Oxygen saturation thresholds in bronchiolitis: examining admissions.

Autor:	van Hasselt TJ; Department of General Paediatrics, Walsall Manor Hospital, Walsall, UK t.vanhasselt@nhs.net., Singham B; Birmingham Children's Hospital NHS Foundation Trust, Birmingham, UK., Bassett E; Department of General Paediatrics, Birmingham Children's Hospital NHS Foundation Trust, Birmingham, UK., Wacogne ID; Department of General Paediatrics, Birmingham Children's Hospital NHS Foundation Trust, Birmingham, UK.
Jazyk:	angličtina
Zdroj:	Archives of disease in childhood [Arch Dis Child] 2020 Dec; Vol. 105 (12), pp. 1197-1199. Date of Electronic Publication: 2019 Aug 28.
DOI:	10.1136/archdischild-2019-317683
Abstrakt:	Objective: Examine admissions for bronchiolitis, comparing centres with oxygen saturation thresholds for admission of 90% versus 92%. Design: Prospective multi-centre service evaluation, all admissions for bronchiolitis during 4-week period, November 2018. Setting: Paediatric departments across 12 hospitals in the West Midlands, UK. Patients: 320 patients aged 6 weeks-1 year, diagnosis of bronchiolitis, exclusions: chronic illness or high dependency/intensive care admission. Main Outcome Measures: Reason for admission, admission saturations and length of stay. Results: Inadequate feeding was the the most common reason for admission (80%). Only 20 patients were admitted solely because of low saturations. Median peripheral oxygen saturation in this group was 88%. Median length of stay in 90% centres was 41 hours, against 59 hours for 92% centres (p=0.0074). Conclusions: Few patients were admitted solely due to low oxygen saturations, only one had a potentially avoidable admission if thresholds were 90%. Length of stay was significantly reduced in the 90% threshold centres. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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