Concordance of temperature measurements in the preterm and term neonate using three thermometers

Smith, J., Usher, K., Alcock, G., and Buttner, P. (2013) Concordance of temperature measurements in the preterm and term neonate using three thermometers. Journal of Neonatal Nursing, 19 (6). pp. 309-316.

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Abstract

Background: Measuring temperature is an essential part of nursing care. It has been widely accepted as an indication of a patients' clinical condition. Often this enables early intervention and/or treatment as a change in body temperature can indicate the presence of infection or disorders of the thermoregulatory system.

Objective: The purpose to this study was to investigate agreement between the BD digital thermometer, the Genius 2™ tympanic thermometer and the SureTemp® Plus 692 thermometer.

Method: A comparative design was used to evaluate the level of agreement between each thermometer in preterm and term infants, ranging from 24 weeks gestation to post term.

Results: A total of 238 infants were enrolled in the study, 52 infants with less than 28 weeks gestation, 112 with 29–36 weeks, 69 infants with more than 36 weeks. In general, BD digital and SureTemp® Plus 692 measurements were in closer agreement than the BD digital and the Genius 2™ tympanic thermometer. The mean difference between the BD digital and the SureTemp® Plus 692 measurements was −0.185 (±2 SD: −0.561 to 0.91). The mean difference between the BD digital and Genius 2™ was −0.368 (±2 SD: −1.078 to 0.342). The BD digital and SureTemp® Plsu692 showed a negative but non-significant (r = −0.07; p = 0.273) correlation between the differences and the averages of the measurements. The correlation of the differences and the averages of the BD digital and Genius 2™ measurements was also negative and significant (r = −0.53; p < 0.001).

Conclusion: The results of the study suggested that the SureTemp® Plus 692 thermometer can be used as a reasonable alternative to the BD Digital thermometer in the neonatal population.

Item ID: 33363
Item Type: Article (Refereed Research - C1)
Keywords: thermometer; preterm; term; agreement
ISSN: 1878-089X
Date Deposited: 25 May 2014 06:02
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1114 Paediatrics and Reproductive Medicine > 111402 Obstetrics and Gynaecology @ 30%
11 MEDICAL AND HEALTH SCIENCES > 1114 Paediatrics and Reproductive Medicine > 111401 Foetal Development and Medicine @ 30%
11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing > 111099 Nursing not elsewhere classified @ 40%
SEO Codes: 92 HEALTH > 9202 Health and Support Services > 920210 Nursing @ 33%
92 HEALTH > 9205 Specific Population Health (excl. Indigenous Health) > 920501 Child Health @ 34%
97 EXPANDING KNOWLEDGE > 970111 Expanding Knowledge in the Medical and Health Sciences @ 33%
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