在住院的老年人中诊断直肠热的年龄调整的口腔温度值
Jean-Philippe Émond1, Vincent Weng-Jy Cheung1, Apolline Brial1
1Health Innovation and Evaluation Hub, Centre de recherche du Centre hospitalier de l'Université de Montréal, Montréal, Quebec, Canada.
Journal of the American Medical Directors Association
|December 21, 2025
概括
在老年人中,准确的发烧检测至关重要. 这项研究建议调整75岁及以上的住院患者的口腔温度值,以改善感染诊断和管理.
科学领域:
- 老年学是一门学科.
- 传染病管理 传染病管理
- 临床测热仪临床测热仪
背景情况:
- 老年人经常出现非典型的感染症状,需要精确的发烧检测值.
- 口腔温度测量用于预测住院老人和脆弱个体的直肠热的准确性尚未得到充分证实.
- 准确的发烧值对于及时诊断和治疗老年人群感染至关重要.
研究的目的:
- 评估标准口腔发烧值在预测住院老年人直肠热的诊断准确度.
- 根据年龄和虚弱状态提出调整的口腔温度值来检测发烧.
- 提高老年患者感染的早期检测和管理.
主要方法:
- 一项追溯观察队列研究,涉及45岁及以上的住院成年人.
- 在60分钟间隔内测量了直肠和口腔温度,发烧定义为直肠温度≥38.0°C和口腔温度≥37.5°C.
- 计算了诊断准确度指标 (AUC,灵敏度,特异性),并使用接收器操作特征曲线分析来确定年龄和脆弱性调整的口腔值.
主要成果:
- 这项研究包括6814名参与者 (平均年龄69岁);分析了8548个配对温度.
- 在年龄较大的人群中,直肠热的预测性能下降,≥85岁组的准确性最低 (AUC 0.71,灵敏度 0.60).
- 建议调整口服值,较低的值为36.9°C,建议年龄≥85岁的成年人保持敏感度.
结论:
- 老年人口腔温度的预测精度较低表明需要调整值.
- 建议75岁及以上的住院成年人保持口腔温度值37.2°C,以改善发烧检测.
- 在老年人中调整口腔温度值可能会改善感染检测和患者管理.
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