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

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Temperature measured at the axilla compared with rectum in children and young people: systematic review. / Craig, J. V.; Lancaster, Gillian; Williamson, P. R. et al.
In: BMJ, Vol. 320, No. 7243, 29.04.2000, p. 1174-1178.

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Craig JV, Lancaster G, Williamson PR, Smyth RL. Temperature measured at the axilla compared with rectum in children and young people: systematic review. BMJ. 2000 Apr 29;320(7243):1174-1178. doi: 10.1136/bmj.320.7243.1174

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Craig, J. V. ; Lancaster, Gillian ; Williamson, P. R. et al. / Temperature measured at the axilla compared with rectum in children and young people : systematic review. In: BMJ. 2000 ; Vol. 320, No. 7243. pp. 1174-1178.

Bibtex

@article{1acaafc60a49441d8894025c67aff8ee,
title = "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 peopleDesign: 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°C (95% limits of agreement −0.15°C to 0.65°C) and for electronic thermometers was 0.85°C (−0.19°C to 1.90°C). The pooled (random effects) mean temperature difference (rectal minus axillary temperature) for neonates was 0.17°C (−0.15°C to 0.50°C) and for older children and young people was 0.92°C (−0.15°C to 1.98°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",
author = "Craig, {J. V.} and Gillian Lancaster and Williamson, {P. R.} and Smyth, {R. L.}",
year = "2000",
month = apr,
day = "29",
doi = "10.1136/bmj.320.7243.1174",
language = "English",
volume = "320",
pages = "1174--1178",
journal = "BMJ",
issn = "0959-8138",
publisher = "British Medical Association",
number = "7243",

}

RIS

TY - JOUR

T1 - Temperature measured at the axilla compared with rectum in children and young people

T2 - systematic review

AU - Craig, J. V.

AU - Lancaster, Gillian

AU - Williamson, P. R.

AU - Smyth, R. L.

PY - 2000/4/29

Y1 - 2000/4/29

N2 - Objective: To evaluate the agreement between temperature measured at the axilla and rectum in children and young peopleDesign: 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°C (95% limits of agreement −0.15°C to 0.65°C) and for electronic thermometers was 0.85°C (−0.19°C to 1.90°C). The pooled (random effects) mean temperature difference (rectal minus axillary temperature) for neonates was 0.17°C (−0.15°C to 0.50°C) and for older children and young people was 0.92°C (−0.15°C to 1.98°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

AB - Objective: To evaluate the agreement between temperature measured at the axilla and rectum in children and young peopleDesign: 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°C (95% limits of agreement −0.15°C to 0.65°C) and for electronic thermometers was 0.85°C (−0.19°C to 1.90°C). The pooled (random effects) mean temperature difference (rectal minus axillary temperature) for neonates was 0.17°C (−0.15°C to 0.50°C) and for older children and young people was 0.92°C (−0.15°C to 1.98°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

U2 - 10.1136/bmj.320.7243.1174

DO - 10.1136/bmj.320.7243.1174

M3 - Journal article

C2 - 10784539

VL - 320

SP - 1174

EP - 1178

JO - BMJ

JF - BMJ

SN - 0959-8138

IS - 7243

ER -