Evidence map›Paper›PMID 31908128›Full record

ArticleInternal medicine journal2020

Monitoring skin temperature at the wrist in hospitalised patients may assist in the detection of infection.

Stephen G Holt, Jennifer H Yo, Connie Karschimkus, Frank Volpato, Steve Christov, Edward R Smith, Tim D Hewitson, Leon J Worth, Paul Champion De Crespigny

Open access · hybridAbstract read
In one paragraph

Article in Internal medicine journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.8field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 24 citations in OpenAlex.

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  13. Early detection of SARS-CoV-2 and other infections in solid organ transplant recipients and household members using wearable devices.Transplant international : official journal of the European Society for Organ Transplantation · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Stephen G HoltDepartment of Nephrology, The Royal Melbourne Hospital, Melbourne, Victoria, Australia.ORCID 0000-0001-5004-5539
Jennifer H YoDepartment of Nephrology, The Royal Melbourne Hospital, Melbourne, Victoria, Australia.
Connie KarschimkusDepartment of Nephrology, The Royal Melbourne Hospital, Melbourne, Victoria, Australia.
Frank VolpatoDepartment of Nephrology, The Royal Melbourne Hospital, Melbourne, Victoria, Australia.
Steve ChristovGuidance Group, The Royal Melbourne Hospital, Melbourne, Victoria, Australia.
Edward R SmithDepartment of Nephrology, The Royal Melbourne Hospital, Melbourne, Victoria, Australia.
Tim D HewitsonDepartment of Nephrology, The Royal Melbourne Hospital, Melbourne, Victoria, Australia.
Leon J WorthVictorian Healthcare Associated Infection Surveillance System (VICNISS) Coordinating Centre, Doherty Institute, Melbourne, Victoria, Australia.
Paul Champion De CrespignyDepartment of Nephrology, The Royal Melbourne Hospital, Melbourne, Victoria, Australia.
The Royal Melbourne Hospital · AUThe University of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMeasuring temperature has always been a key observation in the diagnosis of infection. No studies have examined the usefulness of measuring temperature at the wrist to detect infection.

aimWe sought to determine whether a watch measuring wrist temperature could accurately identify patients who are infected.

methodsProspective cross-sectional pilot study of temperature monitoring in an unselected patients in a tertiary referral adult nephrology unit.

resultsOne hundred and four data recording sessions revealed 88 useful data sets, with recording failures in the others. Patients were retrospectively classified as having no infection (Group A, n = 60), clinically diagnosed infection with less than 24 h of treatment with antibiotics (Group B, n = 5), and clinically diagnosed infection with greater than 24 h on antibiotics (Group C, n = 23). There was a significantly higher average maximum temperature in Group B (mean (SEM)) 38°C (0.6) compared with Groups A (36.1°C (0.1)) and C (36.3°C (0.3)). Based on receiver operating characteristics (ROC) a cut-off temperature of ≥37.5°C gave sensitivity 80% and specificity 98%. Mean electrodermal activity was significantly higher in Groups B and C.

conclusionsROC of peripheral skin temperature measurements suggest that such a device may identify many patients requiring treatment for infection. This proof of principle study showed value in using a wearable device in the detection of infection and its potential as an early warning or monitoring device.

Indexed as

Skin TemperatureWristAdultCross-Sectional StudiesHumansPilot ProjectsProspective StudiesRetrospective StudiesROC Curvefeverinfectionmonitoringsepsistemperature

Identifiers

PMID31908128
PMCPMC7318648
OpenAlexW2999136835

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.