대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
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고유량 비강 캐뉼라 산소요법을 받은 소아중환자실 환아의 ROX Index와 ROX-HR Index 및 SpO2/FIO2 Ratio분석

Analysis of ROX Index, ROX-HR Index, and SpO2/FIO2 Ratio in Patients Who Received High-Flow Nasal Cannula Oxygen Therapy in Pediatric Intensive Care Unit

  • 최선희 (가톨릭대학교 서울성모병원 호스피스완화의료팀) ;
  • 김동연 (가톨릭대학교 서울성모병원 간호혁신Unit) ;
  • 송병은 (학교법인 가톨릭학원 의료질관리정책팀) ;
  • 유양숙 (가톨릭대학교 간호대학 임상간호학과)
  • Choi, Sun Hee (Hospice and Palliative Care Team, The Catholic University of Korea, Seoul St. Mary's Hospital) ;
  • Kim, Dong Yeon (Nursing Innovation Unit, The Catholic University of Korea, Seoul St. Mary's Hospital) ;
  • Song, Byung Yun (Healthcare Quality Policy Team, The Catholic Education Foundation) ;
  • Yoo, Yang Sook (Department of Clinical Nursing, College of Nursing, The Catholic University of Korea)
  • 투고 : 2022.12.14
  • 심사 : 2023.05.17
  • 발행 : 2023.08.31
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초록

Purpose: This study aimed to evaluate the use of the respiratory rate oxygenation (ROX) index, ROX-heart rate (ROX-HR) index, and saturation of percutaneous oxygen/fraction of inspired oxygen ratio (SF ratio) to predict weaning from high-flow nasal cannula (HFNC) in patients with respiratory distress in a pediatric intensive care unit. Methods: A total of 107 children admitted to the pediatric intensive care unit were enrolled in the study between January 1, 2017, and December 31, 2021. Data on clinical and personal information, ROX index, ROX-HR index, and SF ratio were collected from nursing records. The data were analyzed using an independent t-test, χ2 test, Mann-Whitney U test, and area under the curve (AUC). Results: Seventy-five (70.1%) patients were successfully weaned from HFNC, while 32 (29.9%) failed. Considering specificity and sensitivity, the optimal cut off points for predicting treatment success and failure of HFNC oxygen therapy were 6.88 and 10.16 (ROX index), 5.23 and 8.61 (ROX-HR index), and 198.75 and 353.15 (SF ratio), respectively. The measurement of time showed that the most significant AUC was 1 hour before HFNC interruption. Conclusion: The ROX index, ROX-HR index, and SF ratio appear to be promising tools for the early prediction of treatment success or failure in patients initiated on HFNC for acute hypoxemic respiratory failure. Nurses caring for critically ill pediatric patients should closely observe and periodically check their breathing patterns. It is important to continuously monitor three indexes to ensure that ventilation assistance therapy is started at the right time.

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참고문헌

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