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[A cross-sectional study in three German hospitals regarding oxygen therapy characteristics].
- Source :
-
Pneumologie (Stuttgart, Germany) [Pneumologie] 2022 Oct; Vol. 76 (10), pp. 697-704. Date of Electronic Publication: 2022 Oct 18. - Publication Year :
- 2022
-
Abstract
- Background: Oxygen (O2) therapy is one of the most commonly applied medications in German hospitals and rescue services. Both hypoxemia and hyperoxemia can be associated with complications. There is currently a lack of reliable data on the use, documentation and surveillance of O2-therapy in German hospitals.<br />Methods: We conducted a cross-sectional study on the use of O2 in three hospitals in Hannover, Germany.<br />Results: Of 343 patients included in this study, 20 % received O2 therapy. Twenty-nine percent of patients receiving O2 were at increased risk for hypercapnia. A standard operating procedure (SOP) for O2 therapy was available in only 68 % of patients. In 22 % patients the applied O2-therapy was appropriate in the context of the documented vital parameters. A complete documentation of vital parameters was conducted in only 30 % of all patients and 41 % of patients receiving O2-therapy. A surveillance of O2-therapy using capillary or arterial blood gas analysis was performed in 76 % of patients. Here, 64 % of patients showed normoxemia, 17 % showed hyperoxemia and 19 % of patients showed hypoxemia. The only identifiable predictor for an adequate O2-therapy was a previous invasive ventilation.<br />Discussion: Our data point towards and inadequate prescription, application and documentation of O2 therapy. The recently released German S3-guideline should be used to increase awareness among physicians and nursing staff regarding the use of O2-therapy to improve O2 therapy and consequently patient safety.<br />Competing Interests: Jens Gottlieb und Thomas Fühner sind Autoren der S3-Leitlinie ,Sauerstoff in der Akuttherapie beim Erwachsenen‘; die anderen Autoren geben an, keinen Interessenkonflikt zu haben.<br /> (Thieme. All rights reserved.)
Details
- Language :
- German
- ISSN :
- 1438-8790
- Volume :
- 76
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- Pneumologie (Stuttgart, Germany)
- Publication Type :
- Academic Journal
- Accession number :
- 36257309
- Full Text :
- https://doi.org/10.1055/a-1916-1505