PT  - JOURNAL ARTICLE
AU  - van Hasselt, Tim J
AU  - Singham, Bhavna
AU  - Bassett, Eve
AU  - Wacogne, Ian D
AU  - ,
TI  - Oxygen saturation thresholds in bronchiolitis: examining admissions
AID  - 10.1136/archdischild-2019-317683
DP  - 2020 Dec 01
TA  - Archives of Disease in Childhood
PG  - 1197--1199
VI  - 105
IP  - 12
4099  - http://adc.bmj.com/content/105/12/1197.short
4100  - http://adc.bmj.com/content/105/12/1197.full
SO  - Arch Dis Child2020 Dec 01; 105
AB  - 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.