What is the role of pulse oximetry in the assessment of patients with community-acquired pneumonia in primary care?

Primary Care Respiratory Journal

Volumn 19, Issue 4, 2010, Pages 378-382

  Bewick, Thomas ^a   Greenwood, Sonia ^a   Lim, Wei Shen ^a  

^a NOTTINGHAM CITY HOSPITAL   (United Kingdom)

Author keywords

Oxygenation; Pneumonia; Primary care; Pulse oximetry; Severity

Indexed keywords

ADULT; ADVERSE OUTCOME; AGE DISTRIBUTION; AGED; AMBIENT AIR; ARTICLE; ASTHMA; COHORT ANALYSIS; COMMUNITY ACQUIRED PNEUMONIA; CONTROLLED CLINICAL TRIAL; DIAGNOSTIC TEST ACCURACY STUDY; DISEASE SEVERITY; FEMALE; HUMAN; INTENSIVE CARE; MAJOR CLINICAL STUDY; MALE; MORTALITY; OXYGEN SATURATION; PRIMARY MEDICAL CARE; PROGNOSIS; PROSPECTIVE STUDY; PULSE OXIMETRY; SCORING SYSTEM; SENSITIVITY AND SPECIFICITY; UNITED KINGDOM;

AGED; FEMALE; HOSPITAL MORTALITY; HUMANS; MALE; MIDDLE AGED; OXIMETRY; OXYGEN; PNEUMONIA; PRIMARY HEALTH CARE; PROGNOSIS; SENSITIVITY AND SPECIFICITY; SEVERITY OF ILLNESS INDEX; TREATMENT OUTCOME;

EID: 79551617341     PISSN: 14714418     EISSN: 14751534     Source Type: Journal    
DOI: 10.4104/pcrj.2010.00049     Document Type: Article

References (24)

1. Myles PR, McKeever TM, Pogson Z, Smith CJP, Hubbard RB. The incidence of pneumonia using data from a computerized general practice database. Epidemiol Infect 2009;137(5):709-16. http://dx.doi.org/10.1017/S0950268808001428.
2. Trotter CL, Stuart JM, George R, Miller E. Increasing hospital admissions for pneumonia, England. Emerg Infect Dis 2008;14(5):727-33. http://dx.doi.org/10.3201/eid1405.071011
3. Woodhead MA, Macfarlane JT, McCracken JS, Rose DH, Finch RG. Prospective study of the aetiology and outcome of pneumonia in the community. Lancet 1987;1(8534):671-4. http://dx.doi.org/10.1016/S0140-6736(87)90430-2
4. Lim WS, Macfarlane JT, Boswell TC, et al. Study of community acquired pneumonia aetiology (SCAPA) in adults admitted to hospital: implications for management guidelines. Thorax 2001;56(4):296-301. http://dx.doi.org/10.1136/thorax.56.4.296
5. Chalmers JD, Singanayagam A, Hill AT. C-reactive protein is an independent predictor of severity in community-acquired pneumonia. Am J Med 2008;121(3):219-25. http://dx.doi.org/10.1016/j.amjmed.2007.10.033.
6. Lim WS, van der Eerden MM, Laing R, et al. Defining community acquired pneumonia severity on presentation to hospital: an international derivation and validation study. Thorax 2003;58(5):377-82. http://dx.doi.org/10.1136/thorax.58.5.377
7. Ewig S, Birkner N, Strauss R, et al. New perspectives on community-acquired pneumonia in 388 406 patients. Results from a nationwide mandatory performance measurement programme in healthcare quality. Thorax 2009;64(12):1062-9. http://dx.doi.org/10.1136/thx.2008.109785.
8. Man SY, Lee N, Ip M, et al. Prospective comparison of three predictive rules for assessing severity of community-acquired pneumonia in Hong Kong. Thorax 2007;62(4):348-53. http://dx.doi.org/10.1136/thx.2006.069740.
9. Bauer TT, Ewig S, Marre R, Suttorp N, Welte T, Group CAPNETZS. CRB-65 predicts death from community-acquired pneumonia. J Intern Med 2006;260(1):93-101.http://dx.doi.org/10.1111/j.1365-2796.2006.01657.x
10. Lim WS, Baudouin SV, George RC, et al. BTS guidelines for the management of community acquired pneumonia in adults: update 2009. Thorax 2009;64 Suppl 3:iii1-ii55. http://dx.doi.org/10.1136/thx.2009.121434.
11. Potter VAJ. Pulse oximetry in general practice: how would a pulse oximeter influence patient management? Eur J Gen Pract 2007;13(4):216-20.http://dx.doi.org/10.1080/13814780701574762.
12. Levy ML, Jeune IL, Woodhead MA, Macfarlaned JT, Lim WS, on behalf of the British Thoracic Society Community Acquired Pneumonia in Adults Guideline Group. Primary care summary of the British Thoracic Society Guidelines for the management of community acquired pneumonia in adults: 2009 update. Endorsed by the Royal College of General Practitioners and the Primary Care Respiratory Society UK. Prim Care Resp J 2010;19(1):21-7. http://dx.doi.org/10.4104/pcrj.2010.00014
13. Rosón B, Carratalà J, Dorca J, Casanova A, Manresa F, Gudiol F. Etiology, reasons for hospitalization, risk classes, and outcomes of community-acquired pneumonia in patients hospitalized on the basis of conventional admission criteria. Clin Infect Dis 2001;33(2):158-65. http://dx.doi.org/10.1086/321808.
14. Mortensen EM, Coley CM, Singer DE, et al. Causes of death for patients with community-acquired pneumonia: results from the Pneumonia Patient Outcomes Research Team cohort study. Arch Intern Med 2002;162(9):1059-64. http://dx.doi.org/10.1001/archinte.162.9.1059
15. España PP, Capelastegui A, Gorordo I, et al. Development and validation of a clinical prediction rule for severe community-acquired pneumonia. Am J Respir Crit Care Med 2006;174(11):1249-56. http://dx.doi.org/10.1164/rccm.200602-177OC.
16. Wu CL, Lin FJ, Lee SY, et al. Early evolution of arterial oxygenation in severe community-acquired pneumonia: a prospective observational study. J Crit Care 2007;22(2):129-36. http://dx.doi.org/10.1016/j.jcrc.2006.06.009.
17. Sanz F, Restrepo MI, Fernández E, et al. Is it possible to predict which patients with mild pneumonias will develop hypoxemia? Respir Med 2009;103(12):1871-7.http://dx.doi.org/10.1016/j.rmed.2009.06.013.
18. Mower WR, Sachs C, Nicklin EL, Safa P, Baraff LJ. Effect of routine emergency department triage pulse oximetry screening on medical management. Chest 1995;108(5):1297-1302. http://dx.doi.org/10.1378/chest.108.5.1297
19. Blot SI, Rodriguez A, Solé-Violán J, et al. Effects of delayed oxygenation assessment on time to antibiotic delivery and mortality in patients with severe communityacquired pneumonia. Crit Care Med 2007;35(11):2509-14. http://dx.doi.org/10.1097/01.CCM.0000287587.43801.9C
20. Levin KP, Hanusa BH, Rotondi A, et al. Arterial blood gas and pulse oximetry in initial management of patients with community-acquired pneumonia. J Gen Intern Med 2001;16(9):590-8. http://dx.doi.org/10.1046/j.1525-1497.2001.016009590.x
21. Neff TA. Routine oximetry. A fifth vital sign? Chest 1988;94(2):227.http://dx.doi.org/10.1378/chest.94.2.227a
22. Thrush DN, Downs JB, Hodges M, Smith RA. Does significant arterial hypoxemia alter vital signs? J Clin Anesth 1997;9(5):355-7. http://dx.doi.org/10.1016/S0952-8180(97)00061-5
23. Pedersen T, Pedersen BD, Møller AM. Pulse oximetry for perioperative monitoring. Cochrane Database Syst Rev. 2003;(3):CD002013. http://dx.doi.org/10.1002/14651858.CD002013.
24. Delclaux C, L'Her E, Alberti C, et al. Treatment of acute hypoxemic nonhypercapnic respiratory insufficiency with continuous positive airway pressure delivered by a face mask: A randomized controlled trial. JAMA 2000;284(18):2352-60.