Comparison of Rectal, Axillary, And Inguinal Temperatures In Full-Term Newborn Infants

Bliss-Holtz, Jane

doi:10.1097/00006199-198903000-00009

Cited by 26 publications

(30 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Again, while the axillary temperatures were statistically different from rectal temperatures, these differences were small and not clinically important. Prior comparisons of axillary and rectal temperatures have found the smallest differences in infants (usually 0.2ЊC ), [5][6][7][8][9]11,39,40 with differences increasing as age increases to adulthood (from 0.5ЊC to 1.2ЊC ). 22 found in other studies, [5][6][7][8][9]11,37,39,46,47 similar to our study, were small and clinically insignificant.…”

Section: Discussionmentioning

confidence: 99%

“…Well-designed clinical studies, though, have found large discrepancies between skin temperatures and more direct measures of core body temperature (esophageal or rectal sites using electronic thermistor devices). [2][3][4] Axillary temperatures measured with an electronic thermometer probe, while previously shown to have acceptable accuracy in neonates and newborns, [5][6][7][8][9][10][11] are difficult to obtain without disturbing the neonate. These disturbances can cause increases in respiratory rates and heart rates, with decreases in oxygen saturation levels, circumstances that are best avoided in critically ill neonates.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Accuracy of Temporal Artery Thermometry in Neonatal Intensive Care Infants

Lee

Flannery-Bergey

Randall-Rollins

et al. 2011

Advances in Neonatal Care

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Accuracy of Temporal Artery Thermometry in Neonatal Intensive Care Infants

Lee

Flannery-Bergey

Randall-Rollins

et al. 2011

Advances in Neonatal Care

View full text Add to dashboard Cite

show abstract

“…However, as a recent systematic review by Craig et al [17] noted, the agreement between axillary and rectal measurements for neonates has not been established properly. Earlier studies on temperature measurements in preterm and term neonates [18][19][20][21][22][23] used the correlation coefficient for comparison of methods, instead of the methodology of Bland and Altman [24,25] for clinical measurement comparison studies. Most studies report mean differences, but do not discuss 'limits of agreement' according to Bland and Altman [24,25] .…”

Section: Introductionmentioning

confidence: 99%

Axillary and Rectal Temperature Measurements Poorly Agree in Newborn Infants

Müller

Berkel

Beaufort³

2008

Neonatology

View full text Add to dashboard Cite

Aim: Evaluation of the agreement between axillary temperature measurements and rectal temperature measurements in neonates. Methods: Rectal and axillary body temperatures were simultaneously measured for 3 min in 33 neonates (gestational age 25–42 weeks, weight 840–4,005 g). Two investigators performed paired measurements, one in each neonate. A single type of thermometer was used in this study: one thermometer for each rectal and another thermometer for each axillary measurement. The Bland-Altman method was used (95% ‘limits of agreement’: mean ± 2 SD) to determine the level of agreement between axillary and rectal measurements. Results: The axillary temperature was significantly lower than the rectal temperature (mean ± SD 0.27 ± 0.20°C, p < 0.05). The ‘95% limits of agreement’ ranged from –0.13 to +0.67°C. Increasing postnatal age (days) showed a significant increase in temperature difference (rectal minus axillary; r = 0.54; p < 0.05). Conclusions: The mean difference between axillary and rectal temperature shows a wide variation. Axillary temperature measurements cannot be used interchangeably with rectal measurements in neonates.

show abstract

“…Rectal temperature measurement is still considered the "gold standard" in pediatric patients [10]. However, there may be some complications and problems during measurements, such as an increase in blood pressure, decrease in PaO 2 , rectal perforation, and inaccurate results [17]. Temporal artery measurement has the advantage of accuracy over nasopharyngeal measurement, and is as safe a technique as the axillary measurement.…”

Section: Discussionmentioning

confidence: 99%