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Clinical Accuracy of Non-Contact Forehead Infrared Thermometer Measurement in Children: An Observational Study

We evaluated the clinical reliability and utility of temperature measurements using no-contact forehead infrared thermometers (NCFITs) by comparing their temperature measurements with those obtained using infrared tympanic thermometers (IRTTs) in children. In this observational, prospective, and cro...

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Autores principales: Kim, Yeon-Mi, Jang, Myung-Roul, Moon, Ju-Ryoung, Park, Goeun, An, Ye-Jin, Seo, Jeong-Meen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9497495/
https://www.ncbi.nlm.nih.gov/pubmed/36138700
http://dx.doi.org/10.3390/children9091389
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author Kim, Yeon-Mi
Jang, Myung-Roul
Moon, Ju-Ryoung
Park, Goeun
An, Ye-Jin
Seo, Jeong-Meen
author_facet Kim, Yeon-Mi
Jang, Myung-Roul
Moon, Ju-Ryoung
Park, Goeun
An, Ye-Jin
Seo, Jeong-Meen
author_sort Kim, Yeon-Mi
collection PubMed
description We evaluated the clinical reliability and utility of temperature measurements using no-contact forehead infrared thermometers (NCFITs) by comparing their temperature measurements with those obtained using infrared tympanic thermometers (IRTTs) in children. In this observational, prospective, and cross-sectional study, we enrolled 255 children (aged 1 month to 18 years) from the pediatric surgery ward at a tertiary medical center in Korea. The mean age of the children was 9.05 ± 5.39 years, and 54.9% were boys. The incidence rate of fever, defined as an IRTT reading of ≥38.0 °C, was 15.7%. The ICC coefficient for the assessment of agreement between temperatures recorded by the NCFIT and IRTT was 0.87, and the κ-coefficient was 0.83. The bias and 95% limits of agreement were 0.15 °C (−0.43 to 0.73). For an accurate diagnosis of fever (≥38 °C), the false-negative rate was much lower, but the false-positive rate was higher, especially in 6-year-old children. Therefore, NCFITs can be used to screen children for fever. However, a secondary check is required using another thermometer when the child’s temperature is >38 °C. NCFITs are proposed for screening but not for measuring the temperature. For the latter, an accurate and reliable thermometer shall be used.
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spelling pubmed-94974952022-09-23 Clinical Accuracy of Non-Contact Forehead Infrared Thermometer Measurement in Children: An Observational Study Kim, Yeon-Mi Jang, Myung-Roul Moon, Ju-Ryoung Park, Goeun An, Ye-Jin Seo, Jeong-Meen Children (Basel) Article We evaluated the clinical reliability and utility of temperature measurements using no-contact forehead infrared thermometers (NCFITs) by comparing their temperature measurements with those obtained using infrared tympanic thermometers (IRTTs) in children. In this observational, prospective, and cross-sectional study, we enrolled 255 children (aged 1 month to 18 years) from the pediatric surgery ward at a tertiary medical center in Korea. The mean age of the children was 9.05 ± 5.39 years, and 54.9% were boys. The incidence rate of fever, defined as an IRTT reading of ≥38.0 °C, was 15.7%. The ICC coefficient for the assessment of agreement between temperatures recorded by the NCFIT and IRTT was 0.87, and the κ-coefficient was 0.83. The bias and 95% limits of agreement were 0.15 °C (−0.43 to 0.73). For an accurate diagnosis of fever (≥38 °C), the false-negative rate was much lower, but the false-positive rate was higher, especially in 6-year-old children. Therefore, NCFITs can be used to screen children for fever. However, a secondary check is required using another thermometer when the child’s temperature is >38 °C. NCFITs are proposed for screening but not for measuring the temperature. For the latter, an accurate and reliable thermometer shall be used. MDPI 2022-09-14 /pmc/articles/PMC9497495/ /pubmed/36138700 http://dx.doi.org/10.3390/children9091389 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kim, Yeon-Mi
Jang, Myung-Roul
Moon, Ju-Ryoung
Park, Goeun
An, Ye-Jin
Seo, Jeong-Meen
Clinical Accuracy of Non-Contact Forehead Infrared Thermometer Measurement in Children: An Observational Study
title Clinical Accuracy of Non-Contact Forehead Infrared Thermometer Measurement in Children: An Observational Study
title_full Clinical Accuracy of Non-Contact Forehead Infrared Thermometer Measurement in Children: An Observational Study
title_fullStr Clinical Accuracy of Non-Contact Forehead Infrared Thermometer Measurement in Children: An Observational Study
title_full_unstemmed Clinical Accuracy of Non-Contact Forehead Infrared Thermometer Measurement in Children: An Observational Study
title_short Clinical Accuracy of Non-Contact Forehead Infrared Thermometer Measurement in Children: An Observational Study
title_sort clinical accuracy of non-contact forehead infrared thermometer measurement in children: an observational study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9497495/
https://www.ncbi.nlm.nih.gov/pubmed/36138700
http://dx.doi.org/10.3390/children9091389
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