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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：缺氧血症患病率的多中心研究与住院保留法律儿童的氧气治疗。

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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：虽然缺氧儿童具有高死亡率，但在非洲医院的缺氧患病率和氧气管理中都很熟知。我们的旨在确定当地临床医生对住院保留的催眠症患病率和氧气治疗质量。该研究在2011年1月至4月期间在五个马拉维医院进行。我们使用脉冲血氧算法预先测量外周氧饱和度（SPO（2））对于所有儿童<15岁，也确定了使用谁的儿童标准<5岁的氧气治疗的临床资格。我们通过使用两种标准的患者患者<5岁的患者的标准来确定氧气治疗质量％）住院儿童<15岁的孢子（2）<90％。没有医院使用脉冲血液血液血液血液血液，只有40名（22.5％）患者<15岁，SPO（2）<90％的患者被医院工作人员用氧气处理。使用谁的儿童标准的研究人员<5岁的敏感性较高（40.0％）和低特异性（82.7％）而不是马拉维临床医生（敏感性25.7％，特异性94.1％）。虽然缺氧血症是常见的，但没有常规脉搏血氧血管成果在最住院治疗，缺氧缺血儿童没有接受可用的氧气治疗。

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