Use of Pulse Oximetry for Diagnosis of Hypoxemia and Monitoring of Children with Pneumonia: A Descriptive Study from Ethiopia 2019
| Id | EPHI-DS0493 |
|---|---|
| Name | Use of Pulse Oximetry for Diagnosis of Hypoxemia and Monitoring of Children with Pneumonia: A Descriptive Study from Ethiopia 2019 |
| Format | .xlsx |
| Coverage Location | Subnational |
| Coverage Sex | Not applicable |
| Abstract | Introduction: Pneumonia is the leading infectious cause of mortality among under-five children worldwide. Hypoxemia, an abnormally low concentration of oxygen in the blood, and defined as arterial oxygen saturation (SPO2) < 90 percent is a common condition that needs to be detected and appropriately managed. Given the lack of reliability of clinical signs and symptoms in predicting hypoxemia, the routine use of pulse oximetry is recommended. Although the lack of pulse oximetry in developing country health care settings was often reported, there is a lack of data on the extent of its use for diagnosis of hypoxemia and patient monitoring in these settings.Methods: In this descriptive study conducted in 14 hospitals in Ethiopia, medical records of 443 under-five children (0-59months age) with a primary diagnosis of pneumonia or severe pneumonia and seen at the hospital between February 1, 2016 and April 30, 2017 were reviewed. The extent to which pulse oximetry was used to diagnose hypoxemia and monitor patients was analyzed.Results: Overall, only 44 (10.2%) of the children had documented oxygen saturation measurements using Pulse oximetry at diagnosis. While no child seen at a primary hospital had the assessment at diagnosis, 14.8% and 12.6% of children seen at general and referral hospitals, respectively had oxygen saturation measurements at diagnosis (p<0.001). More children (19.2%) with severe pneumonia had pulse oximetry at diagnosis compared to those with pneumonia (2.9%). Post[1]diagnosis pulse oximetry for monitoring purposes was done in 43.9% of children admitted to Pediatric wards. Conclusions: There is limited use of pulse oximetry for diagnosis of hypoxemia and patient monitoring in hospital settings in Ethiopia. Efforts to increase access to pulse oximetry and ensure its consistent use must be at the center of child survival strategies in the country.
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| Additional Material | No |
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| Recommended | Yes |
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| Cleaned | Yes |
| Cleaned Format | EPI Data |
| RawFormat | . SAV |
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| Date Data Collection Started | 2017-05-03 |
| Date Data Collection End | 2017-06-16 |
| Title | Use of Pulse Oximetry for Diagnosis of Hypoxemia and Monitoring of Children with Pneumonia: A Descriptive Study from Ethiopia 2019 |
| Data Type | Survey |
| PublicationYear | 2019 |
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| Description | This data element contains the cleaned data Population Size The sample size 413 was distributed to each hospital based on proportion to cases/size. A total of 446 charts were reviewed and 443 charts had adequate data to be collected and cleaned Epi info version 7 analyzed by SPSS version 23. This study revealed several gaps regarding the use of pulse oximetry for diagnosis of hypoxemia and patient monitoring in hospital settings in Ethiopia. |
| Dataset study design | Cross-sectional survey |
| Date Data Archived | 2023-08-07 |
| Date Data Cataloged | 2023-08-16 |
| Data Generating Unit | CHAI |
| URL | https://rtds.ephi.gov.et/public/showdetail/493 |
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Open Access