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Pulse oximetry in paediatric obstructive sleep apnoea: is it used appropriately?

Published online by Cambridge University Press:  03 August 2015

H Kanona ,
S Sharma ,
K Chaidas  and
B Kotecha
H Kanona*
Affiliation:
Queen's Hospital, Havering and Redbridge University Hospitals NHS Trust, Barking
S Sharma
Affiliation:
Queen's Hospital, Havering and Redbridge University Hospitals NHS Trust, Barking
K Chaidas
Affiliation:
St Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK
B Kotecha
Affiliation:
Queen's Hospital, Havering and Redbridge University Hospitals NHS Trust, Barking
*
Address for correspondence: Dr H Kanona, ENT Department, Queen's Hospital, Barking, Havering and Redbridge University Hospitals NHS Trust, Rom Valley Way, Romford RM7 0AZ, Essex, UK Fax: +44 208 869 3098 E-mail: [email protected]
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Abstract

Objectives:

This study assessed the use of pulse oximetry testing in children with suspected obstructive sleep apnoea in a hospital setting.

Methods:

A retrospective review of patients who underwent pulse oximetry testing between April 2013 and October 2013 was performed. Primary outcome measures included positive pulse oximetry results, defined as a McGill oximetry score of 2–4.

Results:

Thirty-seven test results were usable for analysis: from 21 pre- and 16 post-operative tests. Only four patients had positive test results. There was a significant difference between pre- and post-operative quality of life outcome scores in the surgical group (p < 0.0001).

Conclusion:

Pre-operative pulse oximetry should be used as a guide to help triage patients who require specialist paediatric services, such as a paediatric intensive care unit. The use of pulse oximetry, particularly in the post-operative setting, is unlikely to change patient management and can incur unnecessary financial costs to UK National Health Service Hospital Trusts.

Keywords

Pulse OximetryPediatrics, Obstructive Sleep Apnea Syndrome
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 9 , September 2015 , pp. 874 - 881
Copyright
Copyright © JLO (1984) Limited 2015 

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