Acute life threatening events among infants on home oxygen

G. Harrison, M. Beresford, N J Shaw

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    Abstract

    BACKGROUND: Chronic lung disease (CLD) of prematurity is associated with significant morbidity, and infants discharged home in oxygen are particularly vulnerable. Aim: To assess the incidence of acute life threatening events (ALTEs) during 12-month follow-up of CLD infants discharged home receiving supplemental oxygen. METHOD: All infants discharged over a one-year period were studied. Pre-discharge oxygen requirements were set on clinical grounds. Before discharge, oxygen saturations were recorded blind using a data-logger. Infant's oxygen requirements, hospital attendances, and details of ALTEs were recorded over the subsequent year. RESULTS: Sixteen infants were studied. Median (range): birth-weight 938 grams (448 - 1,638); gestational age 28 weeks (24 - 32); discharge oxygen requirement 0.20 litres/minute (0.05 - 0.50). Eight infants subsequently had one or more ALTEs. Discharge oxygen saturation profiles were significantly lower in these infant when compared to those not having ALTEs (p < 0.05), despite receiving supplementary oxygen. CONCLUSIONS: Before discharge home, formal oxygen saturation studies should be performed in infants receiving supplementary oxygen to ensure optimum oxygen delivery.
    Original languageEnglish
    Pages (from-to)27-29
    JournalPaediatric nursing
    Volume18
    Issue number1
    Publication statusPublished - 2006

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    Harrison, G., Beresford, M., & Shaw, N. J. (2006). Acute life threatening events among infants on home oxygen. Paediatric nursing, 18(1), 27-29.