外文翻譯--紅外測溫儀檢測發(fā)熱患者的皮膚

1、中文 中文 2500 字附錄一：英文技術(shù)資料翻譯英文原文： 英文原文：Emerg Infect Dis. 2008 August; 14(8): 1255–1258.doi: 10.3201/eid1408.080059PMCID: PMC2600390Cutaneous Infrared Thermometry for Detecting Febrile PatientsPierre Hausfater, Yan Zhao, St&

2、#233;phanie Defrenne, Pascale Bonnet, and Bruno Riou*Author information Copyright and License information This article has been cited by other articles in PMC.AbstractWe assessed the accuracy of cutaneous infrared thermo

3、metry, which measures temperature on the forehead, for detecting patients with fever in patients admitted to an emergency department. Although negative predictive value was excellent (0.99), positive predictive value was

4、 low (0.10). Therefore, we question mass detection of febrile patients by using this method.Keywords: Fever, mass detection, cutaneous infrared thermometry, infectious diseases, emergency, dispatchRecent efforts to cont

5、rol spread of epidemic infectious diseases have prompted health officials to develop rapid screening processes to detect febrile patients. Such screening may take place at hospital entry, mainly in the emergency departme

6、nt, or at airports to detect travelers with increased body temperatures (1–3). Infrared thermal imaging devices have been proposed as a noncontact and noninvasive method for detecting fever (4–6). However, few studies ha

7、ve assessed their capacity for accurate detection of febrile patients in clinical settings. Therefore, we undertook a prospective study in an emergency department to assess diagnostic accuracy of infrared thermal imaging

8、.The StudyThe study was performed in an emergency department of a large academic hospital (1,800 beds) and was reviewed and approved by our institutional review board (Comité de Protection des Personnes se Prêt

9、ant à la Recherche Biomédicale Pitié-CI. The ROC curve was used to determine the best threshold for the definition of hyperthermia for cutaneous temperature to predict a tympanic temperature >38°C.

10、 We performed multivariate regression analysis to assess variables associated with the difference between tympanic and infrared measurements. All statistical tests were 2-sided, and a p value 75 years of age, and 62 (3%)

11、 had a tympanic temperature >38°C. Mean tympanic temperature was 36.7°C ± 0.6°C (range 33.7°C–40.2°C), and mean cutaneous temperature was 36.7°C ± 1.7°C (range 32.0°C–

12、42.6°C). Mean systolic arterial blood pressure was 130 ± 19 mm Hg, mean diastolic blood pressure was 79 ± 13 mm Hg, and mean heart rate was 86 ± 17 beats/min. Mean indoor temperature was 24.8°C &

13、#177; 1.1°C (range 20°C–28°C), and mean outdoor temperature was 10.8°C ± 6.8°C (range 0°C–32°C). Reproducibility of infrared measurements was assessed in 256 patients. Bias was 0.0

14、4°C ± 0.35°C, precision was 0.22°C ± 0.27°C (i.e., 0.6 ± 0.7%), and percentage of outliers >1°C was 2.3%.Diagnostic performance of cutaneous temperature measurement is shown in

15、Table 1. For the threshold of the definition of tympanic hyperthermia definition used (37.5°C, 38°C, or 38.5°C), sensitivity of cutaneous temperature was lower than that expected and positive predictive va

16、lue was low. We attempted to determine the best threshold (definition of hyperthermia) by using cutaneous temperature to predict a tympanic temperature >38°C (Figure 2, panel A). Area under the ROC curve was 0.87

17、3 (95% CI 0.807–0.917, p<0.001). The best threshold for cutaneous hyperthermia definition was 38.0°C, a condition already assessed in Table 1. Figure 2, panels B and C shows the correlation between cutaneous and

18、tympanic temperature measurements (Bland and Altman diagrams). Correlation between cutaneous and tympanic measurements was poor, and the infrared thermometer underestimated body temperature at low values and overestimate

19、d it at high values. Multiple regression analysis showed that 3 variables (tympanic temperature, outdoor temperature, and age) were significantly (p<0.001) and independently correlated with the magnitude of the differ