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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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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. |
format | Online Article Text |
id | pubmed-9497495 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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