Initial oxygen saturation values can predict the need to hospitalise children with mild wheezing

Pruikkonen, Hannele; Uhari, Matti; Dunder, Teija; Pokka, Tytti; Renko, Marjo

doi:10.1111/apa.12688

Cited by 1 publication

(1 citation statement)

References 31 publications

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“…Settings: Primary Care [27,44] Respiratory distress on clinical examination [34]; respiratory rate as a continuous variable [44]; signs on auscultation [44] pallor [34]; temperature of �39 o C (although in the same study a threshold of �38˚C was not significant) [34] Findings on ear examination [44] Oxygen saturation: Associated with hospitalisation at two thresholds, 90-95% [44], and <94% [34], but not at one further threshold, <90%. ED [25,43] Paediatric assessment unit [34] One study was in an acute settings [34], the other in a primary care setting [44] Clinical condition: RTI n = 1640…”

Section: Likelihood Of Being Hospitalised (Associated Factors) Discrepant Findings Between Studies and Possible Explanations (In Italics)mentioning

confidence: 99%

Predicting poor outcomes in children aged 1–12 with respiratory tract infections: A systematic review

et al. 2021

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Background Demand for NHS services is high and rising. In children respiratory tract infections (RTI) are the most common reason for consultation with primary care. Understanding which features are associated with good and poor prognosis with RTI will help develop interventions to support parents manage illness. Aim To identify symptoms, signs, and investigation results associated with good and poor prognosis, and clinical decision making in children aged 1–12 years with RTI symptoms, at home and presenting to ambulatory care. Design and setting Systematic literature review. Methods We searched MEDLINE, EMBASE, Cinahl, Web of Science and the Cochrane database of systematic reviews for studies of children aged 1 to 12 years with a RTI or related condition reporting symptoms, signs and investigation results associated with prognostic outcomes. Quality was assessed using the QUIPS tool. Results We included 27 studies which included 34802 children and measured 192 factors. Nine studies explored future outcomes and the remainder explored clinical management from the initial consultation with the health services. None were conducted in a home setting. Respiratory signs, vomiting, fever, dehydration and tachycardia at the initial contact were associated with future hospitalisation. Little evidence was available for other outcomes. Conclusion Some evidence is available to clinicians to stratify risk of, future hospitalisation, but not of other prognostic outcomes. There is little evidence available to parents to identify children at risk of poor prognosis. Research is needed into whether poor prognosis can be predicted by parents in the home.

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Section: Likelihood Of Being Hospitalised (Associated Factors) Discrepant Findings Between Studies and Possible Explanations (In Italics)mentioning

confidence: 99%

Predicting poor outcomes in children aged 1–12 with respiratory tract infections: A systematic review

et al. 2021

View full text Add to dashboard Cite

show abstract

Initial oxygen saturation values can predict the need to hospitalise children with mild wheezing

Abstract: An initial SaO2 >93% reflects a mild course of acute wheezing and using this cut-off point could have almost halved hospital admissions.

Cited by 1 publication

References 31 publications

Predicting poor outcomes in children aged 1–12 with respiratory tract infections: A systematic review

Predicting poor outcomes in children aged 1–12 with respiratory tract infections: A systematic review

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