Diagnostic accuracy of three different methods of temperature measurement in acutely ill geriatric patients

Singler, Katrin; Bertsch, Thomas; Heppner, Hans Juergen; Kob, Robert; Hammer, Klaus; Biber, Roland; Sieber, Cornel; Christ, Michael

doi:10.1093/ageing/aft121

Cited by 28 publications

(12 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…One of the completed studies has been published. 48 The search of the Trip database contributed nothing new while CRD gave three reviews but no new primary studies.…”

Section: Resultsmentioning

confidence: 99%

Temperature measurements with a temporal scanner: systematic review and meta-analysis

et al. 2016

View full text Add to dashboard Cite

ObjectivesSystematic review and meta-analysis on the diagnostic accuracy of temporal artery thermometers (TAT).DesignSystematic review and meta-analysis. The index test consisted of temperature measurement with TAT. The reference test consisted of an estimation of core temperature.ParticipantsClinical patients as well as healthy participants, with or without fever.InterventionsLiterature search in PubMed, Embase, Cinahl and Web of Science. Three reviewers selected articles for full-text reading after which a further selection was made. Risk of bias was assessed with QUADAS-2. Pooled difference and limits of agreement (LoA) were estimated with an inverse variance weighted approach. Subgroup and sensitivity analyses were performed. Sensitivity and specificity were estimated using hierarchical models. Quality of evidence was assessed according to the GRADE system.Primary and secondary outcome measuresThe primary outcome was measurement accuracy expressed as mean difference ±95% LoA. A secondary outcome was sensitivity and specificity to detect fever. If tympanic thermometers were assessed in the same population as TAT, these results were recorded as well.Results37 articles comprising 5026 participants were selected. Pooled difference was -0.19°C (95% LoA −1.16 to 0.77°C), with moderate quality of evidence. Pooled sensitivity was 0.72 (95% CI 0.61 to 0.81) with a specificity of 0.94 (95% CI 0.87 to 0.97). The subgroup analysis revealed a trend towards underestimation of the temperature for febrile patients. There was a large heterogeneity among included studies with wide LoA which reduced the quality of evidence.ConclusionsTAT is not sufficiently accurate to replace one of the reference methods such as rectal, bladder or more invasive temperature measurement methods. The results are, however, similar to those with tympanic thermometers, both in our meta-analysis and when compared with others. Thus, it seems that TAT could replace tympanic thermometers with the caveat that both methods are inaccurate.Trial registration numberCRD42014008832.

show abstract

“…One of the completed studies has been published. 48 The search of the Trip database contributed nothing new while CRD gave three reviews but no new primary studies.…”

Section: Resultsmentioning

confidence: 99%

Temperature measurements with a temporal scanner: systematic review and meta-analysis

et al. 2016

View full text Add to dashboard Cite

show abstract

“…18 Tympanic thermometry is comparable in diagnostic accuracy to rectal thermometry for identifying infection when a lower fever cutoff of 37.3°C (99.1°F) is used; temporal artery thermometry is significantly less accurate. 19 However, body temperatures greater than 38°C (100.4°F) generally equate with serious illness in elders presenting to the ED. 20 Likewise, hypothermia relative to baseline body temperatures may also signal life-threatening infection, particularly in sepsis.…”

Section: Aging and Infectionmentioning

confidence: 99%

Sepsis and Other Infectious Disease Emergencies in the Elderly

Liang

2016

Emergency Medicine Clinics of North America

View full text Add to dashboard Cite

“…This result may probably be explained by the difference in temperature measurement methods and by the age of our population. Indeed, increased body temperature could be absent in elderly patients 9 . More European patients had comorbidities, including smoking, COPD, obesity, chronic heart failure and cognitive dysfunction.…”

Section: Discussionmentioning

confidence: 99%

“…Indeed, increased body temperature could be absent in elderly patients. 9 More European patients had comorbidities, including smoking, COPD, obesity, chronic heart failure and cognitive dysfunction. Rales, wheezing and rhonchi were found in the majority of European patients, possibly because of the high proportion of smokers and COPD.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology, treatment and outcome of patients with lower respiratory tract infection presenting to emergency departments with dyspnoea (AANZDEM and EuroDEM studies)

Rousseau

Keijzers

Meer

et al. 2020

Emerg Medicine Australasia

View full text Add to dashboard Cite

Objective Lower respiratory tract infection (LRTI) is a frequent cause of dyspnoea in EDs, and is associated with considerable morbidity and mortality. We described and compared the management of this disease in Europe and Oceania/South‐East Asia (SEA) cohorts. Methods We conducted a prospective cohort study with three time points in Europe and Oceania/SEA. We included in this manuscript patients presenting to EDs with dyspnoea and a diagnosis of LRTI in ED. We collected comorbidities, chronic medication, clinical signs at arrival, laboratory parameters, ED management and patient outcomes. Results A total of 1389 patients were included, 773 in Europe and 616 in SEA. The European cohort had more comorbidities including chronic heart failure, obesity, chronic obstructive pulmonary disease and smoking. Levels of inflammatory markers were higher in Europe. There were more patients with inflammatory markers in Europe and more hypercapnia in Oceania/SEA. The use of antibiotics was higher in SEA (72.2% vs 61.8%, P < 0.001) whereas intravenous diuretics, non‐invasive and invasive ventilation were higher in Europe. Intensive care unit admission rate was 9.9% in Europe cohort and 3.4% in Oceania/SEA cohort. ED mortality was 1% and overall in‐hospital mortality was 8.7% with no differences between regions. Conclusions More patients with LRTI in Europe presented with cardio‐respiratory comorbidities, they received more adjunct therapies and had a higher intensive care unit admission rate than patients from Oceania/SEA, although mortality was similar between the two cohorts.

show abstract

Diagnostic accuracy of three different methods of temperature measurement in acutely ill geriatric patients

Cited by 28 publications

References 26 publications

Temperature measurements with a temporal scanner: systematic review and meta-analysis

Temperature measurements with a temporal scanner: systematic review and meta-analysis

Sepsis and Other Infectious Disease Emergencies in the Elderly

Epidemiology, treatment and outcome of patients with lower respiratory tract infection presenting to emergency departments with dyspnoea (AANZDEM and EuroDEM studies)

Contact Info

Product

Resources

About