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24‐hour oxygen saturation recordings in preterm infants: editing artefact
Author(s) -
Wellington Grace,
Elder Dawn,
Campbell Angela
Publication year - 2018
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.14293
Subject(s) - pulse oximetry , medicine , neonatal intensive care unit , oxygen saturation , anesthesia , pediatrics , oxygen , chemistry , organic chemistry
Aim To create editing guidelines for artefact removal in preterm infant pulse oximetry recordings. Methods 38 preterm infants ready for discharge home from the neonatal intensive care unit underwent 24‐hour pulse oximetry recording using the Masimo ® Rad‐8 device. An expert panel determined editing rules based on clinical protocols. For each recording, three reports were generated, ‘raw’ no editing, ‘auto’ using the software editing feature and ‘manual’ reviewed and edited according to the rules. Primary outcome measures were desaturation indices including desaturation index 3% and 4%. Secondary measures included heart rate, mean oxygen saturation and time below 90%. Results While all oximetry outcomes differed significantly between editing modes, the majority were not considered likely to influence clinical management. Use of the auto editing compared to no editing did alter by >5%: Time spent <90% oxygen saturation and Desaturation index 4% >10 seconds. The use of manual editing removed extremely low pulse values that were considered unphysiological in this group of otherwise healthy infants. Conclusion We recommend that oximetry recordings to determine cardiorespiratory stability in newborn infants ready for discharge from the neonatal unit have software editing features applied. This will remove artefact without consuming time in a busy unit.