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http://hdl.handle.net/1843/83854| Type: | Artigo de Periódico |
| Title: | Accuracy and precision of thermometers compared with the pulmonar artery temperature: a repested measures study |
| Authors: | Rafael Lima Rodrigues de Carvalho Mariana Avendanha Victoriano Camila Claudia Campos Paula Frizera Vassallo Vandack Alencar Nobre Junior Flávia Falci Ercole |
| Abstract: | BACKGROUND: Temperature fluctuations are critical indicators of a patient’s condition in intensive care units (ICUs). While invasive methods offer a more reliable measurement of core temperature, they carry greater risks of complications, limiting their use in most situations. This underscores the need for research evaluating the reliability of non-invasive temperature monitoring methods. OBJECTIVES: This study aimed to assess the accuracy and precision of four non-invasive temperature measurement techniques compared to pulmonary artery temperature, considered the gold standard DESIGN AND SETTING: We conducted a cross-sectional clinical study with repeated measures in theICUs at Hospital das Clínicas da Universidade Federal de Minas Gerais and Hospital Felício Rocho, Belo Horizonte, Brazil METHODS: All patients admitted with a pulmonary artery catheter were included. We simultaneously recorded temperatures from the pulmonary artery, axillary area, oral cavity, temporal artery, and tympanic membrane. Bland-Altman plots were employed to assess the agreement between the different temperature measurements. RESULTS: A total of 48 patients participated, with a mean age of 54 years. Females comprised 66.67% of the sample. Compared to pulmonary artery temperature, the accuracy and precision (mean and standard deviation) of the non-invasive methods were: axillary (-0.42°C, 0.59°C), oral (-0.30°C, 0.37°C), tympanic membrane (-0.21°C, 0.44°C), and temporal artery (-0.25°C, 0.61°C). Notably, in patients with abnormal body temperature (non-normothermic), only oral and tympanic membrane methods maintained their accuracy and precision.CONCLUSIONS: The non-invasive thermometers evaluated in this study demonstrated acceptable accuracy and precision (within the clinically relevant threshold of 0.5°C) compared to pulmonary artery temperature. Among the non-invasive methods, the tympanic membrane measurement proved to be the most reliable, followed by the oral method. |
| Subject: | Thermometers Temporal Arteries Axillary Artery |
| language: | eng |
| metadata.dc.publisher.country: | Brasil |
| Publisher: | Universidade Federal de Minas Gerais |
| Publisher Initials: | UFMG |
| metadata.dc.publisher.department: | ENF - DEPARTAMENTO DE ENFERMAGEM BÁSICA MED - DEPARTAMENTO DE CLÍNICA MÉDICA |
| Rights: | Acesso Aberto |
| metadata.dc.identifier.doi: | https://doi.org/10.1590/1516-3180.2023.0409.R1.05062024 |
| URI: | http://hdl.handle.net/1843/83854 |
| Issue Date: | 2024 |
| metadata.dc.url.externa: | https://www.scielo.br/j/spmj/a/MLcV34TmmQFBhk8vpyyFg9H/?lang=en |
| metadata.dc.relation.ispartof: | São Paulo Medical Journal |
| Appears in Collections: | Artigo de Periódico |
Files in This Item:
| File | Description | Size | Format | |
|---|---|---|---|---|
| Accuracy and precision of non-invasive thermometers pdfa.pdf | 390.97 kB | Adobe PDF | View/Open |
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