Research Appraisalother

All-in-One Wearable Hydrogel Patch for Multimodal Visualized and Quantitative Heatstroke Monitoring

ACS sensorsYang, Xinru, Niu, Yu, Li, Ning et al.24 Apr 2026DOI

Clinical Snapshot

60CEBM
Evidence: Insufficientother

PICO Framework

P — PopulationOutdoor workers, athletes, and individuals with impaired thermoregulation at risk of heat-related illness
I — InterventionAll-in-one wearable hydrogel patch with thermogalvanic sensing and electrochemical ion detection
C — ComparatorExisting invasive monitoring strategies and external power-dependent devices
O — OutcomesReal-time temperature tracking, sweat Na+ and K+ ion detection, thermochromic visualization, and heatstroke risk assessment

Bottom Line

This proof-of-concept study presents an innovative wearable patch combining temperature sensing with sweat electrolyte monitoring for heatstroke prevention. The self-powered, multimodal approach addresses key limitations of current monitoring methods by providing real-time, non-invasive assessment with visual feedback. However, the clinical utility remains unproven without validation studies demonstrating accuracy against gold-standard measurements, sensitivity for detecting early heatstroke, and safety in target populations. While the technology shows promise for high-risk occupational settings and athletic monitoring, clinicians should await peer-reviewed validation data before considering clinical applications. The device's potential value lies in proactive monitoring rather than diagnostic confirmation of established heatstroke.

Evidence: Insufficient

Key Findings

  • P Value: Not reported

  • Effect Size: Not specified in abstract

  • Primary Outcome: Successful integration of thermogalvanic temperature sensing with electrochemical Na+ and K+ detection in wearable patch

  • Nnt Or Sensitivity: Sensitivity and specificity for heatstroke detection not reported

  • Confidence Interval: Not provided

Clinical Application

Requires clinical validation, regulatory approval, and cost-effectiveness analysis before implementation Highly relevant for Australian climate and occupational health, particularly mining, agriculture, and construction industries. Would require TGA approval as medical device and integration with existing workplace health monitoring protocols High-risk occupational groups, athletes, elderly, and individuals with thermoregulatory disorders

Abstract

Heat-related illnesses, particularly heatstroke, pose serious risks to outdoor workers, athletes, and individuals with impaired thermoregulation. Existing monitoring strategies are limited by invasive measurements, reliance on external power sources, and lack of real-time multimodal feedback. Here, this study presents an all-in-one wearable patch that integrates a dual-functional self-powered thermogalvanic hydrogel with a selective electrochemical interface for intuitive visual feedback, dynamic temperature tracking, and durable sweat analysis. The hydrogel enables real-time thermochromic visualization and active thermoelectric sensing of body temperature, while an integrated electrochemical module allows continuous and selective detection of Na+ and K+ ions in sweat. The multiplexed physical-chemical health-monitoring patch provides a multimodal dual-stage evaluation of body temperature and sweat ion level toward improving metabolic status control and alerting individual to heatstroke risk, holding promise for developing personalized healthcare and a scalable route to proactive heatstroke prevention.

References

  1. 1.Yang, X., Niu, Y., Li, N., Cui, X., Li, Z., Zhang, H., & Lin, Z.-H. (2026). All-in-one wearable hydrogel patch for multimodal visualized and quantitative heatstroke monitoring. ACS Sensors. https://doi.org/10.1021/acssensors.5c04692
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