Gaeul Joo; Kyeong-Yae Sohng

doi:10.4040/jkan.2012.42.3.424

Articles

Page Path: HOME > J Korean Acad Nurs > Volume 42(3); 2012 > Article

Original Article
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; Journal of Korean Academy of Nursing 2012;42(3):424-433.
DOI: https://doi.org/10.4040/jkan.2012.42.3.424
Published online: June 29, 2012

¹Assistant Professor, Department of Nursing, Kyungin Women's College, Incheon, Korea.

²Professor, College of Nursing, The Catholic University of Korea, Seoul, Korea.

Address reprint requests to: Sohng, Kyeong-Yae. College of Nursing, The Catholic University of Korea, 222 Banpodaero, Seocho-gu, Seoul 137-701, South Korea. Tel: +82-2-2258-7410, Fax: +82-2-2258-7772, sky@catholic.ac.kr

• Received: August 17, 2011 • Accepted: May 29, 2012

15 Views
0 Download

prev next

Full Article

Download PDF

Abstract
NOTES
REFERENCES

Abstract

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.
Keywords: Body temperature; Thermometer

This research was supported by a research grant of the Catholic University of Korea in 2009.

REFERENCES

1. Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986;1:307–310.PubMed
2. Brooks S, Khan A, Stoica D, Griffith J, Friedeman L, Mukherji R, et al. Reduction in vancomycin-resistant Enterococcus and Clostridium difficile infections following change to tympanic thermometers. Infection Control and Hospital Epidemiology. 1998;19:333–336. http://dx.doi.org/10.1086/647824.Article PubMed
3. Carroll D, Finn C, Judge B, Gill S, Sawyer J. A comparison of measurements from a temporal artery thermometer and a pulmonary artery catheter thermistor. American Journal of Critical Care. 2004;13:258.
4. Cattaneo CG, Frank SM, Hesel TW, El-Rahmany HK, Kim LJ, Tran KM. The accuracy and precision of body temperature monitoring methods during regional and general anesthesia. Anesthesia and Analgesia. 2000;90:938–945. http://dx.doi.org/10.1097/00000539-200004000-00030.Article PubMed
5. Craig JV, Lancaster GA, Taylor S, Williamson PR, Smyth RL. Infrared ear thermometry compared with rectal thermometry in children: A systematic review. Lancet. 2002;360:603–609. http://dx.doi.org/10.1016/S0140-6736(02)09783-0.Article PubMed
6. Giuliano KK, Giuliano AJ, Scott SS, MacLachlan E, Pysznik E, Elliot S, et al. Temperature measurement in critically ill adults: A comparison of tympanic and oral methods. American Journal of Critical Care. 2000;9:254–261.Article PubMed PDF
7. Greenes DS, Fleisher GR. Accuracy of a noninvasive temporal artery thermometer for use in infants. Archives of Pediatrics and Adolescent Medicine. 2001;155:376–381.Article PubMed
8. Hwang JS, Sohng KY. Comparison of rectal temperature with axillary and tympanic temperature. Journal of Korean Academy of Fundamentals of Nursing. 1997;4:351–358.
9. Kenney RD, Fortenberry JD, Surratt SS, Ribbeck BM, Thomas WJ. Evaluation of an infrared tympanic membrane thermometer in pediatric patients. Pediatrics. 1990;85:854–858.Article PubMed PDF
10. Kimberger O, Cohen D, Illievich U, Lenhardt R. Temporal artery versus bladder thermometry during perioperative and intensive care unit monitoring. Anesthesia and Analgesia. 2007;105:1042–1047. http://dx.doi.org/10.1213/01.ane.0000281927.88935.e0.Article PubMed
11. Kistemaker JA, DenHartog EA, Daanen HA. Reliability of an infrared forehead skin thermometer for core temperature measurements. Journal of Medical Engineering and Technology. 2006;30:252–261. http://dx.doi.org/10.1080/03091900600711381.Article PubMed
12. Koo HY, Son JT. Comparison of inguinal, rectal, axillary, and tympanic temperature in newborns. Korean Journal of Child Health Nursing. 2005;11:203–210.
13. Koo SH, Jeong MS, Kim KA, Ko SY, Lee YK, Shin SM. Comparison of body temperature measured by non-contact temporal artery thermometer with those by other methods in neonates. Korean Journal of Perinatology. 2003;14:409–415.
14. Korean Society for the Study of Obesity. The Asia-Pacific perspective: Redefining obesity and its treatment. 2006;02;Seoul, Author. (Original work published 2000).
15. Lawson L, Bridges EJ, Ballou I, Eraker R, Greco S, Shively J, et al. Accuracy and precision of noninvasive temperature measurement in adult intensive care patients. American Journal of Critical Care. 2007;16:485–496.Article PubMed PDF
16. Lee WH, Jung SP. The validity of the tympanic membrane thermometer in detecting fever of the children. Journal of the Korean Academy of Family Medicine. 1995;16:531–536.
17. Marable K, Shaffer LE, Dizon V, Opalek JM. Temporal artery scanning falls short as a secondary, noninvasive thermometry method for trauma patients. Journal of Trauma Nursing. 2009;16:41–47. http://dx.doi.org/10.1097/01.JTN.0000348069.71593.9d.Article PubMed
18. Myny D, De Waele J, Defloor T, Blot S, Colardyn F. Temporal scanner thermometry: A new method of core temperature estimation in ICU patients. Scottish Medical Journal. 2005;50:15–18.Article PubMed PDF
19. Park CW, Park SN. Development of standard and improvement of reliability in body temperature measurement. Journal of the Korean Society of Precision Engineering. 2007;24(9):32–36.
20. Potter PA, Perry AG, Stockert P. Basic nursing. 2010;St. Louis, Mosby Co.
21. Ronneberg K, Roberts WO, McBean AD, Center BA. Temporal artery temperature measurements do not detect hyperthermic marathon runners. Medicine and Science in Sports and Exercise. 2008;40:1373–1375. http://dx.doi.org/10.1249/MSS.0b013e31816d65bb.Article PubMed
22. Shiraki K, Konda N, Sagawa S. Esophageal and tympanic temperature responses to core blood temperature changes during hyperthermia. Journal of Applied Physiology. 1986;61:98–102.Article PubMed
23. Siberry GK, Diener-West M, Schappell E, Karron RA. Comparison of temple temperatures with rectal temperature in children under two years of age. Clinical Pediatrics. 2002;41:405–414. http://dx.doi.org/10.1177/000992280204100605.PubMed
24. Sohng KY, Park HS, Hong YH, Yun EJ, Lee KY, Cho BH. Fundamentals of nursing. 2009;Seoul, Soomoonsa.
25. Suleman MI, Doufas AG, Akça O, Ducharme M, Sessler DI. Insufficiency in a new temporal-artery thermometer for adult and pediatric patients. Anesthesia and Analgesia. 2002;95:67–71. http://dx.doi.org/10.1097/00000539-200207000-00012.Article PubMed
26. Yoo JH, Jo HS. Comparison of tympanic and axillary temperatures. Journal of Korean Academy of Fundamentals of Nursing. 2009;16:162–170.
27. Yun KW, Lim IS. A study for accuracy and usefulness of tympanic membrane and forehead thermometers. Korean Journal of Pediatrics. 2005;48:820–825.

Figure 1

Bland-Altman plots comparing the difference between pulmonary temperature and temperature measurements from other methods.

Table 1

Comparison of Pulmonary Artery, Temporal Artery, Tympanic Membrane and Axillary Temperatures^* (N=83)

PA=Pulmonary artery temperature; TA=Temporal artery temperature; TM=Tympanic membrane temperature; AT=Axillary temperature.

^*Total of 249 measurements per site.

Table 2

Matrix of Pearson Correlation Coefficients among Pulmonary Artery, Temporal Artery, Tympanic Membrane and Axillary Temperatures^* (N=83)

^*Total of 249 measurements per site.

Table 3

Variation in Repeated Measurement by Site^*

^*Total of 249 measurements per site.

Table 4

Validity of Temporal Artery, Tympanic and Axillary Temperatures to Predict Fever as Compared with Pulmonary Artery Temperature^* (N=83)

PPV=Positive predictive value; NPV=Negative predictive value.

^*Total of 249 measurements per site.

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by

Cite

CITE: export Copy Download Format; Close

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

RIS — For EndNote, ProCite, RefWorks, and most other reference management software
BibTeX — For JabRef, BibDesk, and other BibTeX-specific software

Include:

Citation for the content below
Citation and abstract for the content below

Accuracy, Precision, and Validity of Fever Detection using Non-invasive Temperature Measurement in Adult Coronary Care Unit Patients with Pulmonary Catheters

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

XML Download

Figure

We recommend

Accuracy, Precision, and Validity of Fever Detection using Non-invasive Temperature Measurement in Adult Coronary Care Unit Patients with Pulmonary Catheters

Figure 1 Bland-Altman plots comparing the difference between pulmonary temperature and temperature measurements from other methods.

Figure 1

Accuracy, Precision, and Validity of Fever Detection using Non-invasive Temperature Measurement in Adult Coronary Care Unit Patients with Pulmonary Catheters

Table 1

Comparison of Pulmonary Artery, Temporal Artery, Tympanic Membrane and Axillary Temperatures^* (N=83)

PA=Pulmonary artery temperature; TA=Temporal artery temperature; TM=Tympanic membrane temperature; AT=Axillary temperature.

^*Total of 249 measurements per site.

Table 2

Matrix of Pearson Correlation Coefficients among Pulmonary Artery, Temporal Artery, Tympanic Membrane and Axillary Temperatures^* (N=83)

^*Total of 249 measurements per site.

Table 3

Variation in Repeated Measurement by Site^*

^*Total of 249 measurements per site.

Table 4

Validity of Temporal Artery, Tympanic and Axillary Temperatures to Predict Fever as Compared with Pulmonary Artery Temperature^* (N=83)

PPV=Positive predictive value; NPV=Negative predictive value.

^*Total of 249 measurements per site.

Table 1 Comparison of Pulmonary Artery, Temporal Artery, Tympanic Membrane and Axillary Temperatures* (N=83)

PA=Pulmonary artery temperature; TA=Temporal artery temperature; TM=Tympanic membrane temperature; AT=Axillary temperature.

^*Total of 249 measurements per site.

Table 2 Matrix of Pearson Correlation Coefficients among Pulmonary Artery, Temporal Artery, Tympanic Membrane and Axillary Temperatures* (N=83)

^*Total of 249 measurements per site.

Table 3 Variation in Repeated Measurement by Site*

^*Total of 249 measurements per site.

Table 4 Validity of Temporal Artery, Tympanic and Axillary Temperatures to Predict Fever as Compared with Pulmonary Artery Temperature* (N=83)