Document Detail

ThermoSpot in the detection of neonatal hypothermia.
MedLine Citation:
PMID:  12369485     Owner:  NLM     Status:  MEDLINE    
Thermal care is a critical part of caring for neonates. The need to identify simple, affordable and effective tools for detecting hypothermia in newborn infants that can be used by mothers and other caregivers in resource-poor countries remains crucial in our efforts to reduce perinatal and neonatal mortality and morbidity. The objective of this study was to determine the effectiveness of ThermoSpot in detecting hypothermia in newborn infants in a developing country. The prevalence of hypothermia (< 36 degrees C) in our study population was 51.4%. The ThermoSpot disc indicated green (normothermia) in 82% of infants whose axillary temperature was between 32 and 35.9 degrees C. However, the disc had a 100% specificity and positive predictive value at body temperatures below 36 degrees C and axillary temperatures below 36 degrees C or above 37.5 degrees C. Sensitivity, negative predictive value and accuracy were 19%, 52% and 57%, respectively. Mortality was significant in infants with black or blue ThermoSpot disc colours compared with green. For ThermoSpot discs placed on the abdomen, the risk of dying was 2.67 times higher if the disc colour was black compared with green and 2.43 times higher if the disc colour was blue compared with green. Similarly for ThermoSpot discs placed in the axilla, the risk of dying was 2.54 times higher if the disc colour was black and 2.5 times higher if the disc colour was blue as opposed to green. There is a need to improve the sensitivity and accuracy of ThermoSpot in detecting hypothermia before its widespread use.
R Kambarami; O Chidede; N Pereira
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Annals of tropical paediatrics     Volume:  22     ISSN:  0272-4936     ISO Abbreviation:  Ann Trop Paediatr     Publication Date:  2002 Sep 
Date Detail:
Created Date:  2002-10-08     Completed Date:  2002-11-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8210625     Medline TA:  Ann Trop Paediatr     Country:  England    
Other Details:
Languages:  eng     Pagination:  219-23     Citation Subset:  IM    
Department of Paediatrics and Child Health, University of Zimbabwe, Box A178 Avondale, Harare, Zimbabwe.
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MeSH Terms
Analysis of Variance
Body Temperature
Developing Countries
Hypothermia / diagnosis*
Infant Care / instrumentation*
Infant, Newborn
Predictive Value of Tests
Sensitivity and Specificity
Comment In:
Ann Trop Paediatr. 2003 Mar;23(1):87-8; author reply   [PMID:  12648332 ]

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