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Research ArticleOriginal Research

The Objective Use of Pulse Oximetry to Predict Respiratory Support Transition in Preterm Infants: An Observational Pilot Study

Kemi K Mascoll-Robertson, Rose M Viscardi and Hyung C Woo
Respiratory Care April 2016, 61 (4) 416-422; DOI: https://doi.org/10.4187/respcare.04102
Kemi K Mascoll-Robertson
Department of Pediatrics, University of Maryland School of Medicine, Baltimore, Maryland.
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Rose M Viscardi
Department of Pediatrics, University of Maryland School of Medicine, Baltimore, Maryland.
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Hyung C Woo
Department of Pediatrics, University of Maryland School of Medicine, Baltimore, Maryland.
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    Fig. 1.

    Flow chart. Weaning success was defined as weaning to low-flow nasal cannula, room air, or oxygen hood for 7 d. Weaning failure was defined as returning to CPAP or high-flow nasal cannula within 72 h.

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    Fig. 2.

    Comparison of SpO2 histogram distribution pre-transition (A) and post-transition (B) between successful and failed transition groups. SpO2 histogram was recorded for the 24-h periods pre- and post-transition from either CPAP or high-frequency nasal cannula to low-frequency nasal cannula or room air. Data are expressed as mean ± SD. * P < .05.

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    Fig. 3.

    Comparison of SpO2 histogram distribution pre-transition (A) and post-transition (B) of subjects transitioned from CPAP or high-frequency nasal cannula (HFNC) to low-frequency nasal cannula or room air. Data are expressed as mean ± SD.

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    Fig. 4.

    Correlation between percent change in FIO2 post-transition and percentage of time with SpO2 <86% (A) and percentage of time with SpO2 >95% (B). For each subject, the percentage change in FIO2 post-transition was calculated. The Spearman's rank correlation test was used to calculate the correlation coefficient between percent change in FIO2 and percentage of time with SpO2 <86% and SpO2 >95% for the 24-h periods pre- and post-transition.

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Respiratory Care: 61 (4)
Respiratory Care
Vol. 61, Issue 4
1 Apr 2016
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The Objective Use of Pulse Oximetry to Predict Respiratory Support Transition in Preterm Infants: An Observational Pilot Study
Kemi K Mascoll-Robertson, Rose M Viscardi, Hyung C Woo
Respiratory Care Apr 2016, 61 (4) 416-422; DOI: 10.4187/respcare.04102

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The Objective Use of Pulse Oximetry to Predict Respiratory Support Transition in Preterm Infants: An Observational Pilot Study
Kemi K Mascoll-Robertson, Rose M Viscardi, Hyung C Woo
Respiratory Care Apr 2016, 61 (4) 416-422; DOI: 10.4187/respcare.04102
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Keywords

  • pulse oximetry
  • SpO2
  • histogram
  • respiratory support weaning
  • prematurity
  • CPAP
  • high-flow nasal cannula
  • HFNC

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