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Titre : | Comparison of Temporal Artery Versus Rectal Temperature in Emergency Department Patients Who Are Unable to Participate in Oral Temperature Assessment (2018) |
Auteurs : | Carmen Brosinski ; Sherwin Valdez ; Autumn Riddell ; et al. |
Type de document : | Article |
Dans : | Journal of Emergency Nursing (Vol. 44, n°1, January 2018) |
Article en page(s) : | p. 57-63 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Gérontologie ; Pédiatrie ; Soins d'urgence ; Temperature ; Thermomètre |
Mots-clés: | Artères temporales ; Température rectale ; Prise de température ; Unité hospitalière d'urgences |
Résumé : |
Introduction
In the emergency department, pediatric and geriatric patients who present with illnesses and are unable to participate in oral evaluation of temperature must undergo a rectal temperature (RT) assessment. This study asks if a temporal artery temperature (TAT) measure can supplant the RT measure. Methods A convenience sample, using a within-subject design, was used to evaluate the efficacy of TAT compared with RT in patients ≤ 3 and ≥ 65 years of age, who were unable to participate in oral temperature assessments. Results Instrument reliability of the TAT is adequate for both the pediatric and geriatric populations. An unadjusted TAT did not provide acceptable temperature measurements. We also found that adjusting a TAT reading by adding -17.22°C (1° F) rendered the TAT average (either mean or median) adequately similar to RT averages for research purposes for both pediatric and geriatric groups. Discussion No influence was detected on the differences between RT and TAT due to age, sex, or emergency severity index (ESI) score in patients or due to profession, years of education, or years of experience in caregivers for either the pediatric or geriatric groups. Furthermore, the adjusted TAT reading could detect fever in individual patients adequately in both the pediatric and geriatric groups. However, the adjusted TAT readings were too frequently divergent from RT readings to be used to measure temperature in individual patients for both pediatric and geriatric groups. Image 1 Contribution to Emergency Nursing Practice ●Temporal artery temperature (TAT) readings used for patients presenting to the emergency department must be adjusted and used with caution and attention to their limitations. ○Adjusted TAT readings should not be used with patients for whom an accurate reading is imperative for clinical decision making. ○Adjusted TAT readings may be used to detect fever. ○Group average adjusted TAT readings may be used in research. |
Disponible en ligne : | Non |