COVID‐19—The impact of variable and “low normal” pulse oximetry scores on Oximetry@Home services and clinical pathways: Confounding variables?
Abstract COVID‐19 Oximetry@Home services have been commissioned nationally. This allows higher‐risk patients with mild COVID‐19 symptoms to remain at home, being supplied with a Pulse Oximeter to measure their oxygen saturation (SpO2) two to three times daily for two weeks. Patients record their rea...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-07-01
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| Series: | Nursing Open |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/nop2.957 |
| _version_ | 1818546684161949696 |
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| author | Nicholas Harland Jane Greaves Elizabeth Fuller |
| author_facet | Nicholas Harland Jane Greaves Elizabeth Fuller |
| author_sort | Nicholas Harland |
| collection | DOAJ |
| description | Abstract COVID‐19 Oximetry@Home services have been commissioned nationally. This allows higher‐risk patients with mild COVID‐19 symptoms to remain at home, being supplied with a Pulse Oximeter to measure their oxygen saturation (SpO2) two to three times daily for two weeks. Patients record their readings manually or electronically which are monitored by a clinical team. Clinical decisions, using an algorithm, are based on SpO2 readings in a narrow range with 1–2 point changes potentially affecting care. In this article, we discussed the problem that multiple factors affect SpO2 readings, and that some “normal” individuals will have “low‐normal” scores at the threshold of clinical management, without any known respiratory problem. We discuss the potential magnitude of this problem based on the associated literature and consider how this will have an impact on the use of the Oximetry@home services, potentially partially confounding their purpose; to reduce face‐to‐face medical care. |
| first_indexed | 2024-12-12T07:56:31Z |
| format | Article |
| id | doaj.art-1a609b09b7814e2a99c059d171147f19 |
| institution | Directory Open Access Journal |
| issn | 2054-1058 |
| language | English |
| last_indexed | 2024-12-12T07:56:31Z |
| publishDate | 2022-07-01 |
| publisher | Wiley |
| record_format | Article |
| series | Nursing Open |
| spelling | doaj.art-1a609b09b7814e2a99c059d171147f192022-12-22T00:32:17ZengWileyNursing Open2054-10582022-07-01941980198310.1002/nop2.957COVID‐19—The impact of variable and “low normal” pulse oximetry scores on Oximetry@Home services and clinical pathways: Confounding variables?Nicholas Harland0Jane Greaves1Elizabeth Fuller2Faculty of Health Science and Wellbeing Helen McArdle Nursing and Care Research Institute University of Sunderland Sunderland UKNorthumbria University Newcastle upon Tyne UKSouth Tyneside NHS Foundation Trust South Shields UKAbstract COVID‐19 Oximetry@Home services have been commissioned nationally. This allows higher‐risk patients with mild COVID‐19 symptoms to remain at home, being supplied with a Pulse Oximeter to measure their oxygen saturation (SpO2) two to three times daily for two weeks. Patients record their readings manually or electronically which are monitored by a clinical team. Clinical decisions, using an algorithm, are based on SpO2 readings in a narrow range with 1–2 point changes potentially affecting care. In this article, we discussed the problem that multiple factors affect SpO2 readings, and that some “normal” individuals will have “low‐normal” scores at the threshold of clinical management, without any known respiratory problem. We discuss the potential magnitude of this problem based on the associated literature and consider how this will have an impact on the use of the Oximetry@home services, potentially partially confounding their purpose; to reduce face‐to‐face medical care.https://doi.org/10.1002/nop2.957COVID‐19pulse oximeteroxygen saturationoximetry@home |
| spellingShingle | Nicholas Harland Jane Greaves Elizabeth Fuller COVID‐19—The impact of variable and “low normal” pulse oximetry scores on Oximetry@Home services and clinical pathways: Confounding variables? Nursing Open COVID‐19 pulse oximeter oxygen saturation oximetry@home |
| title | COVID‐19—The impact of variable and “low normal” pulse oximetry scores on Oximetry@Home services and clinical pathways: Confounding variables? |
| title_full | COVID‐19—The impact of variable and “low normal” pulse oximetry scores on Oximetry@Home services and clinical pathways: Confounding variables? |
| title_fullStr | COVID‐19—The impact of variable and “low normal” pulse oximetry scores on Oximetry@Home services and clinical pathways: Confounding variables? |
| title_full_unstemmed | COVID‐19—The impact of variable and “low normal” pulse oximetry scores on Oximetry@Home services and clinical pathways: Confounding variables? |
| title_short | COVID‐19—The impact of variable and “low normal” pulse oximetry scores on Oximetry@Home services and clinical pathways: Confounding variables? |
| title_sort | covid 19 the impact of variable and low normal pulse oximetry scores on oximetry home services and clinical pathways confounding variables |
| topic | COVID‐19 pulse oximeter oxygen saturation oximetry@home |
| url | https://doi.org/10.1002/nop2.957 |
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