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Asthma exacerbation

Prevalence
Clinical features
Differential Diagnosis
Investigations
Therapy
Prevention
Prognosis
Investigations
  • pulse oximetry c  

Why?

  • Patients with an oxygen saturation > 92% are less likely to be hypoxic. c
  • Significant hypoxia produces minimal changes in vital signs in healthy people. c

Pulse oximetry can help rule out hypoxia, but further tests may be required.

Patient Target Disorder and
Reference Standard
Diagnostic Test LR+
(95% CI)
Post-test Probability LR-
(95% CI)
Post-test Probability
acute severe asthma c
(pre-test probability: 9%)
hypoxia
(pO2 < 8 kPa arterial blood gas)
SaO2 ≤ 92% 6.7
(3.2 to 13)
38% 0.3
(0.08 to 0.94)
2%

 

Expiry date: November 2003
Levels of Evidence used in grading these guides

Authors   B   Wong , CM   Ball
Reviewer   B R   O'Driscoll
CAT Writers   B   Wong , CM   Ball