Home Oxygen Therapy for Bronchiolitis: An Evaluation of the Primary Care Providers' Experience at Sea Level. (October 2018)

• Record Type: Journal Article
• Authors: Dunbar, Erin E.; Macy, Michelle L.; Cranford, James A.; Sroufe, Nicole; Lozon, Marie; Louie, Marisa C.
• Is Part Of: Clinical pediatrics. Volume 57:Number 11(2018)
• Page Start: 1304
• Page End: 1309
• Publication Date: 2018-10
• Subjects: bronchiolitis -- home oxygen therapy -- primary care provider -- sea level; Pediatrics -- Periodicals; 618.920005
• DOI: 10.1177/0009922818774342
• Languages: English
• ISSNs: 0009-9228

Abstract

Despite 90% of primary care providers at altitude reporting experience with home oxygen therapy for hypoxemic, otherwise well infants, its use at sea level is not well described. Our objective was to understand experience with home oxygen at sea level and determine potential barriers and benefits of its use. We surveyed all pediatricians and family medicine providers within a 30-mile radius of our pediatric hospital from May 2016 to December 2016. Forty-three percent of providers responded. Few (8%) had any experience with home oxygen therapy for bronchiolitis. When all responders were asked about potential benefits and barriers, they reported less disruption of family routines and reduced cost as the largest potential benefits, and lack of parental comfort the largest barrier. Despite their concerns, 53% of providers felt that home oxygen use would not substantially affect their practice. Our results identify a need for education before using this alternative to admission in our center.