Titus M Olivia, Hulsey Thomas, Heckman Julie, Losek Joseph D
Pediatric and Epidemiology Department, Charleston, South Carolina, USA.
Clin Pediatr (Phila). 2009 Mar;48(2):190-3. doi: 10.1177/0009922808327056. Epub 2008 Nov 17.
To determine the effectiveness of temporal artery thermometry (TAT) as an alternative for temperature assessment of children 1 to 4 years of age in the pediatric emergency department.
Prospective cross-sectional study conducted at an urban children's hospital emergency department. TAT and rectal temperatures are compared in a convenience sample of children 1 to 4 years of age. Comparison of the temperatures is performed using Pearson correlation coefficient and regression analysis.
TAT and rectal temperatures are measured in 42 children 1 to 4 years of age. TAT predicts 83% of rectal temperatures. A receiver operating characteristic curve analysis shows that a cutoff of 37.7 degrees C or greater for fever in TAT is equivalent to rectal temperature greater than or equal to 38.3 degrees C with 100% sensitivity and 93.5% specificity.
TAT is an effective screening tool in identifying fever in children 1 to 4 years of age.
确定颞动脉测温法（TAT）作为儿科急诊科1至4岁儿童体温评估替代方法的有效性。
在一家城市儿童医院急诊科进行前瞻性横断面研究。在1至4岁儿童的便利样本中比较TAT和直肠温度。使用Pearson相关系数和回归分析进行温度比较。
对42名1至4岁儿童测量了TAT和直肠温度。TAT可预测83%的直肠温度。受试者工作特征曲线分析表明，TAT中发热的临界值为37.7摄氏度或更高，等同于直肠温度大于或等于38.3摄氏度，敏感性为100%，特异性为93.5%。
TAT是识别1至4岁儿童发热的有效筛查工具。
