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Arch Dis Child. 2012 Apr;97(4):361-3. doi: 10.1136/adc.2010.205211. Epub 2011 Mar 9.

Observational study of two oxygen saturation targets for discharge in bronchiolitis.

Author information

  • 1Department of Respiratory and Sleep Medicine, Royal Hospital for Sick Children, Sciennes Road, Edinburgh, UK. steve.cunningham@nhs.net

Abstract

OBJECTIVES:

To assess the potential effect of two guideline discharge oxygen saturation (SpO(2)) recommendations (≥90% and ≥94%) in recovering bronchiolitis.

METHODS AND PATIENTS:

Infants aged up to 18 months requiring therapeutic oxygen for SpO(2) (≤93%) had SpO(2) assessed in air every 2 h. Time from admission to re-establish feeding (>75% normal) and for SpO(2) to become stable for at least 4 h at ≥90% and ≥94% were noted.

RESULTS:

68 infants, median age 14 weeks, were included. Feeding problems resolved at a median of 11 h (inter-quartile range, IQR 0-47). SpO(2) became stable for at least 4 h at 17 h (IQR 0-49) for ≥90% and 63 h (IQR 34-105) for ≥94%. Time for infants to achieve a stable SpO(2)≥90% and resolve feeding difficulties was a median of 22 h (IQR 7-39 h) sooner than the equivalent for stable SpO(2)≥94%.

CONCLUSIONS:

Accepting lower SpO(2) at discharge could significantly reduce length of stay, but require the clinical and safety effects to be studied.

PMID:
21388970
[PubMed - indexed for MEDLINE]
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