적외선 체온의 진단 정확도 평가 연구: 체계적 문헌고찰

• Published in: Sŏngin Kanho Hakhoe chi Vol. 26; no. 6; pp. 668 - 680
• Main Author: 박성희(Park, Seong-Hi)
• Format: Journal Article
• Language: Korean
• Published: 한국성인간호학회 2014
• Subjects: Thermometers; Sensitivity and specificity; 민감도와 특이도; 체온; Fever; Meta-analysis; 발열; 메타분석
• ISSN: 1225-4886; 2288-338X

Purpose: The aim of this study was to investigate the accuracy of infrared temperature measurements compared to axillary temperature in order to detect fever in patients. Methods: Studies published between 1946 and 2012 from periodicals indexed in Ovid Medline, Embase, CINAHL, Cochrane, KoreaMed, NDSL, KERIS and other databases were selected using the following key words: "infrared thermometer". QUADAS-II was utilized to assess the internal validity of the diagnostic studies. Selected studies were analyzed through a meta-analysis using MetaDisc 1.4. Results: Twenty-one diagnostic studies with high methodological quality were included representing 3,623 subjects in total. Results of the meta-analysis showed that the pooled sensitivity, specificity, and area under the curve (AUC) of infrared tympanic thermometers were 0.73 (95% CI 0.70~0.75), 0.92 (95% CI 0.91~0.92), and 0.90, respectively. For axillary temperature readings, the pooled sensitivity was 0.67 (95% CI 0.62~0.73), the pooled specificity was 0.87 (95% CI 0.85~0.90), and the AUC was 0.80. Conclusion: Infrared tympanic temperature can predict axillary temperature in normothermic and in febrile patients with an acceptable level of diagnostic accuracy. However, further research is necessary to substantiate this finding in patients with hyperthermia.