Clinical Accuracy of Non-Contact Forehead Infrared Thermometer Measurement in Children: An Observational Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design and Participants
2.2. Measurements
2.3. Data Collection/Procedure
2.3.1. Measurement Using the NCFIT
2.3.2. Measurement Using the IRTT
2.3.3. Readings across Instruments
2.4. Statistical Analysis
2.5. Sample Size
3. Results
3.1. Participant Characteristics
3.2. Agreement between NCFIT and IRTT
3.3. Validity of Fever Detection Based on 38.0 °C of IRTT
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Overall (n = 255) | Age < 1 (n = 26) | 1 ≤ Age < 6 (n = 50) | 6 ≤ Age < 12 (n = 82) | 12 ≤ Age < 18 (n = 97) | |
---|---|---|---|---|---|
Age (years), (Mean ± SD) | 9.05 ± 5.39 | 0.48 ± 0.27 | 3.06 ± 1.49 | 8.84 ± 1.81 | 14.61 ± 1.72 |
Sex (boy), n (%) | 140(54.9) | 14 (53.8) | 28 (56.0) | 42 (51.2) | 56 (57.7) |
Fever (≥38 °C) detection | |||||
IRTT, n (%) | 40 (15.7) | 4 (15.3) | 13 (26.0) | 11 (13.4) | 12 (12.4) |
NCFIT, n (%) | 44 (17.3) | 6 (23.1) | 9 (34.0) | 10 (12.2) | 11 (11.3) |
Categories | NCFIT (a) | IRTT (b) | Difference (a–b) | t(p) | ICC (95%CI) | Kappa (95%CI) |
Overall (n = 224) | 37.24 ± 0.62 | 37.39 ± 0.66 | −0.14 ± 0.29 | −7.99(<0.001) | 0.87 (0.75–0.95) | 0.82 (0.73–092) |
age < 1 (n = 26) | 37.22 ± 0.70 | 37.44 ± 0.87 | −0.21 ± 0.34 | −3.28(0.003) | 0.87 (0.60–1.00) | 0.75 (0.438–1.00) |
1 ≤ age < 6 (n = 50) | 37.36 ± 0.71 | 37.57 ± 0.75 | −0.20 ± 0.26 | −5.41(<0.001) | 0.89 (0.70–1.00) | 0.81 (0.63–0.98) |
6 ≤ age < 12 (n = 82) | 37.17 ± 0.55 | 37.36 ± 0.49 | −0.19 ± 0.27 | −6.35(<0.001) | 0.81 (0.65–0.96) | 0.83 (0.65~1.00) |
12 ≤ age < 18 (n = 97) | 37.24 ± 0.62 | 37.30 ± 0.66 | −0.06 ± 0.30 | −2.07(0.042) | 0.88 (0.74–1.00) | 0.85 (0.68~1.00) |
IRTT | Sensitivity (95% CI) | Specificity (95% CI) | PPV (95% CI) | NPV (95% CI) | Accuracy (95% CI) | |||
---|---|---|---|---|---|---|---|---|
≥38 °C | <38 °C | |||||||
Overall, (n = 255) | ||||||||
NCFIT | ≥38 °C | 36 | 4 | 0.81 (0.70–0.93) | 0.98 (0.96–0.99) | 0.90 (0.80–0.99) | 0.96 (0.93–0.98) | 0.95 (0.92–0.97) |
<38 °C | 8 | 207 | ||||||
age < 1, (n = 26) | ||||||||
NCFIT | ≥38 °C | 4 | 0 | 0.66 (0.28–1.00) | 1.00 (1.00–1.00) | 1.00 (1.00–1.00) | 0.90 (0.78–1.00) | 0.92 (0.82–1.00) |
<38 °C | 2 | 20 | ||||||
1 ≤ age < 6, (n = 50) | ||||||||
NCFIT | ≥38 °C | 13 | 0 | 0.76 (0.56–0.96) | 1.00 (1.00–1.00) | 1.00 (1.00–1.00) | 0.89 (0.79–0.99) | 0.92 (0.84–0.99) |
<38 °C | 4 | 33 | ||||||
6 ≤ age < 12, (n = 82) | ||||||||
NCFIT | ≥38 °C | 9 | 2 | 0.90 (0.71–1.00) | 0.97 (0.93–1.00) | 0.81 (0.59–1.00) | 0.98 (0.95–1.00) | 0.96 (0.92–1.00) |
<38 °C | 1 | 70 | ||||||
12 ≤ age < 18, (n = 97) | ||||||||
NCFIT | ≥38 °C | 10 | 2 | 0.90 (0.73–1.00) | 0.97 (0.94–1.00) | 0.83 (0.62–1.00) | 0.98 (0.96–1.00) | 0.96 (0.93–1.00) |
<38 °C | 1 | 84 |
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Kim, Y.-M.; Jang, M.-R.; Moon, J.-R.; Park, G.; An, Y.-J.; Seo, J.-M. Clinical Accuracy of Non-Contact Forehead Infrared Thermometer Measurement in Children: An Observational Study. Children 2022, 9, 1389. https://doi.org/10.3390/children9091389
Kim Y-M, Jang M-R, Moon J-R, Park G, An Y-J, Seo J-M. Clinical Accuracy of Non-Contact Forehead Infrared Thermometer Measurement in Children: An Observational Study. Children. 2022; 9(9):1389. https://doi.org/10.3390/children9091389
Chicago/Turabian StyleKim, Yeon-Mi, Myung-Roul Jang, Ju-Ryoung Moon, Goeun Park, Ye-Jin An, and Jeong-Meen Seo. 2022. "Clinical Accuracy of Non-Contact Forehead Infrared Thermometer Measurement in Children: An Observational Study" Children 9, no. 9: 1389. https://doi.org/10.3390/children9091389