Evidence map›Paper›PMID 33147128›Full record

ArticleJournal of hospital medicine2020

Validity of Continuous Pulse Oximetry Orders for Identification of Actual Monitoring Status in Bronchiolitis.

Patrick W Brady, Amanda C Schondelmeyer, Christopher P Landrigan, Rui Xiao, Canita Brent, Christopher P Bonafide, Pediatric Research in Inpatient Settings (PRIS) Network

Open access · greenAbstract read
In one paragraph

Article in Journal of hospital medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Patrick W BradyDivision of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Amanda C SchondelmeyerDivision of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Christopher P LandriganDivision of General Pediatrics, Department of Pediatrics, Boston Children's Hospital, Boston, Massachusetts.
Rui XiaoDepartment of Biostatistics, Epidemiology, and Informatics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
Canita BrentSection of Pediatric Hospital Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Christopher P BonafideSection of Pediatric Hospital Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Pediatric Research in Inpatient Settings (PRIS) Network
Children's Hospital of Philadelphia · USCincinnati Children's Hospital Medical Center · USBrigham and Women's Hospital · USUniversity of Pennsylvania · US

Funding

Preparing for a hybrid trial of pulse oximetry de-implementation in stable infants with bronchiolitisU01HL143475 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI BONAFIDE, CHRISTOPHER PETER · 2018 to 2019
$1.2M
Impacts of False Alarms in Critically Ill Patients with Heart and Lung FailureK23HL116427 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI BONAFIDE, CHRISTOPHER PETER · 2014 to 2018
$866k
The Patient and Parent Perspective on Alarm Use (PAUSE) StudyK08HS026763 · AHRQ · CINCINNATI CHILDRENS HOSP MED CTR · PI SCHONDELMEYER, AMANDA · 2019 to 2023
$750k
Family-Clinician Partnerships to Improve Child Safety in the HospitalK08HS023827 · AHRQ · CINCINNATI CHILDRENS HOSP MED CTR · PI BRADY, PATRICK · 2015 to 2019
$744k
AHRQ HHS K08 HS023827AHRQ HHS K08 HS026763NHLBI NIH HHS K23 HL116427NHLBI NIH HHS U01 HL143475
6 · The paper itself

Abstract

The accuracy of pulse oximetry monitor orders for identifying infants with bronchiolitis who are being continuously monitored is unknown. In this 56-hospital repeated cross-sectional study, investigators used direct bedside observation to determine continuous pulse oximetry monitor use and then assessed if an active continuous monitoring order was present in the electronic health record. Investigators completed 3,612 observations of infants aged 8 weeks to 23 months hospitalized with bronchiolitis and on room air. Most monitored infants did not have an active monitoring order (sensitivity 49% [95% CI, 41-57]). The positive predictive value of a monitoring order was 77% (95% CI, 72-82), and the negative predictive value was 69% (95% CI, 61-77). Teams intending to measure continuous pulse oximetry use should understand the limitations of using electronic health record orders as a stand-alone measure.

Indexed as

BronchiolitisOximetryCross-Sectional StudiesHumansInfantMonitoring, Physiologic

Identifiers

PMID33147128
PMCPMC7657657
OpenAlexW3093953101

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.