Child Health Nursing Research

  • 제28권1호
  • /
  • Pages.62-69
  • /
  • 2022
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  • 2287-9110(pISSN)
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  • 2287-9129(eISSN)
한국아동간호학회 (Korean Academy of Child Health Nursing)
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Axillary temperature measurements based on smart wearable thermometers in South Korean children: comparison with tympanic temperature measurements

  • 투고 : 2021.10.04
  • 심사 : 2021.11.11
  • 발행 : 2022.01.31
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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 (TempTraq®) uses a very small semiconductor sensor with a thin patch-like shape. Methods: We obtained 397 sets of TempTraq® axillary temperatures and tympanic temperatures from 44 pediatric patients. Agreement between the axillary and tympanic measurements, as well as the validity of the TempTraq® axillary temperatures, were evaluated. Satisfaction surveys were completed by 41 caregivers after the measurements. Results: The TempTraq® axillary temperatures demonstrated a strong positive correlation with the tympanic temperatures. The Bland-Altman plot and analysis of TempTraq® 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 TempTraq® temperature measurement were all > 4 points (satisfactory). Conclusion: TempTraq® 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.

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참고문헌

  1. Sohng KA, Park HS, Hong YH, Lee KY, Jeong SK, Cho BH, et al. Fundamentals of nursing. Paju: Soomoonsa; 2019. p. 222-224.
  2. Jeong YS, Kim JS. Fever and fever management in children: a literature review. Child Health Nursing Research. 2010;16(1):30-40. https://doi.org/10.4094/jkachn.2010.16.1.30
  3. Ladewig PW. Essentials of maternal newborn nursing. 3rd ed. Boston, MA: Addison-Wesley; 1994. p. 459-463.
  4. Teller J, Ragazzi M, Simonetti GD, Lava SA. Accuracy of tympanic and forehead thermometers in private paediatric practice. Acta Paediatrica. 2014;103(2):e80-e83. https://doi.org/10.1111/apa.12464
  5. Seshadri DR, Davies EV, Harlow ER, Hsu JJ, Knighton SC, Walker TA, et al. 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. 2020;2(8):1-11. https://doi.org/10.3389/fdgth.2020.00008
  6. Furlong D, Carroll DL, Finn C, Gay D, Gryglik C, Donahue V. Comparison of temporal to pulmonary artery temperature in febrile patients. Dimensions of Critical Care Nursing. 2015;34(1):47-52. https://doi.org/10.1097/DCC.0000000000000090
  7. Joo G, Sohng KY. Accuracy, precision, and validity of fever detection using non-invasive temperature measurement in adult coronary care unit patients with pulmonary catheters. Journal of Korean Academy of Nursing. 2012;42(3):424-433. https://doi.org/10.4040/jkan.2012.42.3.424
  8. Opersteny E, Anderson H, Bates J, Davenport K, Husby J, Myking K, et al. Precision, sensitivity and patient preference of non-invasive thermometers in a pediatric surgical acute care setting. Journal of Pediatric Nursing. 2017;35:36-41. https://doi.org/10.1016/j.pedn.2017.02.003
  9. Yun GW, Lim IS. A study for accuracy and usefulness of tympanic membrane and forehead thermometers. Korean Journal of Pediatrics. 2005;48(8):820-825.
  10. Park EM. Non-contact infrared thermometer in evaluating temperature of critically ill adults [master's thesis]. Daejeon: Eulji University; 2015. p. 1-56.
  11. Ryan-Wenger NA, Sims MA, Patton RA, Williamson J. 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. 2018;44 (3):116-133.
  12. Niven DJ, Gaudet JE, Laupland KB, Mrklas KJ, Roberts DJ, Stelfox HT. Accuracy of peripheral thermometers for estimating temperature: a systematic review and meta-analysis. Annals of Internal Medicine. 2015;163(10):768-777. https://doi.org/10.7326/M15-1150
  13. McKenzie NE. Evaluation of a new, wearable, precision phasechange thermometer in neonates. Pediatric Nursing. 2003;29(2): 117-125.
  14. Dambrosio N, Porter M, De Lima M, Bauer E, Liedtke D, Levitan N, et al. 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. 2018;24(3):S108-S109. https://doi.org/10.1016/j.bbmt.2017.12.026
  15. Siedlecki S, Butler R. 1276: Accuracy and precision of noninvasive temperature monitoring device compared to PAC in adults in ICU. Critical Care Medicine. 2018;46(1):621. https://doi.org/10.1097/01.ccm.0000529279.42781.51
  16. American Society for Testing and Materials. E1112-00 Standard specification for electronic thermometer for intermittent determination of patient temperature. West Conshohocken, PA: ASTM International; 2006. p. 1-4.
  17. Yoo JH, Cho HS. Comparison of tympanic and axillary temperatures. Journal of Fundamentals Nursing. 2009;16(2):162-170.
  18. Oguz F, Yildiz I, Varkal MA, Hizli Z, Toprak S, Kaymakci K, et al. Axillary and tympanic temperature measurement in children and normal values for ages. Pediatric Emergency Care. 2018;34(3):169-173. https://doi.org/10.1097/PEC.0000000000000693
  19. Jahanpour F, Azodi P, Zare N. A comparative study on temperature accuracy between tympanic, rectal, and axillary sites. Iranian Journal of Medical Sciences. 2008;33(1):49-53.
  20. Park YJ, Park SH, Kang CB. Systematic review and meta-analyses of diagnostic accuracy of infrared thermometer when identifying fever in children. Journal of Korean Academy of Nursing. 2013;43 (6):746-759. http://doi.org/10.4040/jkan.2013.43.6.746
  21. Westin E, Levander MS. Parent's experiences of their children suffering febrile seizures. Journal of Pediatric Nursing. 2018;38:68-73. https://doi.org/10.1016/j.pedn.2017.11.001
  22. Rofiqo S, Isyti'aroh I. Effort to reduce anxiety levels among mothers using febrile convulsions educational package. Belitung Nursing Journal. 2018;4(4):390-396. https://doi.org/10.33546/bnj.386
  23. Walsh A, Edwards H, Fraser J. Attitudes and subjective norms: determinants of parents' intentions to reduce childhood fever with medications. Health Education Research. 2008;24(3):531-545. https://doi.org/10.1093/her/cyn055
  24. Kelsey J, McEwing G. Clinical skills in child health practice. London: Churchill Livingstone; 2008. p. 87-92.
  25. Kumar P, Lee HJ. Security issues in healthcare applications using wireless medical sensor networks: a survey. Sensors. 2012;12(1): 55-91. https://doi.org/10.3390/s120100055
  26. Comstock J. Kinsa's crowdsourced smart thermometer data now rivals the CDC at tracking flu trends [Internet]. Cambridge, MA: Mobi Health News; 2018 [cited 2019 January 17]. Available from: https://www.mobihealthnews.com/content/kinsas-crowdsourced-smart-thermometer-data-now-rivals-cdc-tracking-flu-trends