The effect of implementing an automated oxygen control on oxygen saturation in preterm infants

H A Van Zanten, K L A M Kuypers, B J Stenson, T E Bachman, S C Pauws, A B Te Pas

Research output: Contribution to journalArticleScientificpeer-review

37 Citations (Scopus)


OBJECTIVE: To evaluate the effect of implementing automated oxygen control as routine care in maintaining oxygen saturation (SpO2) within target range in preterm infants.

METHODS: Infants <30 weeks gestation in Leiden University Medical Centre before and after the implementation of automated oxygen control were compared. The percentage of time spent with SpO2 within and outside the target range (90-95%) was calculated. SpO2 values were collected every minute and included for analysis when infants received extra oxygen.

RESULTS: In a period of 9 months, 42 preterm infants (21 manual, 21 automated) were studied. In the automated period, the median (IQR) time spent with SpO2 within target range increased (manual vs automated: 48.4 (41.5-56.4)% vs 61.9 (48.5-72.3)%; p<0.01) and time SpO2 >95% decreased (41.9 (30.6-49.4)% vs 19.3 (11.5-24.5)%; p<0.001). The time SpO2<90% increased (8.6 (7.2-11.7)% vs 15.1 (14.0-21.1)%; p<0.0001), while SpO2<80% was similar (1.1 (0.4-1.7)% vs 0.9 (0.5-2.1)%; ns).

CONCLUSIONS: During oxygen therapy, preterm infants spent more time within the SpO2 target range after implementation of automated oxygen control, with a significant reduction in hyperoxaemia, but not hypoxaemia.

Original languageEnglish
Pages (from-to)F395-F399
Number of pages5
JournalArchives of Disease in Childhood. Fetal and Neonatal Edition
Issue number5
Publication statusPublished - Sept 2017


  • Female
  • Humans
  • Infant, Newborn
  • Infant, Premature
  • Intensive Care Units, Neonatal
  • Intubation, Intratracheal
  • Monitoring, Physiologic
  • Noninvasive Ventilation
  • Oximetry
  • Oxygen
  • Oxygen Inhalation Therapy
  • Prospective Studies
  • Journal Article
  • Observational Study


Dive into the research topics of 'The effect of implementing an automated oxygen control on oxygen saturation in preterm infants'. Together they form a unique fingerprint.

Cite this