COVID‐19—The impact of variable and “low normal” pulse oximetry scores on Oximetry@Home services and clinical pathways: Confounding variables?
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 man...
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| Published in | Nursing Open Vol. 9; no. 4; pp. 1980 - 1983 |
|---|---|
| Main Authors | , , |
| Format | Journal Article Web Resource |
| Language | English |
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United States
John Wiley & Sons, Inc
01.07.2022
John Wiley and Sons Inc Wiley |
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| 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. |
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| AbstractList | 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. 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 (SpO ) 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 SpO readings in a narrow range with 1-2 point changes potentially affecting care. In this article, we discussed the problem that multiple factors affect SpO 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. 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 (SpO 2 ) 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 SpO 2 readings in a narrow range with 1–2 point changes potentially affecting care. In this article, we discussed the problem that multiple factors affect SpO 2 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. 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. 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 (SpO 2 ) 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 SpO 2 readings in a narrow range with 1–2 point changes potentially affecting care. In this article, we discussed the problem that multiple factors affect SpO 2 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. |
| Author | Fuller, Elizabeth Harland, Nicholas Greaves, Jane |
| AuthorAffiliation | 3 South Tyneside NHS Foundation Trust South Shields UK 2 Northumbria University Newcastle upon Tyne UK 1 Faculty of Health Science and Wellbeing Helen McArdle Nursing and Care Research Institute University of Sunderland Sunderland UK |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/34161659$$D View this record in MEDLINE/PubMed |
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| Copyright | 2021 The Authors. published by John Wiley & Sons Ltd. 2021 The Authors. Nursing Open published by John Wiley & Sons Ltd. 2021. This work is published under http://creativecommons.org/licenses/by/4.0 (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. 2022. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. |
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| Snippet | COVID‐19 Oximetry@Home services have been commissioned nationally. This allows higher‐risk patients with mild COVID‐19 symptoms to remain at home, being... COVID-19 Oximetry@Home services have been commissioned nationally. This allows higher-risk patients with mild COVID-19 symptoms to remain at home, being... Abstract COVID‐19 Oximetry@Home services have been commissioned nationally. This allows higher‐risk patients with mild COVID‐19 symptoms to remain at home,... Abstract COVID‐19 Oximetry@Home services have been commissioned nationally. This allows higher‐risk patients with mild COVID‐19 symptoms to remain at home,... |
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| StartPage | 1980 |
| SubjectTerms | Bradycardia Confounding (Statistics) Confounding Factors, Epidemiologic Coronaviruses COVID-19 Critical Pathways Discursive Humans Medical technology Oximetry oximetry@home Oxygen Oxygen saturation Patients Population pulse oximeter Pulse oximetry |
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| Title | COVID‐19—The impact of variable and “low normal” pulse oximetry scores on Oximetry@Home services and clinical pathways: Confounding variables? |
| URI | https://onlinelibrary.wiley.com/doi/abs/10.1002%2Fnop2.957 https://www.ncbi.nlm.nih.gov/pubmed/34161659 https://www.proquest.com/docview/2544388247 https://www.proquest.com/docview/2675591607 https://search.proquest.com/docview/2544882231 https://pubmed.ncbi.nlm.nih.gov/PMC8441634 https://doaj.org/article/1a609b09b7814e2a99c059d171147f19 |
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