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Frequency of undiagnosed hypoxia in admitted patients in Nishtar Hospital Multan,using pulse oximeter

Muhammad Wajahat Tariq, Shahid Pervaiz, Tahir Khan, Nida Akram, Nida Khalid, Syed Sarmad Ali Naqvi, Muhammad Atiq ul mannan, Muhammad Zubair Shaheen
European Respiratory Journal 2014 44: P3657; DOI:
Muhammad Wajahat Tariq
1Department of Pulmonology, Nishtar Hospital Multan, Multan, Punjab, Pakistan
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Shahid Pervaiz
1Department of Pulmonology, Nishtar Hospital Multan, Multan, Punjab, Pakistan
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Tahir Khan
1Department of Pulmonology, Nishtar Hospital Multan, Multan, Punjab, Pakistan
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Nida Akram
1Department of Pulmonology, Nishtar Hospital Multan, Multan, Punjab, Pakistan
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Nida Khalid
1Department of Pulmonology, Nishtar Hospital Multan, Multan, Punjab, Pakistan
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Syed Sarmad Ali Naqvi
1Department of Pulmonology, Nishtar Hospital Multan, Multan, Punjab, Pakistan
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Muhammad Atiq ul mannan
1Department of Pulmonology, Nishtar Hospital Multan, Multan, Punjab, Pakistan
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Muhammad Zubair Shaheen
1Department of Pulmonology, Nishtar Hospital Multan, Multan, Punjab, Pakistan
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Abstract

Background:Hypoxia may be the indicator of serious medical illness, if not corrected can have its impacts on mortality and morbidity.Diagnosing hypoxemia using pulse oximeter is a routine in well resourced clinical settings but in limited resourced settings,it is a rarity.

Objective:To find the frequency of undiagnosed hypoxia in admitted patients due to any illness.

Materials and Methods:This cross sectional study is conducted in Nishtar Hospital Multan, a tertiary care hospital.We included patients by simple random probability,from various wards.Oxygen saturation (SpO2) was checked with a handheld pulse oximeter.Hypoxia was diagnosed when resting room air SpO2 was less than 90%.

Results:296 patients were enrolled. 46 children (less than 15 years) and 250 were adults (15 years or older).Hypoxia was found in 25 patients (8.44%) in total,7 children (15.21%) and 18 adults (7.2%).In children,Pneumonia was most common while nephrotic syndrome and meningitis were other common illnesses found.In adults,hypoxia was more frequently noticed in post-operative cases of general surgery.Other hypoxic adults had respiratory ailments,IHD,CNS infections and CVA.None was previously diagnosed to have respiratory failure and none was on supplemental oxygen therapy at the time of diagnosis.Hypoxia was an incidental finding.Pulse oximetry enabled us to diagnose undiagnosed hypoxia and changed management leading to application of oxygen and further diagnostic testing.

Conclusion:Undiagnosed hypoxia was found in significant number of admitted patients.This supports that oxygen saturation checking with pulse oximeter should be the part of vitals monitoring of all admitted patients as their 5thvital sign.

  • Hypoxia
  • Oxygen therapy
  • Physiological diagnostic services
  • © 2014 ERS
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Frequency of undiagnosed hypoxia in admitted patients in Nishtar Hospital Multan,using pulse oximeter
Muhammad Wajahat Tariq, Shahid Pervaiz, Tahir Khan, Nida Akram, Nida Khalid, Syed Sarmad Ali Naqvi, Muhammad Atiq ul mannan, Muhammad Zubair Shaheen
European Respiratory Journal Sep 2014, 44 (Suppl 58) P3657;

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Frequency of undiagnosed hypoxia in admitted patients in Nishtar Hospital Multan,using pulse oximeter
Muhammad Wajahat Tariq, Shahid Pervaiz, Tahir Khan, Nida Akram, Nida Khalid, Syed Sarmad Ali Naqvi, Muhammad Atiq ul mannan, Muhammad Zubair Shaheen
European Respiratory Journal Sep 2014, 44 (Suppl 58) P3657;
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