Arch Pediat Adol Med
-
Arch Pediat Adol Med · Sep 2000
Pulse oximetry is a poor predictor of hypoxemia in stable children with sickle cell disease.
To evaluate the accuracy of the pulse oximeter to detect hypoxemia in patients with sickle cell disease in an ambulatory care setting. ⋯ Making treatment decisions based on pulse oximetry data alone in patients with sickle cell disease who are not acutely ill may be inappropriate.
-
Arch Pediat Adol Med · Sep 2000
Nocturnal asthma in children affects school attendance, school performance, and parents' work attendance.
Asthma symptoms that occur at night may signal worse asthma control, but the nighttime occurrence may have additional clinical significance. To date, however, there have been few studies of the impact of nocturnal awakening from asthma on children with the disease, including problems with daytime functioning. ⋯ Nighttime awakenings in children with asthma may affect school attendance and performance, as well as work attendance by parents. Nighttime symptoms have independent prognostic value, even when overall asthma symptom severity is accounted for. By addressing whether there are nighttime awakenings in children with asthma, clinicians may be able to tailor the therapeutic regimen to counter these symptoms.