• Pediatric emergency care · Oct 1992

    The usefulness of pulse oximetry in evaluating acutely ill asthmatics.

    • J H Mayefsky and Y el-Shinaway.
    • Department of Pediatrics, Cook County Hospital, Chicago, IL 60612-9985.
    • Pediatr Emerg Care. 1992 Oct 1; 8 (5): 262-4.

    AbstractTo examine the usefulness of pulse oximetry in determining the severity of acute asthma, the arterial oxygen saturation (SaO2) of 196 acutely ill asthmatic children was measured while the children were being treated in the emergency department (ED). The measure of severity used was the disposition from the ED--discharge or hospitalization--after receiving standard ED care. The mean pretreatment SaO2 of the 172 children discharged was 96.4% (range, 84-100%), and that of the 24 children admitted was 94.4% (range, 85-100%). A Receiver Operating Characteristic curve indicated that the optimal cutoff point for identifying disposition was an SaO2 of 93%. The sensitivity of an SaO2 < or = 93% was 35%, and the specificity was 92%. We conclude that SaO2 lacks the sensitivity to differentiate the child who will respond to ED therapy from the child who will require further inpatient care.

      Pubmed     Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…