Feasibility, Acceptability, and Performance of a Continuous Temperature Monitor in Older Adults and Staff in Congregate-Living Facilities.

Autor:	Kirkendall ES; Center for Healthcare Innovation, Wake Forest School of Medicine, Winston-Salem, NC, USA; Center for Biomedical Informatics, Wake Forest School of Medicine, Winston-Salem, NC, USA; Department of Pediatrics, Wake Forest School of Medicine, Winston-Salem, NC, USA., McCraw J; Center for Healthcare Innovation, Wake Forest School of Medicine, Winston-Salem, NC, USA., Ganesh S; Verily Life Sciences, South San Francisco, CA, USA., Lang S; Center for Healthcare Innovation, Wake Forest School of Medicine, Winston-Salem, NC, USA., Mariotti M; Verily Life Sciences, South San Francisco, CA, USA., Evered M; Verily Life Sciences, South San Francisco, CA, USA., Ghoreyshi A; Verily Life Sciences, South San Francisco, CA, USA., Williamson J; Center for Healthcare Innovation, Wake Forest School of Medicine, Winston-Salem, NC, USA; Department of Internal Medicine, Sticht Center for Healthy Aging and Alzheimer's Prevention, Wake Forest School of Medicine, Winston-Salem, NC, USA., Zamora Z; Center for Healthcare Innovation, Wake Forest School of Medicine, Winston-Salem, NC, USA; Department of Internal Medicine, Sticht Center for Healthy Aging and Alzheimer's Prevention, Wake Forest School of Medicine, Winston-Salem, NC, USA. Electronic address: ezamora@wakehealth.edu.
Jazyk:	angličtina
Zdroj:	Journal of the American Medical Directors Association [J Am Med Dir Assoc] 2022 Oct; Vol. 23 (10), pp. 1729-1735.e1. Date of Electronic Publication: 2022 Apr 06.
DOI:	10.1016/j.jamda.2022.03.004
Abstrakt:	Objectives: Residents of congregate-living facilities are susceptible to disability and mortality from infection given the presence of advanced age, multimorbidity, and frailty-as demonstrated in the recent COVID pandemic. This study assessed the feasibility, acceptability, and applicability of a continuous temperature monitoring device in a congregate-living facility with residents of independent living, assisted living, and their care-providing staff. We hypothesized that a wearable device compared with daily manual temperature assessment would be well tolerated and more effective at detecting temperature variances than current standard of care body temperature assessment. Design: Feasibility study. Setting and Participants: Residents of assisted and independent living and staff of a retirement community. Methods: Thirty-five participants, including residents in assisted- and independent-living facilities (25) and staff (10) were enrolled in a 90-day feasibility study and wore a continuous temperature sensor from March to July 2021. Primary outcomes included study completion, ability to reapply the sensor, temperature data acquisition, and data availability from the sensors. A secondary analysis of the temperature data involved comparing the method of obtaining temperature using the continuous monitoring device against standard of care using traditional manual thermometers. Results: Overall, 91.3% of residents, who were in the study during the first reapplication, were able to apply the device without assistance (21 of 23), and 80% of resident participants completed the study (20 of 25). For staff participants, completion rates and reapplication rates were 100%. Data acquisition rates from the continuous temperature devices were much higher than manual temperatures. Four episodes of fever were detected by the devices; manual temperature checks did not identify these events. Conclusions and Implications: Continuous temperature monitoring in an older adult population and the staff in congregate-living facilities is feasible and acceptable. This approach identified fever undetected by current standard of care indicating the capability of this device for earlier detection of fevers. (Copyright © 2022 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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