Evidence map›Paper›PMID 41127747›Full record

ArticleCureus2025

Clinical Audit of Acute Oxygen Therapy: Enhancing Patient Care at Dammar Teaching Hospital.

Mohand Tag Elsser Mohammed Albadwy, Salma Abdalla Elshaikh, Ali Ahmed, Faris Jamalaldeen Mohammed Hamed, Amjad Ahmed, Mozaffar Sirelkhatim Elzain Abdalla, Amer Rababah, Marwa Abdelrazig Eljack Ibrahim, Mazin Mamoun Badawi Khalifa, Ahmed Shakir Ali Yousif and 10 more

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

20 authors.

Mohand Tag Elsser Mohammed AlbadwySurgery, National University, Khartoum, SDN.
Salma Abdalla ElshaikhInternal Medicine, Ministry of Health and Prevention (MOHAP), Ajman, ARE.
Ali AhmedEmergency Medicine, Prince Abdulaziz Bin Musaad Hospital, Arar, SAU.
Faris Jamalaldeen Mohammed HamedGeneral Practice, Al Neelain University, Khartoum, SDN.
Amjad AhmedEmergency Medicine, Withybush General Hospital, Haverfordwest, GBR.
Mozaffar Sirelkhatim Elzain AbdallaAnaesthesiology, Prince Othman Digna Teaching Hospital, Port Sudan, SDN.
Amer RababahGeneral Practice, Jabal Al-Zaitoon Hospital, Amman, JOR.
Marwa Abdelrazig Eljack IbrahimGeneral Practice, Omdurman Islamic University, Khartoum, SDN.
Mazin Mamoun Badawi KhalifaRespiratory Medicine, The Grange University Hospital, Cwmbran, GBR.
Ahmed Shakir Ali YousifUrology, Gezira Hospital for Renal Diseases and Surgery, Wad Medani, SDN.
Mohammed MohammednoorMedicine, University of Khartoum, Khartoum, SDN.
Asim Faisal Awad IbrahimColorectal Surgery, Beaumont Hospital, Dublin, IRL.
Islam Yahia Abdalrahman YagoubEmergency Medicine, University of Khartoum, Khartoum, SDN.
Ibrahim ElbashirMedicine, University of Khartoum, Khartoum, SDN.
Mohamed AbdelbasitEmergency Medicine, King Khalid Civilian Hospital, Tabuk, SAU.
Muaz Abdullah Ahmed AliGeneral Medicine, University of Sinnar, Khartoum, SDN.
Tasneem Sulieman M TahameedGeneral Medicine, National Ribat University, Khartoum, SDN.
Hanaa Ahmed Khalifa ElaminInternal Medicine, Dongola Specialized Hospital, Dongola, SDN.
Mustafa MohamedInternal Medicine, Prince Othman Digna Teaching Hospital, Port Sudan, SDN.
Mohammed Sid AhmedInternal Medicine, Dammar Teaching Hospital, Dammar, SDN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOxygen therapy is a critical component of acute care, yet inappropriate administration remains a frequent concern, particularly in resource-limited contexts such as Sudan. Challenges with guideline adherence, infrastructure, and staff training necessitate clinical audits for quality improvement.

objectiveThe objective of the study is to assess compliance with oxygen therapy guidelines at Dammar Teaching Hospital and evaluate the impact of targeted interventions on optimizing acute oxygen delivery.

methodThe study is a prospective two-cycle clinical audit (Cycle 1: June-July 2024, n = 50; Cycle 2: December 2024, n = 40) against standards. Interventions included staff training and standardized checklists. Compliance was measured across nine parameters (device-specific flow rates, documentation, weaning, etc.).

resultsCompliance improved in several domains after the intervention. Correct device and flow use increased markedly for nasal cannula (50.0% to 92.3%) and non-rebreather masks (61.9% to 100.0%). Documentation also improved, with target SpO₂ recording in type 2 respiratory failure rising from 69.0% to 100.0% and routine SpO₂ monitoring from 50.0% to 82.1%. Immediate oxygen delivery for patients at risk of hypoxemia increased from 16.7% to 70.0%. However, compliance declined in oxygen weaning (76.2% to 45.0%) and timely discontinuation (78.6% to 47.5%).

conclusionEducational interventions and clinical tools were associated with improved adherence to guidelines in oxygen delivery and documentation. However, declines in weaning/discontinuation highlight persistent de-escalation challenges. Sustained progress may require iterative audits, protocol reinforcement, and integration into electronic health records, which could provide a scalable model for similar settings.

Indexed as

british thoracic society (bts)clinical auditguideline adherenceoxygen therapyquality improvement

Identifiers

PMID41127747
PMCPMC12539038

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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.