D A Green1, A Kumar, R Khanna. 1. St Stephens Hospital, Tis Hazari, Delhi 110054, India. davidhafiz@doctors.org.uk
Abstract
OBJECTIVE: To look at the performance of ThermoSpot liquid crystal thermometry in detecting neonatal hypothermia. DESIGN: A comparison was made between skin temperatures taken by ThermoSpot and axillary temperatures taken by digital electric thermometry. Non-medically trained local volunteers performed daily paired recordings on infants on days 1, 2, 3, 4, 5, 6, and 7 of life. SETTING: This is a non-hospital based study set in the homes of neonates in an underprivileged urban slum community in the developing world. INCLUSION CRITERIA: babies born at home. EXCLUSION CRITERIA: hospital admission; parental refusal. INTERVENTIONS: The ThermoSpot was stuck to the neonate's abdomen over the liver area on day 1 and removed on day 7. MAIN OUTCOME MEASURES: Fixed test properties of ThermoSpot. RESULTS: Over 180 paired observations, the fixed test properties of ThermoSpot in the detection of hypothermia were: sensitivity 88%; specificity 97%; positive likelihood ratio 29; negative likelihood ratio 0.13. CONCLUSIONS: ThermoSpot performed well when used by non-medically trained volunteers for the detection of neonatal hypothermia in the homes of an urban slum community.
OBJECTIVE: To look at the performance of ThermoSpot liquid crystal thermometry in detecting neonatal hypothermia. DESIGN: A comparison was made between skin temperatures taken by ThermoSpot and axillary temperatures taken by digital electric thermometry. Non-medically trained local volunteers performed daily paired recordings on infants on days 1, 2, 3, 4, 5, 6, and 7 of life. SETTING: This is a non-hospital based study set in the homes of neonates in an underprivileged urban slum community in the developing world. INCLUSION CRITERIA: babies born at home. EXCLUSION CRITERIA: hospital admission; parental refusal. INTERVENTIONS: The ThermoSpot was stuck to the neonate's abdomen over the liver area on day 1 and removed on day 7. MAIN OUTCOME MEASURES: Fixed test properties of ThermoSpot. RESULTS: Over 180 paired observations, the fixed test properties of ThermoSpot in the detection of hypothermia were: sensitivity 88%; specificity 97%; positive likelihood ratio 29; negative likelihood ratio 0.13. CONCLUSIONS: ThermoSpot performed well when used by non-medically trained volunteers for the detection of neonatal hypothermia in the homes of an urban slum community.
Authors: Lisa G Pell; Ali Turab; Diego G Bassani; Joy Shi; Sajid Soofi; Masawar Hussain; Shabina Ariff; Zulfiqar A Bhutta; Shaun K Morris Journal: BMJ Glob Health Date: 2019-05-16
Authors: Luke C Mullany; Joanne Katz; Subarna K Khatry; Steven C Leclerq; Gary L Darmstadt; James M Tielsch Journal: Arch Pediatr Adolesc Med Date: 2010-01
Authors: Catherine E Majors; Chelsey A Smith; Mary E Natoli; Kathryn A Kundrod; Rebecca Richards-Kortum Journal: Lab Chip Date: 2017-10-11 Impact factor: 6.799
Authors: Sonia E Sosa Saenz; Mary Kate Hardy; Megan Heenan; Z Maria Oden; Rebecca Richards-Kortum; Queen Dube; Kondwani Kawaza Journal: BMJ Paediatr Open Date: 2020-05-07
Authors: Ali Turab; Lisa G Pell; Diego G Bassani; Sajid Soofi; Shabina Ariff; Zulfiqar A Bhutta; Shaun K Morris Journal: BMC Pregnancy Childbirth Date: 2014-09-08 Impact factor: 3.007