Low Ambient Temperature Exposition Impairs the Accuracy of a Non-invasive Heat-Flux Thermometer.

body temperature cold environments hypothermia non-invasive devices physiological monitoring wearables

Journal

Frontiers in physiology
ISSN: 1664-042X
Titre abrégé: Front Physiol
Pays: Switzerland
ID NLM: 101549006

Informations de publication

Date de publication:
2022
Historique:
received: 06 12 2021
accepted: 31 01 2022
entrez: 21 3 2022
pubmed: 22 3 2022
medline: 22 3 2022
Statut: epublish

Résumé

Indirect core body temperature (CBT) monitoring from skin sensors is gaining attention for in-field applications thanks to non-invasivity, portability, and easy probe positioning. Among skin sensors, heat-flux devices, such as the so-called Double Sensor (DS), have demonstrated reliability under various experimental and clinical conditions. Still, their accuracy at low ambient temperatures is unknown. In this randomized cross-over trial, we tested the effects of cold temperature exposition on DS performance in tracking CBT. Twenty-one participants were exposed to a warm (23.2 ± 0.4°C) and cold (-18.7 ± 1.0°C) room condition for 10 min, following a randomized cross-over design. The accuracy of the DS to estimate CBT in both settings was assessed by quantitative comparison with esophageal (reference) and tympanic (comparator) thermometers, using Bland-Altman and correlation analyses (Pearson's correlation coefficient, In the warm room setting, the DS showed a moderate agreement with the esophageal sensor [bias = 0.09 (-1.51; 1.69) °C, DS accuracy is influenced by environmental conditions and previous exposure to cold settings. These results suggest the present inadequacy of the DS device for in-field applications in low-temperature environments and advocate further technological advancements and proper sensor insulation to improve performance in these conditions.

Sections du résumé

Background UNASSIGNED
Indirect core body temperature (CBT) monitoring from skin sensors is gaining attention for in-field applications thanks to non-invasivity, portability, and easy probe positioning. Among skin sensors, heat-flux devices, such as the so-called Double Sensor (DS), have demonstrated reliability under various experimental and clinical conditions. Still, their accuracy at low ambient temperatures is unknown. In this randomized cross-over trial, we tested the effects of cold temperature exposition on DS performance in tracking CBT.
Methods UNASSIGNED
Twenty-one participants were exposed to a warm (23.2 ± 0.4°C) and cold (-18.7 ± 1.0°C) room condition for 10 min, following a randomized cross-over design. The accuracy of the DS to estimate CBT in both settings was assessed by quantitative comparison with esophageal (reference) and tympanic (comparator) thermometers, using Bland-Altman and correlation analyses (Pearson's correlation coefficient,
Results UNASSIGNED
In the warm room setting, the DS showed a moderate agreement with the esophageal sensor [bias = 0.09 (-1.51; 1.69) °C,
Conclusion UNASSIGNED
DS accuracy is influenced by environmental conditions and previous exposure to cold settings. These results suggest the present inadequacy of the DS device for in-field applications in low-temperature environments and advocate further technological advancements and proper sensor insulation to improve performance in these conditions.

Identifiants

pubmed: 35309078
doi: 10.3389/fphys.2022.830059
pmc: PMC8931521
doi:

Types de publication

Journal Article

Langues

eng

Pagination

830059

Informations de copyright

Copyright © 2022 Masè, Werner, Putzer, Avancini, Falla, Brugger, Micarelli and Strapazzon.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted without any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Michela Masè (M)

Institute of Mountain Emergency Medicine, Eurac Research, Bolzano, Italy.

Andreas Werner (A)

Institute of Physiology, Center for Space Medicine and Extreme Environments Berlin, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin, Germany.
German Air Force - Centre of Aerospace Medicine, Aviation Physiology Training Centre, Aviation Physiology Diagnostic and Research, Königsbrück, Germany.

Gabriel Putzer (G)

Department of Anaesthesiology and Intensive Care Medicine, Medical University of Innsbruck, Innsbruck, Austria.

Giovanni Avancini (G)

Department of Anaesthesia and Intensive Care, Santa Chiara Hospital, Trento, Italy.

Marika Falla (M)

Institute of Mountain Emergency Medicine, Eurac Research, Bolzano, Italy.
Centre for Mind/Brain Sciences, CIMeC, University of Trento, Rovereto, Italy.

Hermann Brugger (H)

Institute of Mountain Emergency Medicine, Eurac Research, Bolzano, Italy.
Department of Anaesthesiology and Intensive Care Medicine, Medical University of Innsbruck, Innsbruck, Austria.

Alessandro Micarelli (A)

Institute of Mountain Emergency Medicine, Eurac Research, Bolzano, Italy.
ITER Center for Balance and Rehabilitation Research (ICBRR), Rome, Italy.

Giacomo Strapazzon (G)

Institute of Mountain Emergency Medicine, Eurac Research, Bolzano, Italy.
Department of Anaesthesiology and Intensive Care Medicine, Medical University of Innsbruck, Innsbruck, Austria.

Classifications MeSH