An audit of oxygen supplementation in a large tertiary hospital - we should treat oxygen as any other drug
An audit of oxygen supplementation in a large tertiary hospital - we should treat oxygen as any other drug
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DOI：
10.1080/21548331.2020.1845018
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发表时间：
2021-03-15
期刊：
影响因子：
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通讯作者：
Stefan, Mihaela S.
中科院分区：
文献类型：
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作者：
Devoe, Neil C.;Kyriazis, Periklis;Stefan, Mihaela S.
目的：为了检查在三级医院住院的成年人中补充氧气（O2）的实践现状，我们记录了：接受O2的患者比例;他们的外周血氧饱和度（SpO 2）; SpO 2是否在目标范围内，高于或低于目标范围;患者是否有补充O2的订单和目标SpO 2范围。在811例住院患者中，153例（19%）接受补充O2。49%在推荐范围内，55%以上，1%以下。所有接受O2补充的COPD患者的SpO 2均超过92%，使他们面临高碳酸血症的风险。只有43%的患者对氧气有一个相关的顺序，只有52%的患者与O2的顺序有一个目标SpO 2 range.Conclusions：我们的研究结果表明，广泛的高氧在住院患者和氧气，一个非常常见的治疗，是经常没有任何书面命令管理。这些发现强调了对O2实施安全处方措施的机会，类似于其他处方药。
Objectives: To examine the current state of practice of oxygen (O2) supplementation in adults hospitalized in a tertiary hospital admitted to medical-surgical floors.Methods: We recorded: the proportion of patients on O2; their peripheral O2 saturation (SpO2); if the SpO2 was within, above, or below the target range; if patients had an order for O2 supplementation and a target SpO2 range.Results: Among 811 hospitalized patients, 153 (19%) were on supplemental O2. Forty-nine percent were in the recommended range, 55% above, and 1% below. All patients with COPD on O2 supplementation had a SpO2 of more than 92% exposing them to the risk of hypercarbia. Only 43% of patients on oxygen had an associated order and only 52% of patients with an O2 order had an order for a goal SpO2 range.Conclusions: Our results demonstrate widespread hyperoxia among hospitalized patients and that oxygen, a very common therapy, is being administered frequently without any written order. These findings highlight the opportunity to implement safe prescribing measures for O2, similar to other prescribed medications.