دورية أكاديمية
أعرض في EDS

Accuracy of non-invasive body temperature measurement methods in critically ill patients: a prospective, bicentric, observational study.

التفاصيل البيبلوغرافية
العنوان: Accuracy of non-invasive body temperature measurement methods in critically ill patients: a prospective, bicentric, observational study.
المؤلفون: Cutuli SL; Department of Intensive Care, Austin Hospital, Melbourne, VIC, Australia.; Dipartimento di Scienze dell'Emergenza, Anestesiologiche e della Rianimazione, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy., Osawa EA; Department of Intensive Care, Austin Hospital, Melbourne, VIC, Australia., Eyeington CT; Department of Intensive Care, Austin Hospital, Melbourne, VIC, Australia., Proimos H; Department of Intensive Care, Austin Hospital, Melbourne, VIC, Australia., Canet E; Department of Intensive Care, Austin Hospital, Melbourne, VIC, Australia., Young H; Department of Intensive Care, Austin Hospital, Melbourne, VIC, Australia., Peck L; Department of Intensive Care, Austin Hospital, Melbourne, VIC, Australia., Eastwood GM; Department of Intensive Care, Austin Hospital, Melbourne, VIC, Australia., Glassford NJ; Department of Intensive Care, Austin Hospital, Melbourne, VIC, Australia.; Australian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.; Department of Intensive Care, Royal Melbourne Hospital, Melbourne Health, Melbourne, VIC, Australia.; Centre for Integrated Critical Care, University of Melbourne, Melbourne, VIC, Australia., Bailey M; Australian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.; Centre for Integrated Critical Care, University of Melbourne, Melbourne, VIC, Australia., Bellomo R; Department of Intensive Care, Austin Hospital, Melbourne, VIC, Australia.; Australian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.; Department of Intensive Care, Royal Melbourne Hospital, Melbourne Health, Melbourne, VIC, Australia.; Centre for Integrated Critical Care, University of Melbourne, Melbourne, VIC, Australia.
المصدر: Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine [Crit Care Resusc] 2023 Oct 18; Vol. 23 (3), pp. 346-353. Date of Electronic Publication: 2023 Oct 18 (Print Publication: 2021).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier B.V. on behalf of College of Intensive Care Medicine of Australia and New Zealand Country of Publication: Netherlands NLM ID: 100888170 Publication Model: eCollection Cited Medium: Print ISSN: 1441-2772 (Print) Linking ISSN: 14412772 NLM ISO Abbreviation: Crit Care Resusc Subsets: PubMed not MEDLINE
أسماء مطبوعة: Publication: 2023- : [Amsterdam] : Elsevier B.V. on behalf of College of Intensive Care Medicine of Australia and New Zealand
Original Publication: Bedford Park, S. Aust. : Australasian Academy of Critical Care Medicine, c1999-
مستخلص: Objective: The accuracy of different non-invasive body temperature measurement methods in intensive care unit (ICU) patients is uncertain. We aimed to study the accuracy of three commonly used methods. Design: Prospective observational study. Setting: ICUs of two tertiary Australian hospitals. Participants: Critically ill patients admitted to the ICU. Interventions: Invasive (intravascular and intra-urinary bladder catheter) and non-invasive (axillary chemical dot, tympanic infrared, and temporal scanner) body temperature measurements were taken at study inclusion and every 4 hours for the following 72 hours. Main outcome measures: Accuracy of non-invasive body temperature measurement methods was assessed by the Bland-Altman approach, accounting for repeated measurements and significant explanatory variables that were identified by regression analysis. Clinical adequacy was set at limits of agreement (LoA) of 1°C compared with core temperature. Results: We studied 50 consecutive critically ill patients who were mainly admitted to the ICU after cardiac surgery. From over 375 observations, invasive core temperature (mostly pulmonary artery catheter) ranged from 33.9°C to 39°C. On average, the LoA between invasive and non-invasive measurements methods were about 3°C. The temporal scanner showed the worst performance in estimating core temperature (bias, 0.66°C; LoA, -1.23°C, +2.55°C), followed by tympanic infrared (bias, 0.44°C; LoA, -1.73°C, +2.61°C) and axillary chemical dot methods (bias, 0.32°C; LoA, -1.64°C, +2.28°C). No methods achieved clinical adequacy even accounting for significant explanatory variables. Conclusions: The axillary chemical dot, tympanic infrared and temporal scanner methods are inaccurate measures of core temperature in ICU patients. These non-invasive methods appeared unreliable for use in ICU patients.
Competing Interests: No relevant disclosures.
(© 2021 College of Intensive Care Medicine of Australia and New Zealand.)
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تواريخ الأحداث: Date Created: 20231204 Latest Revision: 20231205
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC10692569
DOI: 10.51893/2021.3.OA12
PMID: 38046071
قاعدة البيانات: MEDLINE
الوصف
تدمد:1441-2772
DOI:10.51893/2021.3.OA12