CoChat
Sign Up
Cited by 40Hemodynamic Monitoring and TherapySepsis Diagnosis and TreatmentThermoregulation and physiological responses

Skin temperature and core-peripheral temperature gradient as markers of hemodynamic status in critically ill patients: A Review

Schey, Bernadette M., Williams, David Y., Bucknall, Tracey·2010·Heart & Lung
DOI 10.1016/j.hrtlng.2009.04.002
Open this paper in CoChat — free account

Abstract

Objective To examine the evidential basis underpinning the monitoring of skin temperature and core-peripheral temperature gradient as elements of hemodynamic assessment in critically ill and adult cardiac surgical patients.Methods Twenty-six studies examining the efficacy of skin temperature or temperature gradient as markers of hemodynamic status were selected as part of an integrative review.Results Evidence pertaining to the efficacy of these parameters as markers of cardiac function is equivocal and has not been well appraised in the adult cardiac surgical population. Skin temperature and systemic vascular resistance are also affected by factors other than cardiac output.Conclusions Skin temperature and core-peripheral temperature gradient should not be considered in isolation from other hemodynamic parameters when assessing cardiac status until they are validated by further large-scale prospective studies.

Integrity signals

Registry

Crossref · 10.1016/j.hrtlng.2009.04.002

Cites

92 of 92 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Multiple studies have demonstrated a positive correlation between CPTd and systemic vascular resistance, as well as inverse relationships with cardiac output, stroke index, and urine output.

    “Multiple studies have demonstrated a positive correlation between CPTd and systemic vascular resistance, as well as inverse relationships with cardiac output, stroke index, and urine output [25,27].”

    From Trends and Challenges in Noninvasive Hemodynamic Monitoring of Neonates Following Cardiac Surgery: A Narrative Review (2025) · cites this paper as [25]

  • Under normal conditions, the central-peripheral temperature difference should be within a 3-4 °C range; however, it can be influenced by ambient temperature and vasoactive drugs.

    “Under normal conditions, the central–peripheral temperature difference (CPTd) should be within a 3–4 °C range; however, it can be influenced by ambient temperature and vasoactive drugs [25].”

    From Trends and Challenges in Noninvasive Hemodynamic Monitoring of Neonates Following Cardiac Surgery: A Narrative Review (2025) · cites this paper as [25]

  • A central-peripheral temperature difference > 5 °C has been used as a marker in several studies, showing associations with decreased cardiac output and elevated peripheral vascular resistance.

    “Additionally, a central–peripheral temperature difference > 5 °C has been used as a marker in several studies, showing associations with decreased cardiac output and elevated peripheral vascular resistance [25,31].”

    From Trends and Challenges in Noninvasive Hemodynamic Monitoring of Neonates Following Cardiac Surgery: A Narrative Review (2025) · cites this paper as [25]

Cites

Flagged first, then by citations

3 of the 95 references couldn’t be matched to a known paper.

Cited by

Sorted by citations

Related

Authors
Schey, B. M., Williams, D. Y., & Bucknall, T.
Affiliations
  • St Vincent's Hospital Melbourne (AU)
  • Deakin University (AU)
Corresponding author
Schey, Bernadette M.
ORCID
Bucknall, Tracey
Venue
Heart & Lung
Publisher
Elsevier BV
Published
2010-01
Volume
39
Issue
1
Pages
27-40
ISSN
0147-9563 (ISSN-L)
DOI
10.1016/j.hrtlng.2009.04.002
OpenAlex
W2013242210
Cited by
40
References
95
Citations by year
2025: 8 · 2024: 2 · 2023: 5 · 2022: 1 · 2021: 4 · 2020: 7 · 2019: 1 · 2018: 2 · 2017: 4 · 2015: 2 · 2014: 2 · 2012: 1
FWCI
0.11
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Heart & Lung (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Hemodynamic Monitoring and Therapy
  • Health Sciences › Medicine › Epidemiology › Sepsis Diagnosis and Treatment
  • Health Sciences › Medicine › Physiology › Thermoregulation and physiological responses
Keywords
skin temperature, hemodynamic monitoring, critically ill patients, cardiac surgery, cardiac output, systemic vascular resistance, cardiac function assessment, non-invasive monitoring
MeSH terms
Adult, Body Temperature, Cardiac Output, Heart Diseases, Cardiac Surgical Procedures, Hemodynamics, Humans, Monitoring, Physiologic, Regional Blood Flow, Skin, Skin Temperature, Vasoconstriction, Vasodilation, Critical Illness

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review