Concordance of temperature measurements on preterm and term infants using oesophageal (core), axilla & skin methods in a neonatal intensive care unit |
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Affiliation: | 1. Princess Elizabeth Hospital, Neonatal Unit, Guernsey;2. The Townsville Hospital, Neonatal Unit, Townsville, Queensland, Australia;3. James Cook University, Townsville, Queensland, Australia;1. Department of Audiology, All India Institute of Speech and Hearing, Manasagangotri, Mysore, Karnataka, 570006, India;2. Department of Public Health, Kathmandu University of Medical Sciences, Dhulikhel, Kavrepalanchowk, 45210, Nepal;1. Nursig School, Federal University of São Paulo, Rua Napoleão de Barros, 754 Office 106, Vila Clementino, São Paulo, 04024002, Brazil;2. Department of Biostatistics, Paulista Sstate University, Júlio de Mesquita Filho, Av. Prof. Montenegro, s/n - Vila Paraiso, Botucatu, SP, 18618-687, Brazil;1. Department of Midwifery, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran;2. Midwifery Department, Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Iran;3. Midwifery Department, Tehran University of Medical Sciences, Tehran, Iran;1. Elaine Marieb Center for Nursing and Engineering Innovation, Institute for Applied Life Sciences, and Elaine Marieb College of Nursing, University of Massachusetts Amherst, 240 Thatcher Road, Amherst, MA, 01003, USA;2. California State University, Sacramento, School of Nursing, Principal, DLB Consultants, 6000 J Street, Sacramento, CA, 95819, USA |
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Abstract: | Aimthe aim of this contemporary paper is to investigate agreement between the axilla, core (oesophageal) and skin method of temperature taking.DesignA comparative descriptive design with a non-probability convenience sample used to describe the difference in recorded temperature by each method in preterm and term infants, gestational age from 24 weeks to term +14 days.MethodAll infants born at 24 weeks and term plus 14 days gestation, admitted to NICU and received parental consent were enrolled in the study. Infants were nursed in various thermal environments.Oesophageal temperature was recorded using the InnerSense sensor/feeding tube (Philips Healthcare, axilla by the BD digital thermometer and skin temperature by the Philips skin temperature probe.ConclusionThe results of this study demonstrate that oesophageal and axilla temperature estimates are very similar, with most differences less than 0.5 °C (CC = 0.63). By contrast, a comparison of oesophageal and skin method temperature estimates shows a much weaker agreement (CC = 0.37).This study confirms that oesophageal temperature taken via the Philips InnerSense can be used safely, as it agrees with the axilla method.Infants nursed in the neonatal intensive care environment, especially when preterm or term with PPHN for example, have special requirements for temperature regulation and minimal handling. |
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Keywords: | Body temperature Axilla Skin Oesophageal Core |
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