Impact of Pulse Oximetry and Oxygen Therapy on Length of Stay in Bronchiolitis Hospitalizations

摘要: Background Infants hospitalized with bronchiolitis are frequently monitored a pulse oximeter. However, there is little consensus on an acceptable lower limit of oxygenation. No previous studies have examined how the use oximetry and supplemental oxygen therapy affects length stay. Objective To determine extent to which hospitalizations prolonged by perceived need for based readings. Design Patients Retrospective case series subjects younger than 2 years who were at academic medical center. Two investigators independently reviewed hospitalization records 73 infants determined what point infant met all discharge criteria except We then calculated readings alone. Results Sixty-two inclusion criteria. There was high interrater reliability in determining whether (κ = 0.75). In 16 (26%) 62 patients (95% confidence interval, 15%-37%), because oxygenation concerns. Length stay average 1.6 days (range, 1.1-2.0 days) per these patients, or 0.4 day 0.2-0.6 day) patients. Conclusions Hospitalizations some Further investigation into outcomes different levels durations desaturation needed would potential reduce practice variability shorten