Temporal artery temperature measurements versus bladder temperature in critically ill patients, a prospective observational study
Accurate measurement of body temperature is important for the timely detection of fever or hypothermia in critically ill patients. In this prospective study, we evaluated whether the agreement between temperature measurements obtained with TAT (test method) and bladder catheter-derived temperature m...
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| Published in | PloS one Vol. 15; no. 11; p. e0241846 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
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Public Library of Science
06.11.2020
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| Abstract | Accurate measurement of body temperature is important for the timely detection of fever or hypothermia in critically ill patients. In this prospective study, we evaluated whether the agreement between temperature measurements obtained with TAT (test method) and bladder catheter-derived temperature measurements (BT; reference method) is sufficient for clinical practice in critically ill patients.
Patients acutely admitted to the Intensive Care Unit were included. After BT was recorded TAT measurements were performed by two independent researchers (TAT1; TAT2). The agreement between TAT and BT was assessed using Bland-Altman plots. Clinical acceptable limits of agreement (LOA) were defined a priori (<0.5°C). Subgroup analysis was performed in patients receiving norepinephrine.
In total, 90 critically ill patients (64 males; mean age 62 years) were included. The observed mean difference (TAT-BT; ±SD, 95% LOA) between TAT and BT was 0.12°C (-1.08°C to +1.32°C) for TAT1 and 0.14°C (-1.05°C to +1.33°C) for TAT2. 36% (TAT1) and 42% (TAT2) of all paired measurements failed to meet the acceptable LOA of 0.5°C. Subgroup analysis showed that when patients were receiving intravenous norepinephrine, the measurements of the test method deviated more from the reference method (p = NS).
The TAT is not sufficient for clinical practice in critically ill adults. |
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| AbstractList | PurposeAccurate measurement of body temperature is important for the timely detection of fever or hypothermia in critically ill patients. In this prospective study, we evaluated whether the agreement between temperature measurements obtained with TAT (test method) and bladder catheter-derived temperature measurements (BT; reference method) is sufficient for clinical practice in critically ill patients.MethodsPatients acutely admitted to the Intensive Care Unit were included. After BT was recorded TAT measurements were performed by two independent researchers (TAT1; TAT2). The agreement between TAT and BT was assessed using Bland-Altman plots. Clinical acceptable limits of agreement (LOA) were defined a priori (<0.5°C). Subgroup analysis was performed in patients receiving norepinephrine.ResultsIn total, 90 critically ill patients (64 males; mean age 62 years) were included. The observed mean difference (TAT-BT; ±SD, 95% LOA) between TAT and BT was 0.12°C (-1.08°C to +1.32°C) for TAT1 and 0.14°C (-1.05°C to +1.33°C) for TAT2. 36% (TAT1) and 42% (TAT2) of all paired measurements failed to meet the acceptable LOA of 0.5°C. Subgroup analysis showed that when patients were receiving intravenous norepinephrine, the measurements of the test method deviated more from the reference method (p = NS).ConclusionThe TAT is not sufficient for clinical practice in critically ill adults. Purpose Accurate measurement of body temperature is important for the timely detection of fever or hypothermia in critically ill patients. In this prospective study, we evaluated whether the agreement between temperature measurements obtained with TAT (test method) and bladder catheter-derived temperature measurements (BT; reference method) is sufficient for clinical practice in critically ill patients. Methods Patients acutely admitted to the Intensive Care Unit were included. After BT was recorded TAT measurements were performed by two independent researchers (TAT1; TAT2). The agreement between TAT and BT was assessed using Bland-Altman plots. Clinical acceptable limits of agreement (LOA) were defined a priori (<0.5°C). Subgroup analysis was performed in patients receiving norepinephrine. Results In total, 90 critically ill patients (64 males; mean age 62 years) were included. The observed mean difference (TAT-BT; ±SD, 95% LOA) between TAT and BT was 0.12°C (-1.08°C to +1.32°C) for TAT1 and 0.14°C (-1.05°C to +1.33°C) for TAT2. 36% (TAT1) and 42% (TAT2) of all paired measurements failed to meet the acceptable LOA of 0.5°C. Subgroup analysis showed that when patients were receiving intravenous norepinephrine, the measurements of the test method deviated more from the reference method (p = NS). Conclusion The TAT is not sufficient for clinical practice in critically ill adults. Purpose Accurate measurement of body temperature is important for the timely detection of fever or hypothermia in critically ill patients. In this prospective study, we evaluated whether the agreement between temperature measurements obtained with TAT (test method) and bladder catheter-derived temperature measurements (BT; reference method) is sufficient for clinical practice in critically ill patients. Methods Patients acutely admitted to the Intensive Care Unit were included. After BT was recorded TAT measurements were performed by two independent researchers (TAT.sub.1; TAT.sub.2). The agreement between TAT and BT was assessed using Bland-Altman plots. Clinical acceptable limits of agreement (LOA) were defined a priori (<0.5°C). Subgroup analysis was performed in patients receiving norepinephrine. Results In total, 90 critically ill patients (64 males; mean age 62 years) were included. The observed mean difference (TAT-BT; ±SD, 95% LOA) between TAT and BT was 0.12°C (-1.08°C to +1.32°C) for TAT.sub.1 and 0.14°C (-1.05°C to +1.33°C) for TAT.sub.2 . 36% (TAT.sub.1) and 42% (TAT.sub.2) of all paired measurements failed to meet the acceptable LOA of 0.5°C. Subgroup analysis showed that when patients were receiving intravenous norepinephrine, the measurements of the test method deviated more from the reference method (p = NS). Conclusion The TAT is not sufficient for clinical practice in critically ill adults. Accurate measurement of body temperature is important for the timely detection of fever or hypothermia in critically ill patients. In this prospective study, we evaluated whether the agreement between temperature measurements obtained with TAT (test method) and bladder catheter-derived temperature measurements (BT; reference method) is sufficient for clinical practice in critically ill patients. In total, 90 critically ill patients (64 males; mean age 62 years) were included. The observed mean difference (TAT-BT; ±SD, 95% LOA) between TAT and BT was 0.12°C (-1.08°C to +1.32°C) for TAT.sub.1 and 0.14°C (-1.05°C to +1.33°C) for TAT.sub.2 . 36% (TAT.sub.1) and 42% (TAT.sub.2) of all paired measurements failed to meet the acceptable LOA of 0.5°C. Subgroup analysis showed that when patients were receiving intravenous norepinephrine, the measurements of the test method deviated more from the reference method (p = NS). The TAT is not sufficient for clinical practice in critically ill adults. Purpose Accurate measurement of body temperature is important for the timely detection of fever or hypothermia in critically ill patients. In this prospective study, we evaluated whether the agreement between temperature measurements obtained with TAT (test method) and bladder catheter-derived temperature measurements (BT; reference method) is sufficient for clinical practice in critically ill patients. Methods Patients acutely admitted to the Intensive Care Unit were included. After BT was recorded TAT measurements were performed by two independent researchers (TAT1; TAT2). The agreement between TAT and BT was assessed using Bland-Altman plots. Clinical acceptable limits of agreement (LOA) were defined a priori (<0.5°C). Subgroup analysis was performed in patients receiving norepinephrine. Results In total, 90 critically ill patients (64 males; mean age 62 years) were included. The observed mean difference (TAT-BT; ±SD, 95% LOA) between TAT and BT was 0.12°C (-1.08°C to +1.32°C) for TAT1 and 0.14°C (-1.05°C to +1.33°C) for TAT2. 36% (TAT1) and 42% (TAT2) of all paired measurements failed to meet the acceptable LOA of 0.5°C. Subgroup analysis showed that when patients were receiving intravenous norepinephrine, the measurements of the test method deviated more from the reference method (p = NS). Conclusion The TAT is not sufficient for clinical practice in critically ill adults. Purpose Accurate measurement of body temperature is important for the timely detection of fever or hypothermia in critically ill patients. In this prospective study, we evaluated whether the agreement between temperature measurements obtained with TAT (test method) and bladder catheter-derived temperature measurements (BT; reference method) is sufficient for clinical practice in critically ill patients. Methods Patients acutely admitted to the Intensive Care Unit were included. After BT was recorded TAT measurements were performed by two independent researchers (TAT 1; TAT 2 ). The agreement between TAT and BT was assessed using Bland-Altman plots. Clinical acceptable limits of agreement (LOA) were defined a priori (<0.5°C). Subgroup analysis was performed in patients receiving norepinephrine. Results In total, 90 critically ill patients (64 males; mean age 62 years) were included. The observed mean difference (TAT-BT; ±SD, 95% LOA) between TAT and BT was 0.12°C (-1.08°C to +1.32°C) for TAT 1 and 0.14°C (-1.05°C to +1.33°C) for TAT 2 . 36% (TAT 1 ) and 42% (TAT 2 ) of all paired measurements failed to meet the acceptable LOA of 0.5°C. Subgroup analysis showed that when patients were receiving intravenous norepinephrine, the measurements of the test method deviated more from the reference method (p = NS). Conclusion The TAT is not sufficient for clinical practice in critically ill adults. Accurate measurement of body temperature is important for the timely detection of fever or hypothermia in critically ill patients. In this prospective study, we evaluated whether the agreement between temperature measurements obtained with TAT (test method) and bladder catheter-derived temperature measurements (BT; reference method) is sufficient for clinical practice in critically ill patients. Patients acutely admitted to the Intensive Care Unit were included. After BT was recorded TAT measurements were performed by two independent researchers (TAT1; TAT2). The agreement between TAT and BT was assessed using Bland-Altman plots. Clinical acceptable limits of agreement (LOA) were defined a priori (<0.5°C). Subgroup analysis was performed in patients receiving norepinephrine. In total, 90 critically ill patients (64 males; mean age 62 years) were included. The observed mean difference (TAT-BT; ±SD, 95% LOA) between TAT and BT was 0.12°C (-1.08°C to +1.32°C) for TAT1 and 0.14°C (-1.05°C to +1.33°C) for TAT2. 36% (TAT1) and 42% (TAT2) of all paired measurements failed to meet the acceptable LOA of 0.5°C. Subgroup analysis showed that when patients were receiving intravenous norepinephrine, the measurements of the test method deviated more from the reference method (p = NS). The TAT is not sufficient for clinical practice in critically ill adults. |
| Audience | Academic |
| Author | Doesburg, Frank Paans, Wolter Wiersema, Renske Cox, Eline G M van der Meulen, Ingeborg C Dieperink, Willem |
| AuthorAffiliation | 1 Department of Critical Care, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands National Yang-Ming University, TAIWAN 2 Research Group Nursing Diagnostics, Hanze University of Applied Sciences, Groningen, The Netherlands |
| AuthorAffiliation_xml | – name: 2 Research Group Nursing Diagnostics, Hanze University of Applied Sciences, Groningen, The Netherlands – name: 1 Department of Critical Care, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands – name: National Yang-Ming University, TAIWAN |
| Author_xml | – sequence: 1 givenname: Eline G M orcidid: 0000-0003-0821-7362 surname: Cox fullname: Cox, Eline G M organization: Department of Critical Care, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands – sequence: 2 givenname: Willem orcidid: 0000-0003-2738-7471 surname: Dieperink fullname: Dieperink, Willem organization: Research Group Nursing Diagnostics, Hanze University of Applied Sciences, Groningen, The Netherlands – sequence: 3 givenname: Renske surname: Wiersema fullname: Wiersema, Renske organization: Department of Critical Care, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands – sequence: 4 givenname: Frank orcidid: 0000-0002-9730-0792 surname: Doesburg fullname: Doesburg, Frank organization: Department of Critical Care, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands – sequence: 5 givenname: Ingeborg C surname: van der Meulen fullname: van der Meulen, Ingeborg C organization: Research Group Nursing Diagnostics, Hanze University of Applied Sciences, Groningen, The Netherlands – sequence: 6 givenname: Wolter surname: Paans fullname: Paans, Wolter organization: Research Group Nursing Diagnostics, Hanze University of Applied Sciences, Groningen, The Netherlands |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/33156823$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1016_j_resuscitation_2023_109882 crossref_primary_10_3390_ijerph19010501 crossref_primary_10_1038_s41578_022_00477_2 crossref_primary_10_1080_17434440_2021_2019014 crossref_primary_10_1016_j_apmt_2024_102229 crossref_primary_10_1080_19932820_2023_2275416 |
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| ContentType | Journal Article |
| Copyright | COPYRIGHT 2020 Public Library of Science 2020 Cox et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. 2020 Cox et al 2020 Cox et al |
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| Snippet | Accurate measurement of body temperature is important for the timely detection of fever or hypothermia in critically ill patients. In this prospective study,... Purpose Accurate measurement of body temperature is important for the timely detection of fever or hypothermia in critically ill patients. In this prospective... Purpose Accurate measurement of body temperature is important for the timely detection of fever or hypothermia in critically ill patients. In this prospective... PURPOSEAccurate measurement of body temperature is important for the timely detection of fever or hypothermia in critically ill patients. In this prospective... PurposeAccurate measurement of body temperature is important for the timely detection of fever or hypothermia in critically ill patients. In this prospective... |
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| SubjectTerms | Adult Aged Biology and Life Sciences Bladder Body temperature Body Temperature - drug effects Catheters Cerebral arteries Clinical medicine Consent Critical care Critical Illness Critically ill persons Engineering and Technology Female Fever Health aspects Humans Hypothermia Intensive care Intensive Care Units Intravenous administration Male Measurement Medical examination Medical instruments Medicine and Health Sciences Methods Middle Aged Norepinephrine Norepinephrine - administration & dosage Norepinephrine - pharmacology Nursing Observational studies Patients Physical Sciences Prospective Studies Pulmonary arteries Research and Analysis Methods Statistical analysis Subgroups Temperature measurement Temporal Arteries Urinary Bladder Veins & arteries |
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| Title | Temporal artery temperature measurements versus bladder temperature in critically ill patients, a prospective observational study |
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