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首页> 外文期刊>BMC Emergency Medicine >Ear measurement of temperature is only useful for screening for fever in an adult emergency department
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Ear measurement of temperature is only useful for screening for fever in an adult emergency department

机译：耳朵温度测量仅在成人急诊室检查发烧时有用

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A new generation of ear thermometers with preheated tips and several measurements points should allow a more precise temperature measurement. The aim of the study was to evaluate if the ear temperature measured by this ear thermometer can be used to screen for fever and whether the thermometer is in agreement with the rectal temperature and if age, use of hearing devices or time after admission influences the temperature measurements. Open cross-sectional clinical single site study patients, ?18?years old, who were acutely admitted to the short stay unit at the ED. A sample size of 99 patient per subgroup was recruited as random convenience series. As ear thermometer Braun Thermoscan Pro 4000? and as rectal thermometer Omron Flex Temp Smart ? was used. For different cut off of temperature the AUC was calculated and Bland-Altman analysis for calculation of 95% limits of agreement with rectal temperature, with subgroup analysis concerning age, time span from admission time and use of hearing aid. Among 599 patients the sensitivity to detect fever with an ear thermometer varied between 68 and 70% with AUC from 0.88–0.97. If the ear temperature was ≥37.5 oC, the sensitivity to detect patients with ≥38.0 oC rectally was 95% which raised to 100% for a rectal temperature of ≥38.3 oC. For the ear thermometer’s ability to determine the exact temperature the 95% limits of agreement were +/??0.8 oC. with no influence from age, duration of hospital stay or hearing aids. The examined ear thermometer is able to detect fever, defined as ≥38 oC rectally in an adult ED population by using an ear cut-point of 37.5 oC, but not to measure the exact temperature. Used in this way around a fifth of the patients will still be in need of a rectal temperature measurement, but less than 5% with fever ≥38.0 oC will remain undetected and none with fever ≥38.3 oC. Age, admission time and use of hearing aid did not influence the temperature measurements. Clinical Trials: ID NCT02977481 , date 11/18/2016.
机译：带有预热尖端和几个测量点的新一代耳温计应该可以进行更精确的温度测量。该研究的目的是评估通过该耳温计测得的耳温是否可用于发烧筛查，以及该温度计是否与直肠温度相符，以及年龄，听力设备的使用或入院后的时间是否会影响温度。测量。 ≥18岁的开放横断面临床单点研究患者，被急诊入急诊室的短期住院。每个亚组99名患者的样本量被纳入随机便利度序列。作为耳温计Braun Thermoscan Pro 4000？作为Omron Flex Temp Smart直肠温度计？被使用了。对于不同的温度截止值，计算了AUC，并进行了Bland-Altman分析，以计算与直肠温度相符的95％极限，并进行了有关年龄，入院时间和助听器使用时间的亚组分析。在599例患者中，通过耳温计检测发烧的敏感性在68％至70％之间，AUC在0.88-0.97之间。如果耳朵温度≥37.5oC，则对直肠≥38.0oC的患者进行检测的敏感性为95％，而对于直肠温度≥38.3oC则提高到100％。对于耳温计确定确切温度的能力，协议的95％限制为+ / ?? 0.8 oC。不受年龄，住院时间或助听器的影响。所检查的耳温计能够通过使用37.5 oC的耳廓来检测发烧（定义为成人ED人群中直肠≥38oC），但无法测量确切的温度​​。以这种方式使用的患者中约有五分之一仍需要进行直肠温度测量，但发烧≥38.0oC时不到5％仍未检测到，发烧≥38.3oC的患者均未检测到。年龄，入院时间和使用助听器不会影响温度测量。临床试验：ID NCT02977481，日期11/18/2016。

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