Pulse Oximetry Targets in Extremely Premature Infants and Associated Mortality: One-Size May Not Fit All

J Nat Sci. 2018;4(6):e508.

Abstract

Oxygen saturation targets in premature infants have been investigated in multiple international randomized controlled trials. Some trials have shown increased mortality with targeting lower (85% to 89%) compared to higher (91% to 95%) oxygen saturation ranges, while others have not. We will review the mortality outcomes of the largest multi-centered trials and a post hoc study that observed increased mortality at lower target ranges among small for gestational age infants. The planned Neonatal Oxygen Prospective Meta-analysis (NeOProM) collaborative will hopefully provide further insight into patient-specific risks, which include growth status.

Keywords: Growth; Mortality; Neonatal; Oxygen saturation; Prematurity.