RT Journal Article
SR Electronic
T1 Oxygen saturation thresholds in bronchiolitis: examining admissions
JF Archives of Disease in Childhood
JO Arch Dis Child
FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
SP 1197
OP 1199
DO 10.1136/archdischild-2019-317683
VO 105
IS 12
A1 van Hasselt, Tim J
A1 Singham, Bhavna
A1 Bassett, Eve
A1 Wacogne, Ian D
A1 ,
YR 2020
UL http://adc.bmj.com/content/105/12/1197.abstract
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.