Article Text

PDF
Neonatal hypothermia detection by ThermoSpot in Indian urban slum dwellings
  1. D A Green,
  2. A Kumar,
  3. R Khanna
  1. St Stephen’s Hospital, Tis Hazari, Delhi, India
  1. Correspondence to:
    Dr Green
    Flat 4.1, Old Administration Block, St Stephens Hospital, Tis Hazari, Delhi 110054, India; davidhafiz{at}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.

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.

  • DET, digital electric thermometer
  • LCT, liquid crystal thermometer
  • hypothermia
  • liquid crystal thermometry
  • ThermoSpot
  • temperature

Statistics from Altmetric.com

Footnotes

  • Published online first 13 September 2005

  • Competing interests: none declared

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Linked Articles

  • Fantoms
    Martin Ward Platt