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  1. Article ; Online: Pulse oximetry in low-resource settings during the COVID-19 pandemic.

    Starr, Nichole / Rebollo, Daniela / Asemu, Yohannes Molla / Akalu, Leulayehu / Mohammed, Hanan Ali / Menchamo, Misrak Woldeyohannes / Melese, Eyayelem / Bitew, Senait / Wilson, Iain / Tadesse, Mahelet / Weiser, Thomas G

    The Lancet. Global health

    2020  Volume 8, Issue 9, Page(s) e1121–e1122

    MeSH term(s) COVID-19 ; Coronavirus Infections/epidemiology ; Coronavirus Infections/therapy ; Ethiopia/epidemiology ; Health Resources/supply & distribution ; Humans ; Oximetry ; Pandemics ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/therapy
    Keywords covid19
    Language English
    Publishing date 2020-07-03
    Publishing country England
    Document type Letter ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 2723488-5
    ISSN 2214-109X ; 2214-109X
    ISSN (online) 2214-109X
    ISSN 2214-109X
    DOI 10.1016/S2214-109X(20)30287-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Pulse oximetry in low-resource settings during the COVID-19 pandemic

    Nichole Starr / Daniela Rebollo / Yohannes Molla Asemu / Leulayehu Akalu / Hanan Ali Mohammed / Misrak Woldeyohannes Menchamo / Eyayelem Melese / Senait Bitew / Iain Wilson / Mahelet Tadesse / Thomas G Weiser

    The Lancet Global Health, Vol 8, Iss 9, Pp e1121-e

    2020  Volume 1122

    Keywords Public aspects of medicine ; RA1-1270 ; covid19
    Language English
    Publishing date 2020-09-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Pulse oximetry in low-resource settings during the COVID-19 pandemic

    Starr, Nichole / Rebollo, Daniela / Asemu, Yohannes Molla / Akalu, Leulayehu / Mohammed, Hanan Ali / Menchamo, Misrak Woldeyohannes / Melese, Eyayelem / Bitew, Senait / Wilson, Iain / Tadesse, Mahelet / Weiser, Thomas G

    The Lancet Global Health

    2020  Volume 8, Issue 9, Page(s) e1121–e1122

    Keywords General Medicine ; covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ZDB-ID 2723488-5
    ISSN 2214-109X
    ISSN 2214-109X
    DOI 10.1016/s2214-109x(20)30287-4
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Cost-effectiveness of pulse oximetry and integrated management of childhood illness for diagnosing severe pneumonia.

    Tesfaye, Solomon H / Loha, Eskindir / Johansson, Kjell Arne / Lindtjørn, Bernt

    PLOS global public health

    2022  Volume 2, Issue 7, Page(s) e0000757

    Abstract: ... in resource-constrained settings, especially now during the COVID-19 pandemic. ... illnesses (IMCI) guideline alone and combined use of standard IMCI guideline and pulse oximetry ... centres are analysed. In the intervention arm, combined use of the pulse oximetry and standard IMCI ...

    Abstract Pneumonia is a major killer of children younger than five years old. In resource constrained health facilities, the capacity to diagnose severe pneumonia is low. Therefore, it is important to identify technologies that improve the diagnosis of severe pneumonia at the lowest incremental cost. The objective of this study was to conduct a health economic evaluation of standard integrated management of childhood illnesses (IMCI) guideline alone and combined use of standard IMCI guideline and pulse oximetry in diagnosing childhood pneumonia. This is a cluster-randomized controlled trial conducted in health centres in southern Ethiopia. Two methods of diagnosing pneumonia in children younger than five years old at 24 health centres are analysed. In the intervention arm, combined use of the pulse oximetry and standard IMCI guideline was used. In the control arm, the standard IMCI guideline alone was used. The primary outcome was cases of diagnosed severe pneumonia. Provider and patient costs were collected. A probabilistic decision tree was used in analysis of primary trial data to get incremental cost per case of diagnosed severe pneumonia. The proportion of children diagnosed with severe pneumonia was 148/928 (16.0%) in the intervention arm and 34/876 (4.0%) in the control arm. The average cost per diagnosed severe pneumonia case was USD 25.74 for combined use of pulse oximetry and standard IMCI guideline and USD 17.98 for standard IMCI guideline alone. The incremental cost of combined use of IMCI and pulse oximetry was USD 29 per extra diagnosed severe pneumonia case compared to standard IMCI guideline alone. Adding pulse oximetry to the diagnostic toolkit in the standard IMCI guideline could detect and treat one more child with severe pneumonia for an additional investment of USD 29. Better diagnostic tools for lower respiratory infections are important in resource-constrained settings, especially now during the COVID-19 pandemic.
    Language English
    Publishing date 2022-07-28
    Publishing country United States
    Document type Journal Article
    ISSN 2767-3375
    ISSN (online) 2767-3375
    DOI 10.1371/journal.pgph.0000757
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Cost-effectiveness of pulse oximetry and integrated management of childhood illness for diagnosing severe pneumonia.

    Solomon H Tesfaye / Eskindir Loha / Kjell Arne Johansson / Bernt Lindtjørn

    PLOS Global Public Health, Vol 2, Iss 7, p e

    2022  Volume 0000757

    Abstract: ... in resource-constrained settings, especially now during the COVID-19 pandemic. ... illnesses (IMCI) guideline alone and combined use of standard IMCI guideline and pulse oximetry ... centres are analysed. In the intervention arm, combined use of the pulse oximetry and standard IMCI ...

    Abstract Pneumonia is a major killer of children younger than five years old. In resource constrained health facilities, the capacity to diagnose severe pneumonia is low. Therefore, it is important to identify technologies that improve the diagnosis of severe pneumonia at the lowest incremental cost. The objective of this study was to conduct a health economic evaluation of standard integrated management of childhood illnesses (IMCI) guideline alone and combined use of standard IMCI guideline and pulse oximetry in diagnosing childhood pneumonia. This is a cluster-randomized controlled trial conducted in health centres in southern Ethiopia. Two methods of diagnosing pneumonia in children younger than five years old at 24 health centres are analysed. In the intervention arm, combined use of the pulse oximetry and standard IMCI guideline was used. In the control arm, the standard IMCI guideline alone was used. The primary outcome was cases of diagnosed severe pneumonia. Provider and patient costs were collected. A probabilistic decision tree was used in analysis of primary trial data to get incremental cost per case of diagnosed severe pneumonia. The proportion of children diagnosed with severe pneumonia was 148/928 (16.0%) in the intervention arm and 34/876 (4.0%) in the control arm. The average cost per diagnosed severe pneumonia case was USD 25.74 for combined use of pulse oximetry and standard IMCI guideline and USD 17.98 for standard IMCI guideline alone. The incremental cost of combined use of IMCI and pulse oximetry was USD 29 per extra diagnosed severe pneumonia case compared to standard IMCI guideline alone. Adding pulse oximetry to the diagnostic toolkit in the standard IMCI guideline could detect and treat one more child with severe pneumonia for an additional investment of USD 29. Better diagnostic tools for lower respiratory infections are important in resource-constrained settings, especially now during the COVID-19 pandemic.
    Keywords Public aspects of medicine ; RA1-1270
    Subject code 360
    Language English
    Publishing date 2022-01-01T00:00:00Z
    Publisher Public Library of Science (PLoS)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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