Dataset Information

Temperature measured at the axilla compared with rectum in children and young people: systematic review.

ABSTRACT:

Objective

To evaluate the agreement between temperature measured at the axilla and rectum in children and young people.

Design

A systematic review of studies comparing temperature measured at the axilla (test site) with temperature measured at the rectum (reference site) using the same type of measuring device at both sites in each patient. Devices were mercury or electronic thermometers or indwelling thermocouple probes.

Studies reviewed

40 studies including 5528 children and young people from birth to 18 years.

Data extraction

Difference in temperature readings at the axilla and rectum.

Results

20 studies (n=3201 (58%) participants) had sufficient data to be included in a meta-analysis. There was significant residual heterogeneity in both mean differences and sample standard deviations within the groups using different devices and within age groups. The pooled (random effects) mean temperature difference (rectal minus axillary temperature) for mercury thermometers was 0.25 degrees C (95% limits of agreement -0.15 degrees C to 0.65 degrees C) and for electronic thermometers was 0. 85 degrees C (-0.19 degrees C to 1.90 degrees C). The pooled (random effects) mean temperature difference (rectal minus axillary temperature) for neonates was 0.17 degrees C (-0.15 degrees C to 0. 50 degrees C) and for older children and young people was 0.92 degrees C (-0.15 degrees C to 1.98 degrees C).

Conclusions

The difference between temperature readings at the axilla and rectum using either mercury or electronic thermometers showed wide variation across studies. This has implications for clinical situations where temperature needs to be measured with precision.

SUBMITTER: Craig JV

PROVIDER: S-EPMC27359 | biostudies-literature | 2000 Apr

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Temperature measured at the axilla compared with rectum in children and young people: systematic review.

Craig J V JV Lancaster G A GA Williamson P R PR Smyth R L RL

BMJ (Clinical research ed.) 20000401 7243

<h4>Objective</h4>To evaluate the agreement between temperature measured at the axilla and rectum in children and young people.<h4>Design</h4>A systematic review of studies comparing temperature measured at the axilla (test site) with temperature measured at the rectum (reference site) using the same type of measuring device at both sites in each patient. Devices were mercury or electronic thermometers or indwelling thermocouple probes.<h4>Studies reviewed</h4>40 studies including 5528 children ...[more]

PMID: 10784539

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Dataset Information

Temperature measured at the axilla compared with rectum in children and young people: systematic review.

Objective

Design

Studies reviewed

Data extraction

Results

Conclusions

Publications

Temperature measured at the axilla compared with rectum in children and young people: systematic review.

Similar Datasets

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