Evaluation of a device to detect neonatal hypothermia in a clinical setting in Ghana.

Autor:	McAbee L; Department of Epidemiology and Biostatistics, University of South Carolina, Arnold School of Public Health, Columbia, South Carolina, United States of America., Mundagowa PT; Department of Epidemiology and Biostatistics, University of South Carolina, Arnold School of Public Health, Columbia, South Carolina, United States of America., Agbinko-Djobalar B; Korle-Bu Teaching Hospital, Accra, Ghana.; Center for Learning and Childhood Development-Ghana, Accra, Ghana., Gyebi Owusu P; Center for Learning and Childhood Development-Ghana, Accra, Ghana.; Michigan State University, East Lansing, Michigan, United States of America., Sackey A; Korle-Bu Teaching Hospital, Accra, Ghana., Sagoe-Moses I; Ghana Health Services, Accra, Ghana., Sacks E; Department of International Health, Johns Hopkins School of Public Health, Baltimore, Maryland, United States of America., Sakyi KS; Center for Learning and Childhood Development-Ghana, Accra, Ghana.; Public and Environmental Wellness, School of Health Sciences, Oakland University, Rochester, Michigan, United States of America., Dail RB; University of South Carolina, College of Nursing, Columbia, South Carolina, United States of America., Kanyangarara M; Department of Epidemiology and Biostatistics, University of South Carolina, Arnold School of Public Health, Columbia, South Carolina, United States of America.
Jazyk:	angličtina
Zdroj:	PLOS global public health [PLOS Glob Public Health] 2023 Oct 24; Vol. 3 (10), pp. e0001681. Date of Electronic Publication: 2023 Oct 24 (Print Publication: 2023).
DOI:	10.1371/journal.pgph.0001681
Abstrakt:	Neonatal hypothermia poses an increased risk of infection, hypoglycemia, metabolic dysfunction, and mortality, particularly in preterm or low birthweight (LBW) infants. However, early detection of hypothermia and prompt thermoregulation can mitigate these effects thus, the need for continuous neonatal temperature monitoring. The BEMPU TempWatch is a small bracelet designed for continuous temperature monitoring for neonates. When the body temperature falls below 36.5˚C, the bracelet generates an alarm sound and flashes an orange light, indicating hypothermia. This study aimed to assess the validity of the BEMPU TempWatch in detecting hypothermia in a clinical setting in Ghana using sensitivity and specificity. Additionally, the study sought to identify factors associated with misclassification using logistic regression analysis. A standardized questionnaire collected information about the mother, pregnancy, delivery, and neonate. The BEMPU TempWatch was placed on the wrist of the neonate, and over a 24-hour follow-up period, a nurse took 4-hourly axillary temperature readings using a digital thermometer. Whenever the device's alarm sounded, a nurse immediately checked and recorded the axillary temperature, undertook necessary clinical actions, and rechecked after 30 minutes. Among the 249 neonates included in the study, 57.0% were female, 12.5% were extremely LBW, and 13.7% were extremely preterm. Based on 1,973 temperature readings, the sensitivity of the BEMPU TempWatch in detecting hypothermia was 67.8%, and the specificity was 95.9%. The sensitivity was lower among neonates being treated in incubators (58.4%) compared to those not (82.7%). Sensitivity was higher among neonates with LBW (1,500-2,500g) (73.5%) than very or extremely LBW neonates (<1,500g) (62.8%). The results showed that the BEMPU TempWatch had significantly fewer misclassifications among neonates who were not treated in an incubator, received only breastmilk, and were not born extremely preterm. Further studies are warranted to evaluate the effectiveness of the BEMPU TempWatch on neonatal health outcomes. Competing Interests: The authors have declared that no competing interests exist. (Copyright: © 2023 McAbee et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze:	MEDLINE
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