Hypoxaemia on arrival in a multidisciplinary intensive care unit
Transport of the critically ill patient poses the risk of numerous complications. Hypoxaemia is one such serious adverse event and is associated with potential morbidity and mortality. It is, however, potentially preventable. To determine the incidence of hypoxaemia on arrival in a tertiary multidis...
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| Veröffentlicht in: | SAMJ: South African Medical Journal 2016-05, Vol.106 (5), p.510-513 |
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| creator | De Vasconcellos, Kim Skinner, David Lee Singh, Dhivendra |
| description | Transport of the critically ill patient poses the risk of numerous complications. Hypoxaemia is one such serious adverse event and is associated with potential morbidity and mortality. It is, however, potentially preventable.
To determine the incidence of hypoxaemia on arrival in a tertiary multidisciplinary intensive care unit (ICU) and to identify risk factors for this complication.
A retrospective observational study was conducted at King Edward VIII Hospital, Durban, South Africa, from May 2013 to February 2014.
Hypoxaemia occurred in 15.5% of admissions sampled. Statistically significant risk factors for hypoxaemia on univariate analysis (p |
| doi_str_mv | 10.7196/SAMJ.2016.v106i5.10251 |
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To determine the incidence of hypoxaemia on arrival in a tertiary multidisciplinary intensive care unit (ICU) and to identify risk factors for this complication.
A retrospective observational study was conducted at King Edward VIII Hospital, Durban, South Africa, from May 2013 to February 2014.
Hypoxaemia occurred in 15.5% of admissions sampled. Statistically significant risk factors for hypoxaemia on univariate analysis (p<0.05) included lack of peripheral capillary oxygen saturation (SpO2) monitoring, transfer by an intern as opposed to other medical/paramedical staff, and transfer from internal medicine. Use of neuromuscular blockers and transfer from theatre were protective. Binary logistic regression analysis revealed lack of SpO2 monitoring to be the only significant independent predictor of hypoxaemia (odds ratio 6.1; 95% confidence interval 1.5 - 24.5; p=0.02).
Hypoxaemia is common on admission to the ICU and may be prevented by simple interventions such as appropriate transport monitoring.</description><identifier>ISSN: 0256-9574</identifier><identifier>ISSN: 2078-5135</identifier><identifier>EISSN: 2078-5135</identifier><identifier>DOI: 10.7196/SAMJ.2016.v106i5.10251</identifier><identifier>PMID: 27138673</identifier><language>eng</language><publisher>South Africa: Health & Medical Publishing Group</publisher><subject>Analysis ; Care and treatment ; Health Care Sciences & Services ; Health Policy & Services ; Hypoxia ; Intensive care units ; Medical Ethics ; Medicine, General & Internal ; Medicine, Legal ; Medicine, Research & Experimental</subject><ispartof>SAMJ: South African Medical Journal, 2016-05, Vol.106 (5), p.510-513</ispartof><rights>COPYRIGHT 2016 Health & Medical Publishing Group</rights><rights>This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c363t-c13805b11968691be69acdd56e830ce510d7f03298bda8311d732fe99fd289363</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,860,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27138673$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>De Vasconcellos, Kim</creatorcontrib><creatorcontrib>Skinner, David Lee</creatorcontrib><creatorcontrib>Singh, Dhivendra</creatorcontrib><title>Hypoxaemia on arrival in a multidisciplinary intensive care unit</title><title>SAMJ: South African Medical Journal</title><addtitle>S Afr Med J</addtitle><description>Transport of the critically ill patient poses the risk of numerous complications. Hypoxaemia is one such serious adverse event and is associated with potential morbidity and mortality. It is, however, potentially preventable.
To determine the incidence of hypoxaemia on arrival in a tertiary multidisciplinary intensive care unit (ICU) and to identify risk factors for this complication.
A retrospective observational study was conducted at King Edward VIII Hospital, Durban, South Africa, from May 2013 to February 2014.
Hypoxaemia occurred in 15.5% of admissions sampled. Statistically significant risk factors for hypoxaemia on univariate analysis (p<0.05) included lack of peripheral capillary oxygen saturation (SpO2) monitoring, transfer by an intern as opposed to other medical/paramedical staff, and transfer from internal medicine. Use of neuromuscular blockers and transfer from theatre were protective. Binary logistic regression analysis revealed lack of SpO2 monitoring to be the only significant independent predictor of hypoxaemia (odds ratio 6.1; 95% confidence interval 1.5 - 24.5; p=0.02).
Hypoxaemia is common on admission to the ICU and may be prevented by simple interventions such as appropriate transport monitoring.</description><subject>Analysis</subject><subject>Care and treatment</subject><subject>Health Care Sciences & Services</subject><subject>Health Policy & Services</subject><subject>Hypoxia</subject><subject>Intensive care units</subject><subject>Medical Ethics</subject><subject>Medicine, General & Internal</subject><subject>Medicine, Legal</subject><subject>Medicine, Research & Experimental</subject><issn>0256-9574</issn><issn>2078-5135</issn><issn>2078-5135</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><recordid>eNpVUV1vFCEUJUZjt9W_0ExiYnyZEYby9eam0VZT40P1mbDAWBoGVpjZ2H_vHad-bAgBbs653HMOQucEd4Io_vZ2-_lT12PCuwPBPLCO4J6RJ2jTYyFbRih7ijZQ4q1i4uIEndZ6j-HNFH-OTnpBqOSCbtC764d9_mn8GEyTU2NKCQcTmwDXZpzjFFyoNuxjSKY8QHnyqYaDb6wpvplTmF6gZ4OJ1b98PM_Qtw_vv15etzdfrj5ebm9aSzmdWgsfYrYjMLvkiuw8V8Y6x7iXFFvPCHZiwLRXcueMpIQ4QfvBKzW4XipocYa6tS-M42PW93kuCT7Ut4tKvahc7MAYM9hUAOHNStiX_GP2ddIjSPExmuTzXDURUmDFeyoB-mqFfjfR65CGPBVjF7jeXoCX4C2W_yY4QsFy4J7NyQ8B6keE1_8R7ryJ013NcZ5CTvUYyFegLbnW4ge9L2EEwzXBeolbL3HrRZ9e49a_4wbi-aPGeTd695f2J1_6C2t8oPE</recordid><startdate>20160501</startdate><enddate>20160501</enddate><creator>De Vasconcellos, Kim</creator><creator>Skinner, David Lee</creator><creator>Singh, Dhivendra</creator><general>Health & Medical Publishing Group</general><general>Health and Medical Publishing Group</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>GPN</scope></search><sort><creationdate>20160501</creationdate><title>Hypoxaemia on arrival in a multidisciplinary intensive care unit</title><author>De Vasconcellos, Kim ; Skinner, David Lee ; Singh, Dhivendra</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c363t-c13805b11968691be69acdd56e830ce510d7f03298bda8311d732fe99fd289363</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Analysis</topic><topic>Care and treatment</topic><topic>Health Care Sciences & Services</topic><topic>Health Policy & Services</topic><topic>Hypoxia</topic><topic>Intensive care units</topic><topic>Medical Ethics</topic><topic>Medicine, General & Internal</topic><topic>Medicine, Legal</topic><topic>Medicine, Research & Experimental</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>De Vasconcellos, Kim</creatorcontrib><creatorcontrib>Skinner, David Lee</creatorcontrib><creatorcontrib>Singh, Dhivendra</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>SciELO</collection><jtitle>SAMJ: South African Medical Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>De Vasconcellos, Kim</au><au>Skinner, David Lee</au><au>Singh, Dhivendra</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hypoxaemia on arrival in a multidisciplinary intensive care unit</atitle><jtitle>SAMJ: South African Medical Journal</jtitle><addtitle>S Afr Med J</addtitle><date>2016-05-01</date><risdate>2016</risdate><volume>106</volume><issue>5</issue><spage>510</spage><epage>513</epage><pages>510-513</pages><issn>0256-9574</issn><issn>2078-5135</issn><eissn>2078-5135</eissn><abstract>Transport of the critically ill patient poses the risk of numerous complications. Hypoxaemia is one such serious adverse event and is associated with potential morbidity and mortality. It is, however, potentially preventable.
To determine the incidence of hypoxaemia on arrival in a tertiary multidisciplinary intensive care unit (ICU) and to identify risk factors for this complication.
A retrospective observational study was conducted at King Edward VIII Hospital, Durban, South Africa, from May 2013 to February 2014.
Hypoxaemia occurred in 15.5% of admissions sampled. Statistically significant risk factors for hypoxaemia on univariate analysis (p<0.05) included lack of peripheral capillary oxygen saturation (SpO2) monitoring, transfer by an intern as opposed to other medical/paramedical staff, and transfer from internal medicine. Use of neuromuscular blockers and transfer from theatre were protective. Binary logistic regression analysis revealed lack of SpO2 monitoring to be the only significant independent predictor of hypoxaemia (odds ratio 6.1; 95% confidence interval 1.5 - 24.5; p=0.02).
Hypoxaemia is common on admission to the ICU and may be prevented by simple interventions such as appropriate transport monitoring.</abstract><cop>South Africa</cop><pub>Health & Medical Publishing Group</pub><pmid>27138673</pmid><doi>10.7196/SAMJ.2016.v106i5.10251</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| language | eng |
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| source | African Journals Online (Open Access); DOAJ Directory of Open Access Journals; Sabinet African Journals Open Access Collection; Alma/SFX Local Collection; EZB Electronic Journals Library |
| subjects | Analysis Care and treatment Health Care Sciences & Services Health Policy & Services Hypoxia Intensive care units Medical Ethics Medicine, General & Internal Medicine, Legal Medicine, Research & Experimental |
| title | Hypoxaemia on arrival in a multidisciplinary intensive care unit |
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