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Temperature measurement: Must it be the forehead? A prospective cross-sectional study
T Subramaniam1, A Valuyeetham2, V Kamaru Ambu3
1International Medical University, Kuala Lumpur, Malaysia. thiruselvi_subramaniam@imu.edu.my.
Background:
The aim of this study was to compare temperature readings measured at the forehead and wrist against the tympanic temperature which is generally accepted as the standard.
Method:
This is a cross-sectional study carried out on 325 people from the general population entering a private hospital for consultation or work. Forehead and wrist temperature was taken using the CEFC RoHS K3 model (China) and tympanic temperature using the Braun Thermoscan 7 Thermometer Irt6520 by the same investigator on consenting individuals.
Results:
There was no significant difference between the forehead (mean =36.6, standard deviation, SD=0.30) and tympanic (mean=36.6, SD=0.41), Z= -1.609, p=0.108. However, there was significant difference between the wrist (mean=36.4, SD= 0.28) and tympanic (mean=36.6, SD=0.41) temperature values, Z= -8.749, p<0.001, the former being lower. Temperature measured at forehead (mean=36.6, SD=0.30) was also significantly higher than the wrist (mean=36.4, SD=0.28), Z= -9.381, p<0.001. The wrist temperature values were lower than forehead and tympanic.
Conclusion:
Forehead temperature values are better representatives of the core temperature (tympanic) and be the preferred site of measurement compared to the wrist.
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