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Published Online First: 13 September 2005. doi:10.1136/adc.2005.078410
Archives of Disease in Childhood - Fetal and Neonatal Edition 2006;91:F96-F98
Copyright © 2006 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health
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ORIGINAL ARTICLE

Neonatal hypothermia detection by ThermoSpot in Indian urban slum dwellings

D A Green, A Kumar, R Khanna

St Stephen’s Hospital, Tis Hazari, Delhi, India

Correspondence to:
Correspondence to:
Dr Green
Flat 4.1, Old Administration Block, St Stephens Hospital, Tis Hazari, Delhi 110054, India; davidhafiz{at}doctors.org.uk

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.

Subjects: 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.

Abbreviations: DET, digital electric thermometer; LCT, liquid crystal thermometer

Keywords: hypothermia; liquid crystal thermometry; ThermoSpot; temperature


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eLetters:

Read all eLetters

Thermospots: appropriate technology for the developing world
Neil Kennedy
Fetal Neonatal Ed. Online, 8 Mar 2006 [Full text]
ThermoSpot - a non-invasive hypothermia indicator for neonates, infants and children
John D B Zeal
Fetal Neonatal Ed. Online, 7 Apr 2006 [Full text]

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