ACTIVE DETECTION OF REDUCED OXYGEN SATURATION OF BLOOD IN PATIENTS WITHOUT ESTABLISHED RESPIRATORY DISEASES
Keywords:
COPD, saturation, pulse oximetry, body mass index (BMI), smokingAbstract
Introduction. Pulse oximetry is a screening method for diagnosing hypoxemia based on oxygen saturation (SpO2). It allows you to evaluate the degree of oxygenation and the number of heart contractions. Pulse oximetry is an effective strategy for diagnosing early stages of respiratory failure.
Aims and goals. Active detection of decreased oxygen saturation cases in patients without established respiratory diseases. To achieve this goal, oxygen saturation (SpO2) was determined in people who did not complain of respiratory failure.
Material and Methods. The study involved 40 patients treated at the somatics department of the Clinic of Internal Medicine No. 2 under Asfendiyarov Kazakh National Medical University and the Diabetes Center. They underwent an oxygen saturation study using a CMS50DL finger pulse oximeter. Their age ranges from 20 to 80 years, average height is 165 cm, weight is 79 kg, and heart rate is on average 60-95 per minute. In the control group of 40 patients with obstructive respiratory diseases, the age ranged from 20 to 80 years, the average height was 163 cm, the weight was 70 kg, and the pulse averaged 77 per minute. For the study, SpO2 values were determined using a Finger Pulse Oximeter.
Results and Discussion. According to pulse oximetry results, the oxygen saturation index in patients of the somatic department with rheumatological, neurological, and endocrinological diseases was within the normal range and amounted to 97.1%. Only in three patients, long-term smokers without an established diagnosis of the respiratory system, SpO2 was 94%. The SpO2 index was reduced in most patients with respiratory pathology to an average of 92.9%.
Conclusion. COVID pneumonia in elderly patients proceeds as multisegmented bilateral pneumonia with moderate disseminated intravascular coagulation syndrome, which is well controlled due to complex therapy with anticoagulants and antibiotics.
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