Comparison of home, clinic, and catheterization oxygen saturations during the interstage period
| Autor: | Janelle Buysse, Jamie Penk, Joshua Wong, Yi Li |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.diagnostic_test
business.industry Retrospective cohort study 030204 cardiovascular system & hematology Medical decision making medicine.disease Hypoplastic left heart syndrome Clinic visit 03 medical and health sciences Pulse oximetry 0302 clinical medicine 030225 pediatrics Anesthesia Pediatrics Perinatology and Child Health medicine In patient Cardiology and Cardiovascular Medicine business |
| Zdroj: | Progress in Pediatric Cardiology. 61:101363 |
| ISSN: | 1058-9813 |
| Popis: | Background Home monitoring decreases mortality during the interstage period in patients with hypoplastic left heart syndrome. Oxygen saturations are used in medical decision making including hospitalization and timing of 2nd stage palliation. We examined if home, clinic, and catheterization saturations could be used interchangeably in making these decisions. Methods Single center retrospective study of interstage patients from 2014 to 2018. Saturation data was compared between mean home and clinic saturations, catheterization pre-anesthesia saturation, and intra-catheterization saturations. Invasive saturations were obtained via co-oximetry. All other saturations were obtained via pulse oximetry. Home saturations were averaged over seven days centered around clinic dates or before catheterization date for comparison. Invasive saturations from the descending aorta were also compared to same day pre-anesthesia and intra-catheterization saturations. Results 209 clinic saturations and a median of 11 home saturations per clinic visit were collected. Home saturations were 2% lower than clinic saturations (p Conclusions Mean home saturations are lower than clinic saturations during the interstage period, but are within 2% and are correlative. Invasive catheterization saturations were significantly lower than home, clinic, and same day pre-anesthesia saturations. |
| Databáze: | OpenAIRE |
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