Kreissl Hannah, Neiger Reto
Department of Clinical Studies, Small Animal Clinic, University of Giessen, Germany.
J Vet Emerg Crit Care (San Antonio). 2015 May-Jun;25(3):372-8. doi: 10.1111/vec.12302. Epub 2015 Apr 8.
To assess the accuracy of obtaining body temperatures in dogs with a noncontact infrared thermometer (NCIT) on the cornea compared with a rectal digital thermometer (RDT).
Prospective single center study.
University teaching hospital.
Three hundred dogs presented with low, normal, or high body temperatures.
Three body temperature readings were measured by an RDT and by an NCIT on the cornea of the left eye by 2 investigators (experienced and inexperienced). Results obtained by the 2 methods were compared.
Median body temperature measured by the experienced investigator with the RDT and the NCIT were 38.3°C (range 35.5°C-41.1°C; 95% CI: 38.2-38.4°C) and 37.7°C (35.9°C-40.1°C; 95% CI: 37.7°C-37.9°C), respectively. Measurement of RDT as well as of NCIT correlated well between both investigators (rRDT = 0.94; rNCIT = 0.82; respectively, P < 0.001 for both methods). Mean RDT and NCIT-temperature correlated poorly (r = 0.43; P < 0.001) when taken by the experienced investigator and even less by the nonexperienced investigator (r = 0.38; P < 0.001). Repeatability of the NCIT revealed an unsatisfactory value (0.24°C) compared to RDT measurement (0.12°C). Agreement between both devices in measuring low, normal, and high values, calculated by Cohens-Kappa, was unsatisfactory (к = 0.201; P < 0.001). Calculating the receiver operating characteristic curve to determine the best threshold for fever (defined as RDT temperature >39.0°C) showed an area under the curve of 0.76. Mean discomfort score was significantly lower using NCIT compared to RDT measurement (P < 0.001).
There was poor agreement between body temperatures obtained by RDT and NCIT. The corneal NCIT measurement tends to underrecognize hypothermic and hyperthermic conditions. Although the use of the NCIT yields faster results and is significantly more comfortable for the dog than the RDT measurement, it cannot be recommended in dogs at this time.
评估与直肠数字温度计(RDT)相比,使用非接触式红外温度计(NCIT)测量犬眼角膜体温的准确性。
前瞻性单中心研究。
大学教学医院。
300只体温低、正常或高的犬。
由2名研究人员(经验丰富和经验不足的)分别使用RDT和NCIT对左眼眼角膜进行3次体温测量。比较两种方法获得的结果。
经验丰富的研究人员使用RDT和NCIT测量的体温中位数分别为38.3°C(范围35.5°C - 41.1°C;95%CI:38.2 - 38.4°C)和37.7°C(35.9°C - 40.1°C;95%CI:37.7°C - 37.9°C)。两位研究人员使用RDT和NCIT测量结果之间的相关性都很好(rRDT = 0.94;rNCIT = 0.82;两种方法的P均<0.001)。经验丰富的研究人员测量的RDT和NCIT平均体温相关性较差(r = 0.43;P < 0.001),经验不足的研究人员测量的相关性更差(r = 0.38;P < 0.001)。与RDT测量值(0.12°C)相比,NCIT的重复性显示出不理想的值(0.24°C)。通过科恩斯-卡帕(Cohens-Kappa)计算得出,两种仪器在测量低、正常和高体温值时的一致性不理想(κ = 0.201;P < 0.001)。计算受试者工作特征曲线以确定发热的最佳阈值(定义为RDT体温>39.0°C),曲线下面积为0.76。与RDT测量相比,使用NCIT时的平均不适评分显著更低(P < 0.001)。
RDT和NCIT测量的体温之间一致性较差。眼角膜NCIT测量往往会低估体温过低和过高的情况。尽管使用NCIT得出结果更快,并且对犬来说比RDT测量明显更舒适,但目前不建议在犬中使用。