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. Author manuscript; available in PMC: 2020 Oct 21.
Published in final edited form as: JAMA. 2020 Apr 21;323(15):1467–1477. doi: 10.1001/jama.2020.2998

Table 2.

Continuous pulse oximetry use in patients with bronchiolitis not receiving any supplemental oxygen or nasal cannula flow.

Unadjusted Adjustedb
Variable Total, n Continuously monitored with pulse oximetry, n Continuously monitored with pulse oximetry, % OR for use of continuous pulse oximetry 95% CI Category P value Composite P valuea OR for use of continuous pulse oximetry 95% CI Category P value Composite P valuea
Overall(n=56 hospitals) 3612 1679 46 N/A N/A N/A N/A N/A N/A N/A N/A
Age and gestational age categoryc
8 weeks through 5 months, preterm 183 103 56 1.78 1.12–2.83 .02 .11 2.58 1.65–4.02 <.001 <.001
8 weeks through 5 months, not preterm 1559 758 49 1.31 1.03–1.66 .03 1.51 1.12–2.03 .007
6 months through 11 months, preterm 107 47 44 1.08 0.74–1.59 .68 1.21 0.72–2.05 .48
6 months through 11 months, not preterm 894 402 45 1.13 0.89–1.43 .31 1.26 0.93–1.73 .14
12 months through 17 months, preterm 48 20 42 0.99 0.52–1.86 .97 0.77 0.38–1.58 .48
12 months through 17 months, not preterm 512 219 43 1.03 0.74–1.45 .85 1.01 0.72–1.42 .95
18 months through 23 months, preterm 23 10 43 1.06 0.46–2.47 .89 0.50 0.18–1.37 .18
18 months through 23 months, not preterm 286 120 42 [reference] [reference]
Sex
Male 2125 977 46 [reference] .52 Not includedb
Female 1485 702 47 1.05 0.90–1.23 .52
Raced
White 2034 938 46 [reference] .61 Not includedb
Other 1025 502 49 1.12 0.82–1.53 .47
Black or African American 553 239 43 0.90 0.62–1.28 .53
Ethnicityd
Not Hispanic or Latino 2454 1088 44 [reference] .11 Not includedb
Hispanic or Latino 766 410 54 1.45 1.05–1.98 .02
Unknown 259 123 48 1.14 0.77–1.68 .53
Other 133 58 44 0.97 0.62–1.51 .90
Time since weaning from supplemental oxygen or flowe
Never received 1190 442 37 [reference] <.001 [reference] <.001
Off < 1 hr 80 59 74 4.75 1.90–11.93 .001 5.01 2.76–9.07 <.001
Off 1 - < 2 hrs 148 108 73 4.57 2.50–8.35 <.001 5.97 3.84–9.30 <.001
Off 2 - < 4 hrs 244 166 68 3.60 2.31–5.61 <.001 5.55 3.91–7.89 <.001
Off 4 - < 6 hrs 234 135 58 2.31 1.49–3.58 <.001 2.96 2.13–4.13 <.001
Off 6 - < 12 hrs 505 276 55 2.04 1.42–2.93 <.001 2.12 1.65–2.72 <.001
Off 12 - < 24 hrs 687 302 44 1.33 0.98–1.80 .07 1.16 0.93–1.45 .20
Off 24 hrs + 499 179 36 0.95 0.68-1-31 .74 0.75 0.58–0.97 .03
Intensive care unit stay during present hospitalization
Yes 884 424 48 1.08 0.84–1.39 .54 .54 Not includedb
No 2728 1255 46 [reference]
Apnea or cyanosisf
Yes 235 128 54 1.41 1.07–1.86 .02 .02 1.40 1.01–1.93 .04 .04
No 3377 1551 46 [reference] [reference]
Comorbid condition associated with neurologic impairmentg
Yes 93 51 55 1.41 0.96–2.06 .08 .08 1.50 0.93–2.43 .10 .10
No 3519 1628 46 [reference] [reference]
Enteral feeding tube in placeh
Yes 305 176 58 1.64 1.23–2.17 <.001 <.001 1.98 1.46–2.67 <.001 <.001
No 3307 1503 45 [reference] [reference]
Hospital type
Freestanding (n=33) 2667 1198 45 [reference] .58 Not includedb
Children’s hospital within hospital (n=14) 591 317 54 1.42 0.74–2.73 .29
Community (n=9) 354 164 46 1.06 0.55–2.02 .86
Time of day observation performed
Day (10AM - 5PM) 2073 870 42 [reference] <.001 [reference] <.001
Night (11PM - 7AM) 1539 809 53 1.53 1.27–1.85 <.001 2.07 1.76–2.43 <.001

Abbreviations: CI, confidence interval; OR, odds ratio.

a

In variables with multiple categories, composite P-value obtained using Wald test.

b

The following variables met the pre-specified criteria (see Methods) to be included in the multivariable model: Age and gestational age category, time since weaning from supplemental oxygen or flow, apnea or cyanosis, comorbid condition associated with neurologic impairment, enteral feeding tube in place, and time of day observation performed. Ethnicity met initial criteria to enter the model based on having a bivariable association composite P value <.2 but was eliminated from the multivariable model for a composite P value of .34.

c

Not preterm included the following: documented gestational age 34 0/7 weeks and above, or absence of gestational age but documented as full term, or absence of gestational age but not labeled in chart as preterm or premature.

d

Patient family-reported race and ethnicity were abstracted from charts in categories defined by the Standards for the Classification of Federal Data on Race and Ethnicity, in compliance with NIH inclusion reporting policies. In this Table, “Other” race combines all of the following categories: American Indian or Alaska Native, Asian, Native Hawaiian or Pacific Islander, specified as more than one race, specified as other, specified as unknown.

e

Unknown time since weaning (n=25) excluded from Table.

f

Includes documentation of apnea or cyanosis occurring at home or in hospital during the present illness.

g

Static encephalopathy, cerebral palsy, hydrocephalus, spina bifida, epilepsy/seizure disorder, or hypotonia.

h

Nasogastric or gastrostomy.