title: Comparison of Conventional Mercury Thermometer and Continuous TherCom®Temperature Recording in Hospitalized Patients.
abstract: BACKGROUND
  Detection of accurate body temperature fluctu-ations in hospitalized patients is crucial for appropriate clinical decision-making. The accuracy and reliability of body temperature assessment may significantly affect the proper treatment.
  
  
  OBJECTIVE
  To compare the conventional and continuous body temperature recordings in hospitalized patients.
  
  
  METHODS
  This cross-sectional study was carried out at a tertiary care centre and study included 55 patients aged between 18-65 years with a history of fever admitted to a tertiary care hospital. A noninvasive continuous temperature recording was done using TherCom®device through tympanic temperature probe at tympanic site at one-minute intervals for 24 hours. The conventional temperatures were recorded in the axilla using mercury thermometer at specific time intervals at 12:00 noon, 8:00 PM and 5:00 AM. Peak temperature differences between continuous and conventional methods were compared by applying Independent sample t-test. Intra class Correlation Coefficient (ICC) test was performed to assess the reliability between two temperature-monitoring methods. A p<0.05 was considered as significant.
  
  
  RESULTS
  The average peak temperature by non-invasive continuous recording method was 39.07°C ±0.76°C while it was 37.55°C ±0.62°C by the conventional method. A significant temperature difference of 1.52°C [p<0.001;95% CI(1.26-1.78)] was observed between continuous and conventional temperature methods. Intra class Correlation Coefficient (ICC) between continuous and conventional temperature readings at 12:00 noon was α= 0.540, which had moderate reliability. The corresponding coefficients at 8:00 PM and 5:00 AM were α=0.425 and 0.435, respectively, which had poor reliability.
  
  
  CONCLUSIONS
  The conventional recording of temperature is routinely practiced and does not reflect the true temperature fluctuations. However, the continuous non-invasive temperature recording is simple, inexpensive and a better tool for recording the actual temperature changes.
authors: Ph.D. Research Scholar, Department of Medicine, Kasturba Medical College, Manipal University , Mangalore, Karnataka, India .
authors: Pradeepa H
authors: PH
authors: Dakappa
authors: Additional Professor, Department of Microbiology, Kasturba Medical College, Manipal University , Mangalore, Karnataka, India .
authors: Gopalkrishna K
authors: GK
authors: Bhat
authors: Additional Professor, Department of Physiology, Kasturba Medical College, Manipal University , Mangalore, Karnataka, India .
authors: Ganaraja
authors: G
authors: Bolumbu
authors: Additional Professor, Department of Medicine, Kasturba Medical College, Manipal University , Mangalore, Karnataka, India .
authors: Sathish B
authors: SB
authors: Rao
authors: Research Assistant, Department of Medicine, Kasturba Medical College, Manipal University , Mangalore, Karnataka, India .
authors: Sushma
authors: S
authors: Adappa
authors: Professor, Department of Medicine, Kasturba Medical College, Manipal University , Mangalore, Karnataka, India .
authors: Chakrapani
authors: C
authors: Mahabala
keywords: Body temperature; Continuous recording; Conventional recording; Fever; Temperature fluctuations