Prescription of Home Oxygen Therapy to Very Low Birth Weight Infants in Germany

Peter, Corinna; Boberski, Beke; Bohnhorst, Bettina; Pirr, Sabine

doi:10.1177/0009922814528037

“…In the present study, the rate of home oxygen use ranged from 2.9% to 36.4% in 29 NICUs as well as even 0% in 14 NICUs. A German study reported that NICUs admitting > 50 VLBWIs annually significantly and more frequently prescribed home oxygen and aimed for SpO 2 levels closer to the physiological range than those admitting fewer VLBWIs (19). However, in the present study, we could not find any correlation for NICU size and prescription rate of home oxygen at discharge in the VLBWIs.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Follow-up Courses after Discharge from Neonatal Intensive Care Unit between Very Low Birth Weight Infants with and without Home Oxygen

Kim

¹

,

Shim

²

,

Lee

³

et al. 2017

View full text Add to dashboard Cite

In order to investigate the clinical impact of home oxygen use for care of premature infants, we compared the follow-up courses after neonatal intensive care unit (NICU) discharge between very low birth weight infants (VLBWIs) with and without home oxygen. We retrospectively identified 1,232 VLBWIs born at 22 to 32 weeks of gestation, discharged from the NICU of 43 hospitals in Korea between April 2009 and March 2010, and followed them up until April 2011. Clinical outcomes, medical service uses, and readmission and death rates during follow-up after the NICU discharge were compared between VLBWIs with (HO, n = 167) and those without (CON, n = 1,056) home oxygen at discharge. The HO infants comprised 13.7% of the total VLBWIs with significant institutional variations and showed a lower gestational age (GA) and birth weight than the CON infants. The HO infants had more frequent regular pediatric outpatient clinic visits (12.7 ± 7.5 vs. 9.5 ± 6.6; P < 0.010) and emergency center visits related to respiratory problems (2.5 ± 2.2 vs. 1.8 ± 1.4; P < 0.010) than the CON infants. The HO infants also had significantly increased readmission (adjusted hazard ratio [HR], 1.60; 95% confidence interval [CI], 1.25–2.04) and death risks (adjusted HR, 7.40; 95% CI, 2.06–26.50) during up to 2 years following the NICU discharge. These increased readmission and death risks in the HO infants were not related to their prematurity degree. In conclusion, home oxygen use after discharge increases the risks for healthcare utilization, readmission, and death after NICU discharge in VLBWIs, regardless of GA, requiring more careful health care monitoring during their follow-up.

show abstract

“…Nursing care, therefore, implies understanding the characteristics and physiology of NB, knowledge of the functioning of the respiratory system and the capacity to intervene at the appropriate time. 13,18 Regarding the nursing care to NB undergoing oxygen therapy, it was possible to observe the following lines: It was possible to notice that the interviewed nurses mentioned the use of oxygen therapy techniques, heating, humidification, hygiene of the system and the device, and physical examination for neonatal care. However, the few references to hand hygiene and recordkeeping as a form of care are noteworthy, even though these are essential and basic behaviors in assisting all individuals to prevent complications and control their clinical evolution.…”

Section: Nursing Care Towards the Newborn Undergoing Oxygen Therapymentioning

confidence: 99%

Nurses’ understanding of newborn care in oxygen therapy / Compreensão do enfermeiro sobre o cuidado ao recém-nascido em oxigenoterapia

Melo

¹

,

Tavares²,

Fernandes

³

et al. 2019

R. pesq. cuid. fundam. online

4

0

View full text Add to dashboard Cite

Objetivo: Analisar a compreensão do enfermeiro sobre a assistência prestada ao recém-nascido em oxigenoterapia na Unidade de Cuidados Neonatais Intermediários e Intensivos. Método: Trata-se de estudo descritivo, de abordagem qualitativa, realizado com 16 enfermeiros da Unidade Neonatal de um hospital público de Petrolina/PE, em dezembro de 2015 a janeiro de 2016, através de entrevista semiestruturada. Os dados foram analisados através da análise de conteúdo temática. Resultados: Os enfermeiros compreendem o que se configura como oxigenoterapia, suas indicações, finalidades e possíveis complicações associadas, bem como os principais cuidados de enfermagem que devem ser direcionados aos recém-nascidos em terapia com oxigênio suplementar. Conclusão: A qualificação e a habilidade do enfermeiro que assiste ao recém-nascido em uso de oxigenoterapia, dentro da Unidade Neonatal, é imprescindível na garantia de uma assistência segura, na identificação precoce dos sinais de adversidade e na prevenção de possíveis complicações.

show abstract

“…Nursing care, therefore, implies understanding the characteristics and physiology of NB, knowledge of the functioning of the respiratory system and the capacity to intervene at the appropriate time. 13,18 Regarding the nursing care to NB undergoing oxygen therapy, it was possible to observe the following lines:…”

Section: Nursing Care Towards the Newborn Undergoing Oxygen Therapymentioning

confidence: 99%

Nurses’ understanding of newborn care in oxygen therapy / Compreensão do enfermeiro sobre o cuidado ao recém-nascido em oxigenoterapia

Melo

¹

,

Tavares²,

Fernandes

³

et al. 2019

R. pesq. cuid. fundam. online

1

0

View full text Add to dashboard Cite

Objetivo: Analisar a compreensão do enfermeiro sobre a assistência prestada ao recém-nascido em oxigenoterapia na Unidade de Cuidados Neonatais Intermediários e Intensivos. Método: Trata-se de estudo descritivo, de abordagem qualitativa, realizado com 16 enfermeiros da Unidade Neonatal de um hospital público de Petrolina/PE, em dezembro de 2015 a janeiro de 2016, através de entrevista semiestruturada. Os dados foram analisados através da análise de conteúdo temática. Resultados: Os enfermeiros compreendem o que se configura como oxigenoterapia, suas indicações, finalidades e possíveis complicações associadas, bem como os principais cuidados de enfermagem que devem ser direcionados aos recém-nascidos em terapia com oxigênio suplementar. Conclusão: A qualificação e a habilidade do enfermeiro que assiste ao recém-nascido em uso de oxigenoterapia, dentro da Unidade Neonatal, é imprescindível na garantia de uma assistência segura, na identificação precoce dos sinais de adversidade e na prevenção de possíveis complicações.

show abstract

Prescription of Home Oxygen Therapy to Very Low Birth Weight Infants in Germany

Abstract: Management of pediatric home oxygen therapy is diverse in Germany. Optimal SpO2 targets have to be further investigated by controlled studies and German guidelines should be established. Until then practice should abide by existing foreign guidelines.

Cited by 9 publications

References 22 publications

Comparison of Follow-up Courses after Discharge from Neonatal Intensive Care Unit between Very Low Birth Weight Infants with and without Home Oxygen

Comparison of Follow-up Courses after Discharge from Neonatal Intensive Care Unit between Very Low Birth Weight Infants with and without Home Oxygen

Nurses’ understanding of newborn care in oxygen therapy / Compreensão do enfermeiro sobre o cuidado ao recém-nascido em oxigenoterapia

Nurses’ understanding of newborn care in oxygen therapy / Compreensão do enfermeiro sobre o cuidado ao recém-nascido em oxigenoterapia

Contact Info

Product

Resources

About