监测血氧饱和度对毛细支气管炎患儿住院的作用.pdf

Research Original Investigation Effect of Oximetry on Hospitalization in Bronchiolitis A Randomized Clinical Trial Suzanne Schuh, MD, FRCPC; Stephen Freedman, MD, FRCPC; Allan Coates, MD; Upton Allen, MD, FRCPC; Patricia C. Parkin, MD, FRCPC; Derek Stephens, MSc; Wendy Ungar, PhD; Zelia DaSilva, RT; Andrew R. Willan, PhD Editorial page 699 IMPORTANCE Routine use of pulse oximetry has been associated with changes in bronchiolitis Supplemental content at management and may have lowered the hospitalization threshold for patients with bronchiolitis. OBJECTIVE To examine if infants with bronchiolitis whose displayed oximetry measurements have been artificially elevated 3 percentage points above true values experience hospitalization rates at least 15% lower compared with infants with true values displayed. DESIGN, SETTING, AND PARTICIPANTS Randomized, double-blind, parallel-group trial conducted from 2008 to 2013 in a tertiary-care pediatric emergency department in Toronto, Ontario, Canada. Participants were 213 otherwise healthy infants aged 4 weeks to 12 months with mild to moderate bronchiolitis and true oxygen saturations of 88% or higher. INTERVENTIONS Pulse oximetry measurements with true saturation values displayed or with altered saturation values displayed that have been increased 3 percentage points above true values. MAIN OUTCOMES AND MEASURES The primary outcome was hospitalization within 72 hours, defined as inpatient admissio