Accuracy of Zero-Heat-Flux Cutaneous Temperature in Intensive Care Adults
| Autor: | Olivier Mimoz, Claire Dahyot-Fizelier, Elsa Carise, Thomas Kerforne, Thierry Benard, B. Giraud, Denis Frasca, Solène Lamarche, Rémy Bellier |
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| Přispěvatelé: | Centre hospitalier universitaire de Poitiers (CHU Poitiers), Pharmacologie des anti-infectieux (PHAR), Université de Poitiers-Institut National de la Santé et de la Recherche Médicale (INSERM), Université de Poitiers - Faculté de Médecine et de Pharmacie, Université de Poitiers |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Esophageal temperature Temperature monitoring medicine.medical_specialty Thermometers [SDV]Life Sciences [q-bio] Core temperature Critical Care and Intensive Care Medicine Body Temperature 03 medical and health sciences 0302 clinical medicine Intensive care Humans Medicine Prospective Studies Prospective cohort study Aged Monitoring Physiologic Core (anatomy) business.industry Limits of agreement Reproducibility of Results 030208 emergency & critical care medicine Middle Aged University hospital 3. Good health Surgery Intensive Care Units Female Skin Temperature business Nuclear medicine [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology 030217 neurology & neurosurgery |
| Zdroj: | Critical Care Medicine Critical Care Medicine, Lippincott, Williams & Wilkins, 2017, 45 (7), pp.e715-e717. ⟨10.1097/CCM.0000000000002317⟩ |
| ISSN: | 0090-3493 |
| DOI: | 10.1097/ccm.0000000000002317 |
| Popis: | International audience; Objectives: To compare accuracy of a continuous noninvasive cutaneous temperature using zero-heat-flux method to esophageal temperature and arterial temperature.Design: Prospective study.Setting: ICU and NeuroICU, University Hospital.Patients: Fifty-two ICU patients over a 4-month period who required continuous temperature monitoring were included in the study, after informed consent.Interventions: All patients had esophageal temperature probe and a noninvasive cutaneous device to monitor their core temperature continuously. In seven patients who required cardiac output monitoring, continuous iliac arterial temperature was collected. Simultaneous core temperatures were recorded from 1 to 5 days. Comparison to the esophageal temperature, considered as the reference in this study, used the Bland and Altman method with adjustment for multiple measurements per patient.Measurements and Main Results: The esophageal temperature ranged from 33°C to 39.7°C, 61,298 pairs of temperature using zero-heat-flux and esophageal temperature were collected and 1,850 triple of temperature using zero-heat-flux, esophageal temperature, and arterial temperature. Bias and limits of agreement for temperature using zero-heat-flux were 0.19°C ± 0.53°C compared with esophageal temperature with an absolute difference of temperature pairs equal to or lower than 0.5°C of 92.6% (95% CI, 91.9–93.4%) of cases and equal to or lower than 1°C for 99.9% (95% CI, 99.7–100.0%) of cases. Compared with arterial temperature, bias and limits of agreement were –0.00°C ± 0.36°C with an absolute difference of temperature pairs equal to or lower than 0.5°C of 99.8% (95% CI, 95.3–100%) of cases. All absolute difference of temperature pairs between temperature using zero-heat-flux and arterial temperature and between arterial temperature and esophageal temperature were equal to or lower than 1°C. No local or systemic serious complication was observed.Conclusions: These results suggest a comparable reliability of the cutaneous sensor using the zero-heat-flux method compared with esophageal or iliac arterial temperatures measurements. |
| Databáze: | OpenAIRE |
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