Arch. Dis. Child. Fetal Neonatal Ed.. Published Online First: 13 September 2005. doi:10.1136/adc.2005.078410
Original articles |
Neonatal hypothermia detection by thermospot in Indian urban slum dwellings
1 St Stephens Hospital, India
* To whom correspondence should be addressed. E-mail: davidhafiz{at}doctors.org.uk.
Accepted 7 September 2005
Abstract
Objective:The aim of this study was to look at the performance of thermospot liquid crystal thermometry in the detection of 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:hospitalisation; parental refusal.
Interventions:Thermospot was stuck to the neonate's abdomen over 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.
Keywords: liquid crystal thermometry, neonatal hypothermia
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