Trial reportArchives of disease in childhood. Fetal and neonatal edition2021
Comparison of rectal and axillary temperature measurements in preterm newborns.
Trial report in Archives of disease in childhood. Fetal and neonatal edition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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The trial behind it
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Who cites it
8 citing papers in PubMed, 17 citations in OpenAlex.
- Ceasing or gradually reducing incubator humidity after 7 days for extremely preterm infants: a randomised clinical trial.European journal of pediatrics · 2024Trial
- Comparative evaluation of axillary and rectal temperatures across different gestational ages in newborns admitted to the neonatal intensive care unit: a cross-sectional study.BMC pediatrics · 2024Article
- Normal range and risk factors for deviating body temperatures during the first 24 hours in term-born infants under standardised care: an observational study.BMJ paediatrics open · 2024Observational
- Skin-interfacing wearable biosensors for smart health monitoring of infants and neonates.Communications materials · 2024Review
- Rectal and axillary admission temperature in preterm infants less than 32 weeks' gestation, a prospective study.Frontiers in pediatrics · 2024Article
- Influence of Hospital Environmental Variables on Thermometric Measurements and Level of Concordance: A Cross-Sectional Descriptive Study.International journal of environmental research and public health · 2023Article
- Factors associated with hypothermia within the first 6 hours of life in infants born at ≥34BMC pediatrics · 2022Article
- Admission temperature of very low birth weight infants and outcomes at three years old.Scientific reports · 2022Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo compare rectal and axillary temperatures in preterm newborns on admission to the neonatal intensive care unit (NICU).
designSecondary analysis of data collected in a randomised controlled trial (RCT).
settingMaternity hospital, level 3 NICU. PATIENTS: Seventy-two newborns <31 weeks who were enrolled in the BAMBINO RCT (A randomised trial of exothermic mattresses to prevent heat loss in preterm infants at birth, ISRCTN31707342).
interventionsNewborns were placed in polyethylene bags and were randomised to placement on exothermic mattresses, or not in the delivery room. All infants had rectal and axillary temperatures measured in immediate succession using a digital thermometer on NICU admission. OUTCOME MEASURES: Admission rectal and axillary temperatures.
resultsMean (SD) gestational age was 28 (2) weeks and birth weight was 1138 (374) g. Mean rectal-axillary temperature difference was 0.1 (0.5°C) (range -1.4°C to +1.5°C). Rectal and axillary temperatures differed by ≥0.5°C in 18/72 (25%) infants; axillary temperature was higher than rectal in 6 (8%) and lower in 12 (17%). There was a positive linear relationship between rectal and axillary measurements (Pearson's correlation R=0.84). Applying the Bland-Altman technique, the width of 95% prediction interval was 1.8°C (-0.8°C to 1.0°C) implying that rectal and axillary measurements may vary by up to 1.0°C. Axillary temperature had a sensitivity of 65% when used to detect rectal hyperthermia and 100% sensitivity for hypothermia.
conclusionPaired rectal and axillary temperature measurements in preterm newborns on NICU admission vary significantly. Axillary temperature was sensitive at detecting rectal hypothermia but not hyperthermia. Axillary temperature may not be an accurate proxy for rectal temperature measurement in all preterm newborns on NICU admission.
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