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Oxygen saturation index: an adjunct for oxygenation index in congenital diaphragmatic hernia

Objective Our objective was to investigate the correlation of Oxygen Saturation Index (OSI) with Oxygenation Index (OI) and determine OSImax values that could predict need for ECMO and death in Congenital Diaphragmatic Hernia (CDH). Study design This is a retrospective cohort study of infants with C...

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Published in:Journal of perinatology 2024-03, Vol.44 (3), p.354-359
Main Authors: Hari Gopal, Srirupa, Martinek, Kelly F., Holmes, Amanda, Hagan, Joseph L., Fernandes, Caraciolo J.
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creator Hari Gopal, Srirupa
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description Objective Our objective was to investigate the correlation of Oxygen Saturation Index (OSI) with Oxygenation Index (OI) and determine OSImax values that could predict need for ECMO and death in Congenital Diaphragmatic Hernia (CDH). Study design This is a retrospective cohort study of infants with CDH admitted to a tertiary level VI NICU. Pearson’s correlation coefficient and simple linear regression analysis were used to investigate the OSI: OI correlation, and logistic regression analysis to investigate OSImax values that predicted need for ECMO and death. Results Among the 180 infants, OSImax value of >13 at 6 h of life (HOL) best predicted need for ECMO and death. There was a strong correlation between OSI: OI paired values (r = 0.876, p  
doi_str_mv 10.1038/s41372-023-01845-8
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Study design This is a retrospective cohort study of infants with CDH admitted to a tertiary level VI NICU. Pearson’s correlation coefficient and simple linear regression analysis were used to investigate the OSI: OI correlation, and logistic regression analysis to investigate OSImax values that predicted need for ECMO and death. Results Among the 180 infants, OSImax value of &gt;13 at 6 h of life (HOL) best predicted need for ECMO and death. There was a strong correlation between OSI: OI paired values (r = 0.876, p  &lt; 0.001). The linear regression equation was OI = −2.4 + 2.4(OSI). Conclusion OSI could be used as a valuable adjunct to OI in the clinical management of newborn infants with CDH.</description><identifier>ISSN: 0743-8346</identifier><identifier>EISSN: 1476-5543</identifier><identifier>DOI: 10.1038/s41372-023-01845-8</identifier><identifier>PMID: 38071241</identifier><language>eng</language><publisher>New York: Nature Publishing Group US</publisher><subject>692/308/409 ; 692/699/1785 ; Blood Gas Analysis ; Congenital diseases ; Correlation coefficient ; Correlation coefficients ; Death ; Diaphragm ; Diaphragm (Anatomy) ; Extracorporeal Membrane Oxygenation ; Hernia ; Hernias, Diaphragmatic, Congenital - therapy ; Humans ; Infant ; Infant, Newborn ; Infants ; Medicine ; Medicine &amp; Public Health ; Mortality ; Neonatal care ; Newborn babies ; Oxygen ; Oxygen content ; Oxygen Saturation ; Oxygenation ; Pediatric Surgery ; Pediatrics ; Regression analysis ; Retrospective Studies ; Saturation index</subject><ispartof>Journal of perinatology, 2024-03, Vol.44 (3), p.354-359</ispartof><rights>The Author(s), under exclusive licence to Springer Nature America, Inc. 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. 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Study design This is a retrospective cohort study of infants with CDH admitted to a tertiary level VI NICU. Pearson’s correlation coefficient and simple linear regression analysis were used to investigate the OSI: OI correlation, and logistic regression analysis to investigate OSImax values that predicted need for ECMO and death. Results Among the 180 infants, OSImax value of &gt;13 at 6 h of life (HOL) best predicted need for ECMO and death. There was a strong correlation between OSI: OI paired values (r = 0.876, p  &lt; 0.001). The linear regression equation was OI = −2.4 + 2.4(OSI). 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source Nexis UK; Springer Nature
subjects 692/308/409
692/699/1785
Blood Gas Analysis
Congenital diseases
Correlation coefficient
Correlation coefficients
Death
Diaphragm
Diaphragm (Anatomy)
Extracorporeal Membrane Oxygenation
Hernia
Hernias, Diaphragmatic, Congenital - therapy
Humans
Infant
Infant, Newborn
Infants
Medicine
Medicine & Public Health
Mortality
Neonatal care
Newborn babies
Oxygen
Oxygen content
Oxygen Saturation
Oxygenation
Pediatric Surgery
Pediatrics
Regression analysis
Retrospective Studies
Saturation index
title Oxygen saturation index: an adjunct for oxygenation index in congenital diaphragmatic hernia
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