Improved oxygen systems for childhood pneumonia: a multihospital effectiveness study in Papua New Guinea

Lancet
Trevor DukeD Peel

Abstract

In rural hospitals of developing countries, oxygen supplies are poor and detection of hypoxaemia is difficult. Oxygen concentrators and pulse oximeters might help to manage the disease; however, use of such technology in developing countries needs comprehensive assessment. We studied the effect of an improved oxygen system on death rate in children with pneumonia in Papua New Guinea. We installed an improved oxygen system in five hospitals in Papua New Guinea, and assessed its use in more than 11 000 children with pneumonia (2001-07) and compared case-fatality rates. Admissions between January, 2001, and December, 2004, formed the pre-intervention group, and those between July, 2005, and October, 2007, formed the post-intervention group. Oxygen concentrators and pulse oximeters were introduced in the five hospitals, and a protocol for detection of hypoxaemia and clinical use of oxygen was supplied. All children admitted had their oxygen saturation measured; if it was less than 90%, oxygen was delivered via nasal prongs at a starting flow rate of 0.5-1 L/min. We recorded all costs associated with the establishment and maintenance of this system. The study was approved by the Medical Research Advisory Committee of Papua New Guine...Continue Reading

References

Feb 1, 1991·British Journal of Anaesthesia·J Pedersen, M Nyrop
Jun 8, 1996·Lancet·M DobsonN Khallaf
Aug 1, 1996·Pediatric Pulmonology·M W WeberE K Mulholland
Mar 6, 2008·Annals of Tropical Paediatrics·Sens MataiTrevor Duke

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Citations

Feb 22, 2012·Intensive Care Medicine·Martin W DünserUNKNOWN Global Intensive Care Working Group of European Society of Intensive Care Medicine
Jan 1, 2010·International Journal of Emergency Medicine·Mark ForanThomas Burke
Sep 1, 2010·International Health·William LaganiTrevor Duke
Jan 28, 2014·The Lancet. Respiratory Medicine·Rasa IzadnegahdarShamim A Qazi
Apr 2, 2010·International Journal of Epidemiology·Evropi TheodoratouHarry Campbell
Apr 30, 2009·Journal of Tropical Pediatrics·Betuel SigaúquePedro L Alonso
Dec 16, 2011·Journal of Tropical Pediatrics·Amy Sarah GinsburgMike English
Apr 9, 2010·Current Opinion in Pulmonary Medicine·D M Gray, H J Zar
Jan 14, 2010·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Niranjan Kissoon
Jan 7, 2011·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Frank Shann
Jul 30, 2011·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Andrew C Argent
Dec 16, 2011·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Frederick M BurkleUNKNOWN Task Force for Pediatric Emergency Mass Critical Care
Nov 3, 2012·American Journal of Respiratory and Critical Care Medicine·Claire Panosian Dunavan
Oct 25, 2012·BMC Infectious Diseases·Akira SuzukiHitoshi Oshitani
Dec 15, 2010·BMC Pediatrics·Stephen NtoburiUNKNOWN Paediatric Quality of Hospital Care Indicator Panel
Apr 29, 2011·BMC Public Health·Alastair G CattoHarry Campbell
Mar 2, 2012·BMC International Health and Human Rights·Mia WestcottTenneth Dalipanda
Apr 20, 2011·Pediatrics·Albert ManasyanUNKNOWN Eunice Kennedy Shriver National Institute of Child Health and Human Development Global Network for Women's and Children's He
Jul 6, 2011·Pediatrics·Matthew CoghillUNKNOWN Eunice Kennedy Shriver National Institute of Child Health and Human Development Global Network for Women's and Children's He
Oct 31, 2009·Bulletin of the World Health Organization·Stephen R C HowieRichard A Adegbola
Dec 13, 2012·The International Journal of Tuberculosis and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease·M DaraUNKNOWN International Union Against Tuberculosis and Lung Disease
Apr 16, 2013·Lancet·Zulfiqar A BhuttaUNKNOWN Lancet Diarrhoea and Pneumonia Interventions Study Group
Apr 16, 2013·Transactions of the Royal Society of Tropical Medicine and Hygiene·Eric D McCollumNorman Lufesi
Aug 20, 2009·Annals of Tropical Paediatrics·T DukeB Frey
Jan 17, 2014·Archives of Disease in Childhood·Zohra S LassiZulfiqar A Bhutta
Feb 11, 2015·Global Heart·Vanessa B Kerry, Jagat Narula
Feb 11, 2015·Global Heart·Vanessa B Kerry, Sadath Sayeed
Feb 11, 2015·Global Heart·William A FischerJonathan Sevransky
Jan 2, 2015·Bulletin of the World Health Organization·Samantha L BurnRichard J Lilford
Feb 8, 2011·Critical Care Medicine·Elisabeth D RivielloMark W Newton
Jul 21, 2015·Pediatrics International : Official Journal of the Japan Pediatric Society·Pinar UygurGulnur Tokuc
Feb 27, 2016·Seminars in Fetal & Neonatal Medicine·Erik A JensenHaresh Kirpalani
Jan 1, 2016·American Journal of Respiratory and Critical Care Medicine·Arthur Kwizera, Martin W Dünser
Mar 28, 2009·The Lancet Infectious Diseases·Rami SubhiUNKNOWN Hypoxaemia in Developing Countries Study Group
Aug 19, 2008·Lancet·André M Cantin
Dec 17, 2008·Paediatric Anaesthesia·Tim Baker
Mar 19, 2014·Tropical Medicine & International Health : TM & IH·Amy Sarah GinsburgSamnang Chham
Jul 10, 2013·Journal of Paediatrics and Child Health·Ingrid Kirsten BucensMegan Counahan

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