Relation between pulse oximetry and clinical score in infants with acute bronchiolitis

Shrikant Shete; Gautam Nagori; Punam Nagori; Muhammed Hamid

doi:10.5455/njppp.2014.4.111020131

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Natl J Physiol Pharm Pharmacol. 2014; 4(2): 124-127

doi: 10.5455/njppp.2014.4.111020131

Relation between pulse oximetry and clinical score in infants with acute bronchiolitis

Shrikant Shete, Gautam Nagori, Punam Nagori, Muhammed Hamid.

Cited By: 2

Abstract
Background: Bronchiolitis is inflammation of the bronchioles, the smallest air passages of the lungs. It is the most common severe viral lower respiratory tract infection of infancy. Clinical diagnosis remains the most important tool for diagnosis. Clinical diagnosis would be supplemented by pulse oximetry but pulse oximetry may not be always available.

Aims & Objective: To study Relation between SPO2 (oxygen saturation) and clinical score in children with acute bronchiolitis patients less than 12 months of age.

Materials and Methods: This was the cross sectional observational study done in paediatric department of Jhalawar medical college, Jhalawar. One hundred and forty two infants were evaluated by the single paediatrician. Modified Tal’s clinical score and SPO2 of the patient were recorded. Bonferroni analysis was used using Graph pad 5 prism software for statistical analysis.

Results: The mean (± SD) SpO2 value was 98.2 ± 1.3% for children with clinical scores of 2–5 (n = 32); 95.2 ± 0.9% for those with scores of 6–7 (n = 84), and 92.3 ± 0.87% for children with scores of 8–10 (n = 26), (P < 0.001 by Bonferroni’s multiple comparison, when all two-way comparisons were done for each pair of results). The clinical score showed a good correlation with SpO2 [ r =−0.734(P < 0.0001)].

Conclusion: We conclude that Modified Tal’s clinical score can be used as a primary tool to confirm severity of hypoxemia in infants with acute bronchiolitis even if pulse oximetry is not available.

Key words: Pulse Oximetry; SPO2; Modified Tal’s Clinical Score

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REFERENCES

1. Lieberthal AS, Bauchner H, Hall CB, Johnson DW, Kotagal U, Light MJ. et al. Diagnosis and Management of Bronchiolitis. Pediatrics.2006;118(4):1774-93. [DOI via Crossref] [Pubmed]

2. Tal A, Bavilski C, Yohai D, Bearman J, Gorodischer R, Moses S.Dexamethasone and salbutamol in the treatment of acute wheezingin infants. Pediatrics. 1983;71:13–18.

3. Mallol J, Barrueto L, Girardi G, Munoz R, Puppo H, Ulloa V, et al. Use of nebulized bronchodilators in infants under 1 year of age: analysis of four forms of therapy. Pediatr Pulmonol. 1987;3:289–303.

4. Wang E, Milner R, Navas L, Maj H. Observer agreement forrespiratory signs and oximetry in infants hospitalized with lowerrespiratory infections. Am Rev Respir Dis. 1992;145:106–109.

5. Margolis P, Ferkol T, Marsocci S, Super DM, Keyes LL, McNutt R, et al. Accuracy of the clinical examination in detecting hypoxemia in infants with respiratory illness. J Pediatr. 1994;124:552–560.

6. Kerem E, Canny G, Tibshirani R, Reisman J, Bentur L, Schuh S, et al. Clinical-physiologic correlations in acute asthma of childhood. Pediatrics. 1991;87:481–486

7. PavoÂ´n D, Castro-RodriÂ´guez JA, Rubilar L, Girardi G. Relation between pulse oximetry and clinical score in children with acute wheezing less than 24 months of age. Pediatr Pulmonol. 1999; 27:423–427.

8. Chin HJ, Seng QB. Reliability and Validity of the Respiratory Score in the Assessment of Acute Bronchiolitis. Malays J Med Sci. 2004; 11: 34–40.

9. McCallum GB, Morris PS, Wilson CC, Versteegh LA, Ward LM, Chatfield MD, et al. Severity scoring systems: Are they internally valid, reliable and predictive of oxygen use in children with acute bronchiolitis? Pediatr Pulmonol. 2013;48:797-803. [DOI via Crossref] [Pubmed]

10. Shaw KN, Bell LM, Sherman NH. Outpatient assessment of infants with bronchiolitis. Am J Dis Child. 1991;145:151–5.

11. Hall CB, Hall WJ, Speers DM. Clinical and physiological manifestations of bronchiolitis and pneumonia. Outcome of respiratory syncytial virus. Am J Dis Child. 1979;133:798–802.

12. Kaya Z, Turktas I. Correlation of clinical score to pulmonary function and oxygen saturation in children with asthma attack.Allergol Immunopathol (Madr). 2007;35(5):169-73. [DOI via Crossref]

13. Geelhoed G, Landau L, Le SoueÂ¨f P. Evaluation of SaO2 as a predictor of outcome in 280 children presenting with acute asthma. Ann Emerg Med. 1994;23:1236–1241.

14. Alario A, Lewander W, Dennehehy P, Seifer R, Mansell A. The relation between oxygen saturation and the clinical assessment of acutely wheezing infants and children. Pediatr Emerg Care. 1995; 11:331–334.

15. Sritippayawan S, Deerojanawong J, Prapphal N. Clinical score and arterial oxygen saturation in children with wheezing associated respiratory illness (WARI). J Med Assoc Thai. 2000;83(10):1215-22. [Pubmed]

16. Kerem E. Why do infants and small children breathe faster? PediatrPulmonol 1996;21:65–68.

17. Wohl ME, Stigol LC, Mead J. Resistance of the total respiratory system in healthy infants and infants with bronchiolitis. Pediatrics. 1969;43:495–509.

18. Mulholland E, Olinsky A, Shann F. Clinical findings and severity of acute bronchiolitis. Lancet. 1990;335:1259–1261

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How to Cite this Article

Pubmed Style

Shrikant Shete, Gautam Nagori, Punam Nagori, Muhammed Hamid. Relation between pulse oximetry and clinical score in infants with acute bronchiolitis. Natl J Physiol Pharm Pharmacol. 2014; 4(2): 124-127. doi:10.5455/njppp.2014.4.111020131

Web Style

Shrikant Shete, Gautam Nagori, Punam Nagori, Muhammed Hamid. Relation between pulse oximetry and clinical score in infants with acute bronchiolitis. https://www.njppp.com/?mno=43744 [Access: March 01, 2023]. doi:10.5455/njppp.2014.4.111020131

AMA (American Medical Association) Style

Shrikant Shete, Gautam Nagori, Punam Nagori, Muhammed Hamid. Relation between pulse oximetry and clinical score in infants with acute bronchiolitis. Natl J Physiol Pharm Pharmacol. 2014; 4(2): 124-127. doi:10.5455/njppp.2014.4.111020131

Vancouver/ICMJE Style

Shrikant Shete, Gautam Nagori, Punam Nagori, Muhammed Hamid. Relation between pulse oximetry and clinical score in infants with acute bronchiolitis. Natl J Physiol Pharm Pharmacol. (2014), [cited March 01, 2023]; 4(2): 124-127. doi:10.5455/njppp.2014.4.111020131

Harvard Style

Shrikant Shete, Gautam Nagori, Punam Nagori, Muhammed Hamid (2014) Relation between pulse oximetry and clinical score in infants with acute bronchiolitis. Natl J Physiol Pharm Pharmacol, 4 (2), 124-127. doi:10.5455/njppp.2014.4.111020131

Turabian Style

Shrikant Shete, Gautam Nagori, Punam Nagori, Muhammed Hamid. 2014. Relation between pulse oximetry and clinical score in infants with acute bronchiolitis. National Journal of Physiology, Pharmacy and Pharmacology, 4 (2), 124-127. doi:10.5455/njppp.2014.4.111020131

Chicago Style

Shrikant Shete, Gautam Nagori, Punam Nagori, Muhammed Hamid. "Relation between pulse oximetry and clinical score in infants with acute bronchiolitis." National Journal of Physiology, Pharmacy and Pharmacology 4 (2014), 124-127. doi:10.5455/njppp.2014.4.111020131

MLA (The Modern Language Association) Style

Shrikant Shete, Gautam Nagori, Punam Nagori, Muhammed Hamid. "Relation between pulse oximetry and clinical score in infants with acute bronchiolitis." National Journal of Physiology, Pharmacy and Pharmacology 4.2 (2014), 124-127. Print. doi:10.5455/njppp.2014.4.111020131

APA (American Psychological Association) Style

Shrikant Shete, Gautam Nagori, Punam Nagori, Muhammed Hamid (2014) Relation between pulse oximetry and clinical score in infants with acute bronchiolitis. National Journal of Physiology, Pharmacy and Pharmacology, 4 (2), 124-127. doi:10.5455/njppp.2014.4.111020131

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