Oxygen saturation thresholds in bronchiolitis: examining admissions
| Autor: | Tim J, van Hasselt, Bhavna, Singham, Eve, Bassett, Ian D, Wacogne, Dr Ceri-Louise, Chadwick |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Low oxygen West midlands Peripheral oxygen saturation business.industry Outcome measures Infant Length of Stay medicine.disease Infant Nutrition Disorders Oxygen 03 medical and health sciences Patient Admission 0302 clinical medicine Bronchiolitis 030225 pediatrics Pediatrics Perinatology and Child Health Emergency medicine medicine Humans Intensive care admission Prospective Studies business Oxygen saturation (medicine) |
| Zdroj: | Archives of Disease in Childhood. 105:1197-1199 |
| ISSN: | 1468-2044 0003-9888 |
| Popis: | ObjectiveExamine admissions for bronchiolitis, comparing centres with oxygen saturation thresholds for admission of 90% versus 92%.DesignProspective multi-centre service evaluation, all admissions for bronchiolitis during 4-week period, November 2018.SettingPaediatric departments across 12 hospitals in the West Midlands, UK.Patients320 patients aged 6 weeks–1 year, diagnosis of bronchiolitis, exclusions: chronic illness or high dependency/intensive care admission.Main outcome measuresReason for admission, admission saturations and length of stay.ResultsInadequate 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).ConclusionsFew 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. |
| Databáze: | OpenAIRE |
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