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These studies have not analyzed whether the results of the TM measurements were dependent on age, time after arrival from surroundings with a different temperature or use of hearing aids which are all factors that might influence the measurements.
The high patient turn-over in the ED, with an intensive workload for the staff and often lack of privacy, complicates the use of rectal thermometers and many ED have changed to TM measurements despite the lack of evidence [ 8 ]. Acknowledging the conflicting results of the few ED studies there is still a need to examine the usability of these new generations of TM thermometers for adult patients in an ED setting.
The aim of the present cross-sectional ED study was to evaluate: Methods Study design This study was an open cross-sectional clinical single site study evaluating the ear thermometer as a diagnostic test for fever and the limits of agreement with the exact rectal temperature. The data collection was planned before the study commenced, i.
Setting The Hospital of Southern Jutland, Denmark provides acute medical services for a mixed urban and rural population of around The Emergency Department has a short stay unit providing care for the first 48 h of admission for patients more than 18 years old, with internal, surgical or orthopedic complaints and receives annually Study population The study population was medical and surgical patients, more than 18 years old, who were acutely admitted to the short stay unit at the ED.
We excluded patients, who had no rectum, were isolated, pregnant or unable to provide an informed written consent due to language problems or mental incompetence. A sample size of 99 patients was calculated to be able to detect a difference of 0. To allow for analysis of 5 subgroups age, time of arrival and hearing aid we aimed at collecting at least patients. The obtained data were for all subgroups normal distributed and the standard deviation around 0.
The patients were recruited as random convenience series by a research assistant in daytime on randomly selected days and both new admissions, as well as patients who had been admitted up to 24 h earlier, were asked to participate. The patients were only allowed to participate once during their admission. Eligible patients were informed about the study and written information was provided. If the patient required time to consider participation, up to one hour was accepted.
If the patient requested to discuss participation with a lay representative before a decision to participate was made, this was secured by a telephone call to the lay representative appointed by the patient if the representative was not present. When a written consent to participate was obtained the patient was included in the study. Method and data We registered date and time of arrival and measurement, ear and rectal temperature in Celsius degrees, age, sex, use of hearing aid and if the patient had a medical or surgical complaint and any use of antipyretics and time of consumption.
All information was obtained from the patients with no access to the patient file. Both devices were used routinely in the ED. To secure the quality of the instruments only one specific thermometer of each type was used and calibrated before and during the study. On each inclusion day, a double measurement of temperature in one patient was performed with both instruments to secure that the individual instrument measured the same temperature both times.
The research assistants, two medical students and a nurse, who was employed specifically for this purpose and had no relation to the ED staff, performed the ear temperature measurements and recorded the result without telling it to the patient. Since the measurements are not dependent on which side it is performed, the most convenient side was chosen [ 3 , 8 ].
If the patient used hearing aid this was removed more than 5 min before the measurement. This makes it easier to identify a difference in temperature. Protective case Includes a handy storage case to contain and protect the unit when not in use. It can be positioned on any flat surface or wall mounted for convenience and ease of access.
This warranty covers defects or faults in the appliance but not damage due to improper use or normal wear. Refer to the Information Manual for full warranty details. How to use: Please refer to instruction booklet for diagrams and complete instructions.
Remove the thermometer from the protective case. Attach a new Braun lens filter. Fit the probe snuggly into the ear canal. Push and release the Start button. Temperature displays. Press the Eject button to remove the used lens filter. Discard the used lens filter.