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Neonatal hypothermia detection by ThermoSpot in Indian urban slum dwellings
1St Stephens Hospital, Tis Hazari, Delhi 110054, India. davidhafiz@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.
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.
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