Oxygen saturation thresholds in bronchiolitis : examining admissions
van Hasselt, Tim J Singham, Bhavna Bassett, Eve Wacogne, Ian D
van Hasselt, Tim J
Singham, Bhavna
Bassett, Eve
Wacogne, Ian D
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Affiliation
Walsall Healthcare NHS Trust; Birmingham Children's Hospital NHS Foundation Trust;
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Publication date
2020-12
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Abstract
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.
Citation
van Hasselt, T. J., Singham, B., Bassett, E., Wacogne, I. D., & Paediatric Research Across the Midlands (PRAM) Network (2020). Oxygen saturation thresholds in bronchiolitis: examining admissions. Archives of disease in childhood, 105(12), 1197–1199.
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Article