Spots Sampling Coupled With Ultrapressure Liquid Chromatography Tandem Mass Spectrometry Assays
    Gurmeet K. S. Singh, Leo Turner, Reena Desai, Mark Jimenez, David J. Handelsman
    The Journal of Clinical Endocrinology & Metabolism.2014; 99(7): 2592.     CrossRef
  • The Appropriateness of the Length of Insulin Needles Based on Determination of Skin and Subcutaneous Fat Thickness in the Abdomen and Upper Arm in Patients with Type 2 Diabetes
    Kang Hee Sim, Moon Sook Hwang, Sun Young Kim, Hye Mi Lee, Ji Yeun Chang, Moon Kyu Lee
    Diabetes & Metabolism Journal.2014; 38(2): 120.     CrossRef
  • Prediction of Optimal Gluteal Intramuscular Needle Length by Skinfold Thickness Measurements in Korean Adults
    Dong-Won Choi, Kyeong-Yae Sohng, Bum-Soo Kim
    Journal of Korean Academy of Nursing.2010; 40(6): 844.     CrossRef
  • 158 View
  • 3 Download
  • 7 Crossref
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