Axillary temperature measurements based on smart wearable thermometers in South Korean children: comparison with tympanic temperature measurements
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: This study explored the validity of a new type of thermometer and parent satisfaction with the new device. This 24-hour continuous monitoring smart wearable wireless thermometer (TempTraqﾮ) uses a very small semiconductor sensor with a thin patch-like shape. Methods: We obtained 397 sets of TempTraqﾮ axillary temperatures and tympanic temperatures from 44 pediatric patients. Agreement between the axillary and tympanic measurements, as well as the validity of the TempTraqﾮ axillary temperatures, were evaluated. Satisfaction surveys were completed by 41 caregivers after the measurements. Results: The TempTraqﾮ axillary temperatures demonstrated a strong positive correlation with the tympanic temperatures. The Bland-Altman plot and analysis of TempTraqﾮ axillary temperatures and tympanic temperatures showed that the mean difference was +0.45 ℃, the 95% limits of agreement were –0.57 to +1.46 ℃. Based on a tympanic temperature of 38 ℃, the results of validity of fever detection were sensitivity 0.85 and specificity 0.86. Satisfaction scores for TempTraqﾮ temperature measurement were all > 4 points (satisfactory). Conclusion: TempTraqﾮ smart axillary temperature measurement is an appropriate method for measuring children's temperatures since it was highly correlated to tympanic temperatures, had a reliable level of sensitivity and specificity, and could be used safely and conveniently.
Abstract
Purpose: This study explored the validity of a new type of thermometer and parent satisfaction with the new device. This 24-hour continuous monitoring smart wearable wireless thermometer (TempTraqﾮ) uses a very small semiconductor sensor with a thin patch-like shape. Methods: We obtained 397 sets of TempTraqﾮ axillary temperatures and tympanic temperatures from 44 pediatric patients. Agreement between the axillary and tympanic measurements, as well as the validity of the TempTraqﾮ axillary temperatures, were evaluated. Satisfaction surveys were completed by 41 caregivers after the measurements. Results: The TempTraqﾮ axillary temperatures demonstrated a strong positive correlation with the tympanic temperatures. The Bland-Altman plot and analysis of TempTraqﾮ axillary temperatures and tympanic temperatures showed that the mean difference was +0.45 ℃, the 95% limits of agreement were –0.57 to +1.46 ℃. Based on a tympanic temperature of 38 ℃, the results of validity of fever detection were sensitivity 0.85 and specificity 0.86. Satisfaction scores for TempTraqﾮ temperature measurement were all > 4 points (satisfactory). Conclusion: TempTraqﾮ smart axillary temperature measurement is an appropriate method for measuring children's temperatures since it was highly correlated to tympanic temperatures, had a reliable level of sensitivity and specificity, and could be used safely and conveniently.
참고문헌 (26)
- Sohng KA, "Fundamentals of nursing", pp.222~224 (2019), Soomoonsa
- 정용선, "아동의 발열과 발열관리: 문헌고찰", Child Health Nursing Research, 16(1), pp.30~40 (2010), 한국아동간호학회
- Ladewig PW, "Essentials of maternal newborn nursing", pp.459~463 (1994), Addison-Wesley
- Teller J, "Accuracy of tympanic and forehead thermometers in private paediatric practice", Acta Paediatrica, 103(2), pp.e80~e83 (2014)[DOI]
- Seshadri DR, "Wearable sensors for COVID-19 : a call to action to harness our digital infrastructure for remote patient monitoring and virtual assessments", Frontiers in Digital Health, 2(8), pp.1~11 (2020)[DOI]
- Furlong D, "Comparison of temporal to pulmonary artery temperature in febrile patients", Dimensions of Critical Care Nursing, 34(1), pp.47~52 (2015)[DOI]
- 주가을, "폐동맥관을 부착하고 있는 심장수술 환자에 대한 비침습적 체온측정방법의 정확도, 정밀도 및 발열감별 타당도", Journal of Korean Academy of Nursing, 42(3), pp.424~433 (2012), 한국간호과학회
- Opersteny E, "Precision, sensitivity and patient preference of non-invasive thermometers in a pediatric surgical acute care setting", Journal of Pediatric Nursing, 35, pp.36~41 (2017)[DOI]
- 윤기욱, "고막 체온계와 이마 체온계의 정확성 및 유용성에 대한 연구", Clinical and Experimental Pediatrics, 48(8), pp.820~825 (2005), 대한소아청소년과학회
- Park EM, "Non-contact infrared thermometer in evaluating temperature of critically ill adults", master, pp.2015
- Ryan-Wenger NA, "Selection of the most accurate thermometer devices for clinical practice : part 1 : meta-analysis of the accuracy of non-core thermometer devices compared to core body temperature", Pediatric Nursing, 44(3), pp.116~133 (2018)
- Niven DJ, "Accuracy of peripheral thermometers for estimating temperature : a systematic review and meta-analysis", Annals of Internal Medicine, 163(10), pp.768~777 (2015)[DOI]
- McKenzie NE, "Evaluation of a new, wearable, precision phasechange thermometer in neonates", Pediatric Nursing, 29(2), pp.117~125 (2003)
- Dambrosio N, "Continuous temperature monitoring for earlier fever detection in neutropenic patients : patient's acceptance and comparison with standard of care", Biology of Blood and Marrow Transplantation, 24(3), pp.S108~S109 (2018)[DOI]
- Siedlecki S, "1276 : Accuracy and precision of noninvasive temperature monitoring device compared to PAC in adults in ICU", Critical Care Medicine, 46(1), pp.621~ (2018)[DOI]
- American Society for Testing and Materials, "E1112-00 Standard specification for electronic thermometer for intermittent determination of patient temperature", ASTM International, 1~4 (2006)
- 유재희, "고막체온과 액와체온의 비교 연구 - 성인대상자를 중심으로 -", 기본간호학회지, 16(2), pp.162~170 (2009), 기본간호학회
- Oguz F, "Axillary and tympanic temperature measurement in children and normal values for ages", Pediatric Emergency Care, 34(3), pp.169~173 (2018)[DOI]
- Jahanpour F, "A comparative study on temperature accuracy between tympanic, rectal, and axillary sites", Iranian Journal of Medical Sciences, 33(1), pp.49~53 (2008)
- 박영주, "아동에서의 적외선 체온 측정의 진단정확도 연구: 체계적 문헌 고찰과 메타분석", Journal of Korean Academy of Nursing, 43(6), pp.746~759 (2013), 한국간호과학회
- Westin E, "Parent's experiences of their children suffering febrile seizures", Journal of Pediatric Nursing, 38, pp.68~73 (2018)[DOI]
- Rofiqo S, "Effort to reduce anxiety levels among mothers using febrile convulsions educational package", Belitung Nursing Journal, 4(4), pp.390~396 (2018)[DOI]
- Walsh A, "Attitudes and subjective norms : determinants of parents' intentions to reduce childhood fever with medications", Health Education Research, 24(3), pp.531~545 (2008)[DOI]
- Kelsey J, "Clinical skills in child health practice", pp.87~92 (2008), Churchill Livingstone
- Kumar P, "Security issues in healthcare applications using wireless medical sensor networks : a survey", Sensors, 12(1), pp.55~91 (2012)[DOI]
- "Kinsa's crowdsourced smart thermometer data now rivals the CDC at tracking flu trends" (2018)[URL]