Franconi Ilaria, La Cerra Carmen, Marucci Anna Rita, Petrucci Cristina, Lancia Loreto
1 University of L'Aquila, Italy.
Clin Nurs Res. 2018 Feb;27(2):180-190. doi: 10.1177/1054773816676538. Epub 2016 Nov 8.
Axillary digital thermometers (ADTs) and non-contact (infrared) forehead thermometers (NCIFTs) are commonly used in pediatric settings, where an incorrect body temperature measurement may delay treatments or lead to incorrect diagnoses and therapies. Several studies comparing ADT or NCIFT with other methods have found conflicting results. To investigate whether ADT and NCIFT can be used interchangeably, a comparative observational study was conducted involving 205 children aged 0 to 14 years who were consecutively admitted to the pediatric emergency department. The Bland-Altman plot illustrated agreement between the two methods. A total of 217 pairs of measurements were compared; axillary measurements showed average values significantly higher than forehead measurements (37.52°C and 37.12°C; t = 7.42, p = .000), with a mean difference of 0.41°C between the two methods (range = -1.80 and +2.40). In this setting and population, ADT and NCIFT cannot be used interchangeably.
腋温数字体温计（ADT）和非接触式（红外）额温计（NCIFT）常用于儿科环境，在这种环境中，不正确的体温测量可能会延误治疗或导致错误的诊断和治疗。几项比较ADT或NCIFT与其他方法的研究得出了相互矛盾的结果。为了调查ADT和NCIFT是否可以互换使用，进行了一项比较观察性研究，该研究纳入了205名0至14岁连续入住儿科急诊科的儿童。Bland-Altman图显示了两种方法之间的一致性。总共比较了217对测量值；腋温测量显示平均值显著高于额温测量（37.52°C和37.12°C；t = 7.42，p = .000），两种方法之间的平均差异为0.41°C（范围 = -1.80至+2.40）。在这种环境和人群中，ADT和NCIFT不能互换使用。
