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Bubble CPAP and oxygen for child pneumonia care in Malawi: a CPAP IMPACT time motion study.


ABSTRACT: BACKGROUND:In some low-resource settings bubble continuous positive airway pressure (bCPAP) is increasingly used to treat children with pneumonia. However, the time required for healthcare workers (HCWs) to administer bCPAP is unknown and may have implementation implications. This study aims to compare HCW time spent administering bCPAP and low-flow nasal oxygen care at a district hospital in Malawi during CPAP IMPACT (Improving Mortality for Pneumonia in African Children Trial). METHODS:Eligible participants were 1-59?months old with WHO-defined severe pneumonia and HIV-infection, HIV-exposure, severe malnutrition, or hypoxemia and were randomized to either bCPAP or oxygen. We used time motion techniques to observe hospital care in four hour blocks during treatment initiation or follow up (maintenance). HCW mean time per patient at the bedside over the observation period was calculated by study arm. RESULTS:Overall, bCPAP required an average of 34.71?min per patient more than low-flow nasal oxygen to initiate (bCPAP, 118.18?min (standard deviation (SD) 42.73?min); oxygen, 83.47?min (SD, 20.18?min), p?

SUBMITTER: Sessions KL 

PROVIDER: S-EPMC6668155 | biostudies-literature | 2019 Jul

REPOSITORIES: biostudies-literature

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Bubble CPAP and oxygen for child pneumonia care in Malawi: a CPAP IMPACT time motion study.

Sessions Kristen L KL   Mvalo Tisungane T   Kondowe Davie D   Makonokaya Donnie D   Hosseinipour Mina C MC   Chalira Alfred A   Lufesi Norman N   Eckerle Michelle M   Smith Andrew G AG   McCollum Eric D ED  

BMC health services research 20190731 1


<h4>Background</h4>In some low-resource settings bubble continuous positive airway pressure (bCPAP) is increasingly used to treat children with pneumonia. However, the time required for healthcare workers (HCWs) to administer bCPAP is unknown and may have implementation implications. This study aims to compare HCW time spent administering bCPAP and low-flow nasal oxygen care at a district hospital in Malawi during CPAP IMPACT (Improving Mortality for Pneumonia in African Children Trial).<h4>Meth  ...[more]

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