在加纳的临床环境中对检测新生儿低温症的设备进行评估
Lauren McAbee1, Paddington T Mundagowa1, Babbel Agbinko-Djobalar2,3
1Department of Epidemiology and Biostatistics, University of South Carolina, Arnold School of Public Health, Columbia, South Carolina, United States of America.
PLOS global public health
|October 24, 2023
概括
在发现新生儿低温症方面,BEMPU TempWatch 具有良好的特异性 (95.9%),但敏感性较低 (67.8%). 它的准确性根据化器的使用和出生体重而异,需要进一步研究健康结果的有效性.
科学领域:
- 新生儿护理 新生儿护理
- 医疗器械 医疗器械 医疗器械
- 临床验证 临床验证
背景情况:
- 新生儿低温会增加感染,低血糖和死亡的风险,特别是早产和低出生体重 (LBW) 婴儿.
- 持续监测温度对于早期检测和及时干预至关重要,以减轻低温的不良影响.
- BEMPU TempWatch是一款可穿戴设备,旨在持续监测新生儿体温,提醒低温低于36.5°C的情况.
研究的目的:
- 评估BEMPU TempWatch用于检测加纳新生儿低温症的临床有效性.
- 在现实临床环境中确定BEMPU TempWatch的灵敏度和特异性.
- 为了确定与设备错误分类错误相关的因素.
主要方法:
- 一项涉及249名新生儿的前性研究,在24小时内收集了1973个温度读数.
- 在使用BEMPU TempWatch的同时,护士们每4小时一次测量下气温.
- 使用后勤回归分析来识别影响错误分类的因素.
主要成果:
- 在BEMPU TempWatch检测低温时,其灵敏度为67.8%,特异性为95.9%.
- 在接受化器治疗的新生儿中 (58.4%) 与未接受化器治疗的新生儿 (82.7%) 的敏感性较低.
- 在LBW新生儿 (1,500-2,500g) (73.5%) 与非常/极度LBW (<1,500g) (62.8%) 相比,观察到更高的敏感性.
结论:
- 在新生儿低温检测方面,BEMPU TempWatch显得有前途,特别是其高特异性.
- 不在化器中的新生儿,纯母乳养的新生儿,以及不是极度早产的新生儿的错误分类率较低.
- 需要进一步的研究来评估该设备对新生儿健康结果的影响.
相关概念视频
01:13Equipments Used to Measure Body Temperature
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Body temperature can be assessed using various devices and measured in Celsius or Fahrenheit.
Glass-bulb Thermometer:
Glass-bulb thermometers are hollow glass tubes with a bulb tip containing liquid such as ethanol or mercury. Historically, glass bulb mercury thermometers were the standard device to measure body temperature. Today, mercury thermometers are prohibited in many countries due to the hazardous effects of mercury and the risk of exposure if the glass bulb breaks. In general,...
Glass-bulb Thermometer:
Glass-bulb thermometers are hollow glass tubes with a bulb tip containing liquid such as ethanol or mercury. Historically, glass bulb mercury thermometers were the standard device to measure body temperature. Today, mercury thermometers are prohibited in many countries due to the hazardous effects of mercury and the risk of exposure if the glass bulb breaks. In general,...
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01:14Temperature Measurement Sites
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A thermometer measures body temperature. The common sites for measuring body temperature are the oral cavity, axillary region, temporal artery, and skin surface, such as the forehead, abdomen, and axilla. True core body temperature is assessed in the rectum, tympanic membrane, pulmonary artery, esophagus, and urinary bladder.
Oral: When assessing oral temperature, the thermometer tip should be placed under the tongue in the posterior sublingual pocket. It offers accurate readings and can be...
Oral: When assessing oral temperature, the thermometer tip should be placed under the tongue in the posterior sublingual pocket. It offers accurate readings and can be...
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01:27Assessing Body Temperature - Rectal
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Rectal temperature measurement is considered the most precise method for assessing core body temperature and typically registers higher than oral temperature. For adults, the rectal thermometer should be inserted 1 to 1.5 inches into the rectum to obtain the most accurate reading.
Follow these steps for rectal temperature assessment:
Step 1: Perform hand hygiene and don clean gloves to prevent cross-infection.
Step 2: Position the patient in a side-lying position to better visualize the rectal...
Follow these steps for rectal temperature assessment:
Step 1: Perform hand hygiene and don clean gloves to prevent cross-infection.
Step 2: Position the patient in a side-lying position to better visualize the rectal...
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01:14Assessing Body Temperature - Axilla
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Procedural Guide for Assessing Axillary Body Temperature using a Digital Thermometer:
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
595
01:14Assessing Body Temperature - Oral
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Here are the steps to accurately measure oral temperature using an electronic thermometer:
Step 1:
Start by practicing proper hand hygiene to prevent the spread of microorganisms.
Step 2:
Take the thermometer out of the charging unit, switch it on, and wait for the ready sign.
Step 3:
Gently slide the probe cover until a click is heard. This simple action prevents cross-contamination and ensures the correct placement of the probe cover.
Step 4:
Instruct the patient to open their mouth and place...
Step 1:
Start by practicing proper hand hygiene to prevent the spread of microorganisms.
Step 2:
Take the thermometer out of the charging unit, switch it on, and wait for the ready sign.
Step 3:
Gently slide the probe cover until a click is heard. This simple action prevents cross-contamination and ensures the correct placement of the probe cover.
Step 4:
Instruct the patient to open their mouth and place...
748
01:19Guidelines For Measuring Vital Signs
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Following these guidelines can help nurses accurately measure vital signs, assess changes in patient conditions, and provide timely treatment when necessary. Adhering closely to the guidelines ensures the accuracy and reliability of the results.
Before taking a patient's vital signs, a nurse would consider and assess the patient's comfort level and ensure appropriate equipment is available.
Before taking a patient's vital signs, a nurse would consider and assess the patient's comfort level and ensure appropriate equipment is available.
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