Emergency department rectal temperatures in over 10 years:A retrospective observational study

作     者：Graham A.Walker Daniel Runde Daniel M.Rolston Dan Wiener Jarone Lee 

作者机构：Department of Emergency MedicineKaiser PermanenteSan FranciscoUSA Department of Emergency MedicineUniversity of CaliforniaLos AngelesUSA Department of Emergency MedicineSt.Luke's-Roosevelt Hospital CenterColumbia University College of Physicians and SurgeonsNew YorkUSA Massachusetts General HospitalHarvard Medical SchoolSouth BostonMA 02127USA 

出 版 物：《World Journal of Emergency Medicine》 (世界急诊医学杂志（英文）)

年 卷 期：2013年第4卷第2期

页      面：107-112页

学科分类：100218[医学-急诊医学] 1002[医学-临床医学] 1010[医学-医学技术（可授医学、理学学位）] 10[医学] 

主　　题：Rectal temperatures Oral temperatures Axillary temperatures Emergency department 

摘      要：BACKGROUND:Fever in patients can provide an important clue to the etiology of a patient s ***-invasive temperature sites(oral,axillary,temporal) may be insensitive due to a variety of *** has not been well studied in adult emergency department *** determine whether emergency department triage temperatures detected fever adequately when compared to a rectal ***:A retrospective chart review was made of 27 130 adult patients in a high volume,urban emergency department over an eight-year period who received first a non-rectal triage temperature and then a subsequent rectal ***:The mean difference in temperatures between the initial temperature and the rectal temperature was 1.3 °F(P2°F,and 5.0%having higher rectal temperatures 4 °*** mean difference among the patients who received oral,axillary,and temporal temperatures was 1.2 °F(PO.001),1.8 °F(PO.001),and 1.2 °F(P0.001) *** 18.1%of the patients were initially afebrile and found to be febrile by rectal temperature,with an average difference of 2.5 °F(P0.001).These patients had a higher rate of admission(61.4%,P0.005),and were more likely to be admitted to the hospital for a higher level of care,such as an intensive care unit,when compared with the full cohort(12.5%vs.5.8%,P0.005).CONCLUSIONS:There are significant differences between rectal temperatures and noninvasive triage temperatures in this emergency department *** almost one in five patients,fever was missed by triage temperature.