Independent risk factors for acute hospital patients' reduced ability to hear electronic axillary thermometer alarms.

Abstract

Hearing loss prevalence increases dramatically with age. However, no prior studies exist regarding the prevalence and factors related to reduced ability to hear alarm sounds using electronic axillary thermometers. This study aimed to investigate the number of individuals with a reduced ability to hear the alarm sound of the electronic axillary thermometers among participants over 20 and 65 years old (Objective 1) and to identify the factors associated with reduced ability to hear the alarm sound (Objective 2). In this 5-month cross-sectional study, the participants, aged ≥20 years, were recruited from samples of patients at an acute hospital. The outcome measured was the average number of seconds for each participant between the axillary placement of a thermometer tip and their report of hearing the alarm, performed three times per patient. Complete data were obtained from 107 participants, with 58 (54.2%) showing a reduced ability to hear the alarm. The prevalence of reduced ability to hear the alarm was 69.5% (>65 years older). Multivariate analysis demonstrated that age was the factor most significantly associated with reduced hearing ability. Age 70 was determined as the cut-off point for ability to hear the alarm. This is a serious issue, as many individuals with the inability to hear the alarm sound use the electronic axillary thermometer with the alarm sound. For a reliable measurement of body temperature, digital thermometers need alternative alarm signals, (e.g., vibration) for self-use by adults ≥70 years to correctly measure body temperature.