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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Mass Screening of Suspected Febrile Patients with Remote-sensing Infrared Thermography: Alarm Temperature and Optimal Distance</title>
<author><name sortKey="Chiang, Ming Fu" sort="Chiang, Ming Fu" uniqKey="Chiang M" first="Ming-Fu" last="Chiang">Ming-Fu Chiang</name>
<affiliation><nlm:aff id="aff1">Department of Neurosurgery, Mackay Memorial Hospital, Mackay Medicine, Management and Nursing College, Taipei Medical University, Taiwan</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lin, Po Wei" sort="Lin, Po Wei" uniqKey="Lin P" first="Po-Wei" last="Lin">Po-Wei Lin</name>
<affiliation><nlm:aff id="aff2">Department of Physical Medicine and Rehabilitation, Municipal Wan Fang Hospital, Taipei Medical University, Taiwan</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lin, Li Fong" sort="Lin, Li Fong" uniqKey="Lin L" first="Li-Fong" last="Lin">Li-Fong Lin</name>
<affiliation><nlm:aff id="aff2">Department of Physical Medicine and Rehabilitation, Municipal Wan Fang Hospital, Taipei Medical University, Taiwan</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Chiou, Hung Yi" sort="Chiou, Hung Yi" uniqKey="Chiou H" first="Hung-Yi" last="Chiou">Hung-Yi Chiou</name>
<affiliation><nlm:aff id="aff3">School of Public Health, Taipei Medical University, Taiwan</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Chien, Ching Wen" sort="Chien, Ching Wen" uniqKey="Chien C" first="Ching-Wen" last="Chien">Ching-Wen Chien</name>
<affiliation><nlm:aff id="aff4">Institute of Hospital and Health Care Administration, National Yang-Ming University, Taiwan</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Chu, Shu Fen" sort="Chu, Shu Fen" uniqKey="Chu S" first="Shu-Fen" last="Chu">Shu-Fen Chu</name>
<affiliation><nlm:aff id="aff5">Institute of Injury Prevention and Control, Taipei Medical University, Taiwan</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Chiu, Wen Ta" sort="Chiu, Wen Ta" uniqKey="Chiu W" first="Wen-Ta" last="Chiu">Wen-Ta Chiu</name>
<affiliation><nlm:aff id="aff6">Department of Neurosurgery, Municipal Wan Fang Hospital, and Institute of Injury Prevention and Control, Taipei Medical University, Taiwan</nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">19129054</idno>
<idno type="pmc">7135452</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7135452</idno>
<idno type="RBID">PMC:7135452</idno>
<idno type="doi">10.1016/S0929-6646(09)60017-6</idno>
<date when="2008">2008</date>
<idno type="wicri:Area/Pmc/Corpus">001138</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001138</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Mass Screening of Suspected Febrile Patients with Remote-sensing Infrared Thermography: Alarm Temperature and Optimal Distance</title>
<author><name sortKey="Chiang, Ming Fu" sort="Chiang, Ming Fu" uniqKey="Chiang M" first="Ming-Fu" last="Chiang">Ming-Fu Chiang</name>
<affiliation><nlm:aff id="aff1">Department of Neurosurgery, Mackay Memorial Hospital, Mackay Medicine, Management and Nursing College, Taipei Medical University, Taiwan</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lin, Po Wei" sort="Lin, Po Wei" uniqKey="Lin P" first="Po-Wei" last="Lin">Po-Wei Lin</name>
<affiliation><nlm:aff id="aff2">Department of Physical Medicine and Rehabilitation, Municipal Wan Fang Hospital, Taipei Medical University, Taiwan</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lin, Li Fong" sort="Lin, Li Fong" uniqKey="Lin L" first="Li-Fong" last="Lin">Li-Fong Lin</name>
<affiliation><nlm:aff id="aff2">Department of Physical Medicine and Rehabilitation, Municipal Wan Fang Hospital, Taipei Medical University, Taiwan</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Chiou, Hung Yi" sort="Chiou, Hung Yi" uniqKey="Chiou H" first="Hung-Yi" last="Chiou">Hung-Yi Chiou</name>
<affiliation><nlm:aff id="aff3">School of Public Health, Taipei Medical University, Taiwan</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Chien, Ching Wen" sort="Chien, Ching Wen" uniqKey="Chien C" first="Ching-Wen" last="Chien">Ching-Wen Chien</name>
<affiliation><nlm:aff id="aff4">Institute of Hospital and Health Care Administration, National Yang-Ming University, Taiwan</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Chu, Shu Fen" sort="Chu, Shu Fen" uniqKey="Chu S" first="Shu-Fen" last="Chu">Shu-Fen Chu</name>
<affiliation><nlm:aff id="aff5">Institute of Injury Prevention and Control, Taipei Medical University, Taiwan</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Chiu, Wen Ta" sort="Chiu, Wen Ta" uniqKey="Chiu W" first="Wen-Ta" last="Chiu">Wen-Ta Chiu</name>
<affiliation><nlm:aff id="aff6">Department of Neurosurgery, Municipal Wan Fang Hospital, and Institute of Injury Prevention and Control, Taipei Medical University, Taiwan</nlm:aff>
</affiliation>
</author>
</analytic>
<series><title level="j">Journal of the Formosan Medical Association</title>
<idno type="ISSN">0929-6646</idno>
<idno type="eISSN">0929-6646</idno>
<imprint><date when="2008">2008</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec><title>Background/Purpose</title>
<p>Detection of fever has become an essential step in identifying patients who may have severe acute respiratory syndrome (SARS) or avian influenza. This study evaluated infrared thermography (IRT) and compared the influence of different imagers, ambient temperature discrepancy, and the distance between the subject and imager.</p>
</sec>
<sec><title>Methods</title>
<p>IRT-digital infrared thermal imaging (IRT-DITI), thermoguard, and ear drum IRT were used for visitors to Municipal Wang Fang Hospital, Taipei, Taiwan. The McNemar and c<sup>2</sup>
 test, standard Pearson correlation, ANOVA, intraclass correlation coefficient (ICC), and receiver operating characteristic curve (ROC) analysis were used to calculate the alarm temperature for each imager.</p>
</sec>
<sec><title>Results</title>
<p>A total of 1032 subjects were recruited. Different distances and ambient temperature discrepancy had a significant influence on thermoguard, and lateral and frontal view DITI. By ICC analysis, a significant difference was found at 10 m distance between ear drum IRT and thermoguard (<italic>r</italic>
 = 0.45), lateral view DITI (<italic>r</italic>
 = 0.37), and frontal view DITI (<italic>r</italic>
 = 0.44). With ROC analysis, the optimal preset cut-off temperatures for the different imagers were: 36.05°C for thermoguard (area under the curve [AUC], 0.716), 36.25°C for lateral view DITI (AUC, 0.801), and 36.25°C for frontal view DITI (AUC, 0.812).</p>
</sec>
<sec><title>Conclusion</title>
<p>The temperature readings obtained by IRT may be used as a proxy for core temperature. An effective IRT system with a strict operating protocol can be rapidly implemented at the entrance of a hospital during SARS or avian influenza epidemics.</p>
</sec>
</div>
</front>
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</biblStruct>
<biblStruct><analytic><author><name sortKey="World Health Organization" uniqKey="World Health Organization">World Health Organization</name>
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<author><name sortKey="Erdman, D" uniqKey="Erdman D">D Erdman</name>
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<biblStruct><analytic><author><name sortKey="Chiu, Wt" uniqKey="Chiu W">WT Chiu</name>
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<biblStruct><analytic><author><name sortKey="Pitman, Rj" uniqKey="Pitman R">RJ Pitman</name>
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</div1>
</back>
</TEI>
<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
  <front><journal-meta><journal-id journal-id-type="nlm-ta">J Formos Med Assoc</journal-id>
<journal-id journal-id-type="iso-abbrev">J. Formos. Med. Assoc</journal-id>
<journal-title-group><journal-title>Journal of the Formosan Medical Association</journal-title>
</journal-title-group>
<issn pub-type="ppub">0929-6646</issn>
<issn pub-type="epub">0929-6646</issn>
<publisher><publisher-name>Formosan Medical Association & Elsevier. Published by Elsevier (Singapore) Pte Ltd</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">19129054</article-id>
<article-id pub-id-type="pmc">7135452</article-id>
<article-id pub-id-type="publisher-id">S0929-6646(09)60017-6</article-id>
<article-id pub-id-type="doi">10.1016/S0929-6646(09)60017-6</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Mass Screening of Suspected Febrile Patients with Remote-sensing Infrared Thermography: Alarm Temperature and Optimal Distance</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Chiang</surname>
<given-names>Ming-Fu</given-names>
</name>
<xref rid="aff1" ref-type="aff">a</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lin</surname>
<given-names>Po-Wei</given-names>
</name>
<xref rid="aff2" ref-type="aff">b</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lin</surname>
<given-names>Li-Fong</given-names>
</name>
<xref rid="aff2" ref-type="aff">b</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Chiou</surname>
<given-names>Hung-Yi</given-names>
</name>
<xref rid="aff3" ref-type="aff">c</xref>
<xref rid="cor2" ref-type="corresp">†</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Chien</surname>
<given-names>Ching-Wen</given-names>
</name>
<xref rid="aff4" ref-type="aff">d</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Chu</surname>
<given-names>Shu-Fen</given-names>
</name>
<xref rid="aff5" ref-type="aff">e</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Chiu</surname>
<given-names>Wen-Ta</given-names>
</name>
<email>wtchiu@tmu.edu.tw</email>
<xref rid="aff6" ref-type="aff">f</xref>
<xref rid="cor1" ref-type="corresp">*</xref>
<xref rid="cor2" ref-type="corresp">†</xref>
</contrib>
</contrib-group>
<aff id="aff1"><label>a</label>
Department of Neurosurgery, Mackay Memorial Hospital, Mackay Medicine, Management and Nursing College, Taipei Medical University, Taiwan</aff>
<aff id="aff2"><label>b</label>
Department of Physical Medicine and Rehabilitation, Municipal Wan Fang Hospital, Taipei Medical University, Taiwan</aff>
<aff id="aff3"><label>c</label>
School of Public Health, Taipei Medical University, Taiwan</aff>
<aff id="aff4"><label>d</label>
Institute of Hospital and Health Care Administration, National Yang-Ming University, Taiwan</aff>
<aff id="aff5"><label>e</label>
Institute of Injury Prevention and Control, Taipei Medical University, Taiwan</aff>
<aff id="aff6"><label>f</label>
Department of Neurosurgery, Municipal Wan Fang Hospital, and Institute of Injury Prevention and Control, Taipei Medical University, Taiwan</aff>
<author-notes><corresp id="cor1"><label>*</label>
<bold>Correspondence to:</bold>
 Dr Wen-Ta Chiu, Department of Neurosurgery, Municipal Wan Fang Hospital, Institute of Injury Prevention and Control, Taipei Medical University, 250 Wu-Hsin Street, Taipei 110, Taiwan <email>wtchiu@tmu.edu.tw</email>
</corresp>
<corresp id="cor2"><label>†</label>
Hung-Yi Chiou and Wen-Ta Chiu contributed equally to this work <email>wtchiu@tmu.edu.tw</email>
</corresp>
</author-notes>
<pub-date pub-type="pmc-release"><day>16</day>
<month>1</month>
<year>2009</year>
</pub-date>
<pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
      <pub-date pub-type="ppub"><month>12</month>
<year>2008</year>
</pub-date>
<pub-date pub-type="epub"><day>16</day>
<month>1</month>
<year>2009</year>
</pub-date>
<volume>107</volume>
<issue>12</issue>
<fpage>937</fpage>
<lpage>944</lpage>
<history><date date-type="received"><day>3</day>
<month>1</month>
<year>2008</year>
</date>
<date date-type="rev-recd"><day>3</day>
<month>5</month>
<year>2008</year>
</date>
<date date-type="accepted"><day>23</day>
<month>6</month>
<year>2008</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2008 Formosan Medical Association & Elsevier. Published by Elsevier (Singapore) Pte Ltd.</copyright-statement>
<copyright-year>2008</copyright-year>
<copyright-holder>Formosan Medical Association & Elsevier</copyright-holder>
<license><license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p>
</license>
</permissions>
<abstract><sec><title>Background/Purpose</title>
<p>Detection of fever has become an essential step in identifying patients who may have severe acute respiratory syndrome (SARS) or avian influenza. This study evaluated infrared thermography (IRT) and compared the influence of different imagers, ambient temperature discrepancy, and the distance between the subject and imager.</p>
</sec>
<sec><title>Methods</title>
<p>IRT-digital infrared thermal imaging (IRT-DITI), thermoguard, and ear drum IRT were used for visitors to Municipal Wang Fang Hospital, Taipei, Taiwan. The McNemar and c<sup>2</sup>
 test, standard Pearson correlation, ANOVA, intraclass correlation coefficient (ICC), and receiver operating characteristic curve (ROC) analysis were used to calculate the alarm temperature for each imager.</p>
</sec>
<sec><title>Results</title>
<p>A total of 1032 subjects were recruited. Different distances and ambient temperature discrepancy had a significant influence on thermoguard, and lateral and frontal view DITI. By ICC analysis, a significant difference was found at 10 m distance between ear drum IRT and thermoguard (<italic>r</italic>
 = 0.45), lateral view DITI (<italic>r</italic>
 = 0.37), and frontal view DITI (<italic>r</italic>
 = 0.44). With ROC analysis, the optimal preset cut-off temperatures for the different imagers were: 36.05°C for thermoguard (area under the curve [AUC], 0.716), 36.25°C for lateral view DITI (AUC, 0.801), and 36.25°C for frontal view DITI (AUC, 0.812).</p>
</sec>
<sec><title>Conclusion</title>
<p>The temperature readings obtained by IRT may be used as a proxy for core temperature. An effective IRT system with a strict operating protocol can be rapidly implemented at the entrance of a hospital during SARS or avian influenza epidemics.</p>
</sec>
</abstract>
<kwd-group><title>Key Words</title>
<kwd>avian influenza</kwd>
<kwd>infrared thermography</kwd>
<kwd>intraclass correlation coefficient</kwd>
<kwd>receiver operating characteristic curve</kwd>
<kwd>severe acute respiratory syndrome</kwd>
</kwd-group>
</article-meta>
</front>
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