University of Alabama at Birmingham, Birmingham, AL, USA.
Nationwide Children's Hospital, Columbus, OH, USA.
J Perinatol. 2020 Jan;40(1):163-169. doi: 10.1038/s41372-019-0486-7. Epub 2019 Sep 10.
Maintaining preterm infants within a goal oxygen saturation range challenges care providers. Through periodic assessment of saturation trends on infants' bedside histogram reports, our initiative aimed to (1) increase time spent at goal saturations and (2) reduce death or severe retinopathy of prematurity.
The initiative integrated histogram monitoring into provider, respiratory, and nursing care. Achieved oxygen saturations, chart audits, and bedside histogram monitoring flowsheets provided process measures with the outcome measure of death or severe retinopathy of prematurity.
In infants <29 weeks' gestation (n = 518), the rate of death or severe retinopathy of prematurity prior to hospital discharge decreased from 32.1% to 18.0%. Time at goal saturations (90-95%) increased from 48.7% to 57.6%.
In infants born at <29 weeks' gestation, periodic, multidisciplinary oxygen saturation histogram monitoring improved time at goal saturations and was associated with a reduction in death or severe retinopathy of prematurity.
维持早产儿的目标氧饱和度范围对医护人员来说是一项挑战。通过定期评估婴儿床边直方图报告中的饱和度趋势，我们的计划旨在（1）增加目标饱和度时间，（2）降低死亡率或严重早产儿视网膜病变的发生率。
该计划将直方图监测纳入到医护人员、呼吸科和护理中。实际达到的氧饱和度、图表审核以及床边直方图监测流程表提供了过程指标，以死亡率或严重早产儿视网膜病变的发生率作为结果指标。
在<29 周胎龄的婴儿（n=518）中，出院前死亡率或严重早产儿视网膜病变的发生率从 32.1%降至 18.0%。目标饱和度（90-95%）时间从 48.7%增加到 57.6%。
对于出生时<29 周的婴儿，定期的多学科氧饱和度直方图监测可以提高目标饱和度时间，并与降低死亡率或严重早产儿视网膜病变的发生率相关。
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