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Arch Dis Child Fetal Neonatal Ed. 2006 Mar;91(2):F96-8. Epub 2005 Sep 13.

Neonatal hypothermia detection by ThermoSpot in Indian urban slum dwellings.

Author information

  • 1St 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.

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.

PMID:
16159955
PMCID:
PMC2672686
DOI:
10.1136/adc.2005.078410
[PubMed - indexed for MEDLINE]
Free PMC Article
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