Inaccuracy of temporal thermometer measurement by age and race.

IF 3 3区 医学 Q1 PEDIATRICS
Rama A Salhi, Melissa A Meeker, Carey Williams, Theodore J Iwashyna, Margaret E Samuels-Kalow
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引用次数: 0

Abstract

Objective: Rapid vital sign assessment, including temperature measurement, is critical among pediatric patients presenting to the emergency department (ED). While error rates in temporal thermometry are well documented, the potential for differential error rates by demographics are not well established. Our objective was to evaluate error rates of temporal thermometers by demographic variables, specifically race and age, among pediatric patients in the ED.

Methods: Pediatric patients (≤18 years old) identified as either Black or White in the medical record presenting to the ED between January 2020 and December 2022 who received at least one paired temperature measurement (temporal and oral/rectal temperature within 30 minutes) were included. Rates of discordance by demographic characteristics were then evaluated. Secondarily, we explored characteristics of patients who received temporal thermometry only.

Results: The final population included 1,526 paired temperatures (1,412 patients). Among all paired measurements, 26% had discordant measurements (25% in Black patients vs. 26% in White patients). In the final adjusted model, children age ≤12 years old were found to have 2-3 times higher odds of discordance than children >12 years old. Black patients were statistically significantly more likely to receive a temporal thermometer measurement only (aOR 1.27, 95%CI: 1.22, 1.33), even when controlling for fever-related chief complaints.

Conclusions: Age ≤12 years old was associated with increased odds of missed fever by temporal thermometry. In our secondary analysis, Black patients were found to be more likely to receive temporal thermometry only. These findings highlight the need for consistent, accurate measurement protocols among pediatric patients.

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来源期刊
Academic Pediatrics
Academic Pediatrics PEDIATRICS-
CiteScore
4.60
自引率
12.90%
发文量
300
审稿时长
60 days
期刊介绍: Academic Pediatrics, the official journal of the Academic Pediatric Association, is a peer-reviewed publication whose purpose is to strengthen the research and educational base of academic general pediatrics. The journal provides leadership in pediatric education, research, patient care and advocacy. Content areas include pediatric education, emergency medicine, injury, abuse, behavioral pediatrics, holistic medicine, child health services and health policy,and the environment. The journal provides an active forum for the presentation of pediatric educational research in diverse settings, involving medical students, residents, fellows, and practicing professionals. The journal also emphasizes important research relating to the quality of child health care, health care policy, and the organization of child health services. It also includes systematic reviews of primary care interventions and important methodologic papers to aid research in child health and education.
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