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首页> 外文期刊>Transactions of the Royal Society of Tropical Medicine and Hygiene >Multicenter study of hypoxemia prevalence and quality of oxygen treatment for hospitalized Malawian children.
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Multicenter study of hypoxemia prevalence and quality of oxygen treatment for hospitalized Malawian children.

机译：住院马拉维儿童低氧血症患病率和氧气治疗质量的多中心研究。

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摘要

Although hypoxemic children have high mortality, little is known about hypoxemia prevalence and oxygen administration in African hospitals. We aimed to determine the hypoxemia prevalence and quality of oxygen treatment by local clinicians for hospitalized Malawian children.The study was conducted in five Malawian hospitals during January-April 2011. We prospectively measured the peripheral oxygen saturation (SpO(2)) using pulse oximetry for all children <15 years old and also determined clinical eligibility for oxygen treatment using WHO criteria for children <5 years old. We determined oxygen treatment quality by Malawian clinicians by comparing their use of WHO criteria for patients <5 years old using two standards: hypoxemia (SpO(2) <90%) and the use of WHO criteria by study staff.Forty of 761 (5.3%) hospitalized children <15 years old had SpO(2) <90%. No hospital used pulse oximetry routinely, and only 9 of 40 (22.5%) patients <15 years old with SpO(2) <90% were treated with oxygen by hospital staff. Study personnel using WHO criteria for children <5 years old achieved a higher sensitivity (40.0%) and lower specificity (82.7%) than Malawian clinicians (sensitivity 25.7%, specificity 94.1%).Although hypoxemia is common, the absence of routine pulse oximetry results in most hospitalized, hypoxemic Malawian children not receiving available oxygen treatment.
机译：尽管低氧血症儿童的死亡率很高，但非洲医院对低氧血症的患病率和氧气施用知之甚少。我们旨在确定当地临床医生对住院的马拉维儿童的低氧血症患病率和氧气治疗质量。这项研究于2011年1月至4月在马拉维的五家医院中进行。对于所有<15岁的儿童，并根据WHO <5岁的标准确定了接受氧气治疗的临床资格。我们通过比较马拉维临床医生使用以下两个标准比较他们对5岁以下患者的WHO标准的使用来确定氧气治疗的质量：低氧血症（SpO（2）<90％）和研究人员对WHO标准的使用.761（5.3） ％）小于15岁的住院儿童SpO（2）<90％。没有医院常规使用脉搏血氧饱和度测定，医院工作人员仅对40名（15.5％）SpO（2）<90％的患者中的9名（22.5％）进行了氧气治疗。使用WHO标准的5岁以下儿童的研究人员比马拉维临床医生（敏感性25.7％，特异性94.1％）更高的敏感性（40.0％）和更低的特异性（82.7％）。尽管低氧血症很常见，但没有常规脉搏血氧仪导致大多数住院的低氧马拉维儿童无法接受氧气治疗。

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