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Updated: Jan 20, 2026
Special considerations while measuring oxygen saturation
Oxygen saturation thresholds in bronchiolitis: examining admissions
Tim J van Hasselt1, Bhavna Singham2, Eve Bassett3
1Department of General Paediatrics, Walsall Manor Hospital, Walsall, UK t.vanhasselt@nhs.net.
Objective:
Examine admissions for bronchiolitis, comparing centres with oxygen saturation thresholds for admission of 90% versus 92%.
Design:
Prospective multi-centre service evaluation, all admissions for bronchiolitis during 4-week period, November 2018.
Setting:
Paediatric departments across 12 hospitals in the West Midlands, UK.
Patients:
320 patients aged 6 weeks-1 year, diagnosis of bronchiolitis, exclusions: chronic illness or high dependency/intensive care admission.
Main Outcome Measures:
Reason for admission, admission saturations and length of stay.
Results:
Inadequate feeding was the the most common reason for admission (80%). Only 20 patients were admitted solely because of low saturations. Median peripheral oxygen saturation in this group was 88%. Median length of stay in 90% centres was 41 hours, against 59 hours for 92% centres (p=0.0074).
Conclusions:
Few patients were admitted solely due to low oxygen saturations, only one had a potentially avoidable admission if thresholds were 90%. Length of stay was significantly reduced in the 90% threshold centres.
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