Care management and determinants of day 14 mortality in severely ill children aged under 5 years subsequent to hypoxaemia diagnosed using routine pulse oximetry in primary care: evidence from the AIRE project.

ABSTRACT:

Background

The Amélioration de l'Identification des détresses Respiratoires de l'Enfant (AIRE) project introduced the routine use of pulse oximetry (PO) into Integrated Management of Childhood Illness (IMCI) consultations within primary health centres (PHCs) in Burkina Faso, Guinea, Mali and Niger. We analysed how severe cases were managed and 14-day mortality by hypoxaemia severity.

Methods

All children aged under 5 years attending IMCI consultations integrating PO use at 16 research PHCs and classified as severe cases (severe IMCI cases or severe hypoxemia: SpO₂ <90%) were eligible for referral and enrolled in a 14-day prospective cohort with parental consent. Referral decisions, admissions, access to oxygen therapy and Kaplan-Meier probability of death were com

SUBMITTER: Hedible KGB 

PROVIDER: S-EPMC12684086 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature