Effectiveness of introducing pulse oximetry and clinical decision support algorithms for the management of sick children in primary care in India and Tanzania on hospitalisation and mortality: the TIMCI pragmatic cluster randomised controlled trialResearch in context

Effectiveness of introducing pulse oximetry and clinical decision support algorithms for the management of sick children in primary care in India and Tanzania on hospitalisation and mortality: the TIMCI pragmatic cluster randomised controlled trialResearch in context

Summary: Background: Pulse oximetry can support better detection of hypoxaemia, an important mortality predictor, and digital clinical decision support algorithms (CDSAs) can strengthen adherence to Integrated Management of Childhood Illness (IMCI) guidelines. This study sought to address evidence...

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Main Authors: Fenella Beynon, Grace Mhalu, Divas Kumar, Silvia Cicconi, Hélène Langet, Gillian A. Levine, Girdhar Agarwal, Charles Festo, Tracy R. Glass, Anmol Jacob, Gaurav Kumar, Samwel Lwambura, Lena Matata, Abdallah Mkopi, Robert Moshiro, Fabian Schaer, Vineela Bandi, Leah F. Bohle, Mira Emmanuel-Fabula, Megan Horlacher, Susan Horton, John Maiba, Suzan Makawia, Naomi Masanja, Deusdedit Mjungu, Ibrahim E. Mtebene, Olgah Odek, Vânia Oliveira, Elena Pantjushenko, Elisabeth Reus, Michael Ruffo, Kovid Sharma, Helen Storey, Mansi Tyagi, Valérie D'Acremont, Honorati Masanja, Shally Awasthi, Kaspar Wyss, Agarwal Girdhar, Arimi Peter, Awasthi Shally, Ba Maymouna, Bandi Vineela, Beynon Fenella, Bulo Method, Cicconi Silvia, Cissé Magib, Clemence Zach, Cleveley Lisa, Cummings Ray, D'Acremont Valérie, Emmanuel-Fabula Mira, Faivre Vincent, Faye Mouhamadou Mansour, Faye Papa Moctar, Festo Charles, Gupta Kanishka, Harner-Jay Claudia, Horlacher (Shawcross) Megan, Horton Susan, Jacob Anmol, Keitel Kristina, Keith Bonnie, Kosgei Rose, Kumar Divas, Kumar Gaurav, Lalwani Tanya, Langet Hélène, Levine Gillian, Lwambura Samwel, Machoki James, Maiba John, Makawia Suzan, Martin Gregory, Masanja Honorati, Masanja Irene, Masanja Naomi, Matata Lena, Mhalu Grace, Miheso Andolo, Mjungu Deusdedit, Mkopi Abdallah, Moshiro Robert, Mtebene Ibrahim, Mugo Mercy, Ndiaye Ousmane, Ngari Kevin, Ngutu Mariah, Njiri Francis, Norris Martin, Odek Olgah, Oliveira Vânia, Onah Michael, Orschulko Anja, Oviedo Dickens, Pantjushenko Elena, Quintanar Solares Manjari, Rajaratnam Julie, Rastogi Tuhina, Reus Elisabeth, Ruffo Mike, Schär Fabian, Schaufelberger Sylvain, Sharma Kovid, Shauri Janet, Smith Lisa, Sougou Ndèye Marème, Storey Helen, Tan Rainer, Thabard Julian, Thiongane Aliou, Tine Jean Augustin Diégane, Vonlanthen Alan, Wyss Kaspar
Format: Article
Language:English
Published: Elsevier 2025-07-01
Series:EClinicalMedicine
Subjects:
Pulse oximetry
Hypoxaemia
Clinical decision support
Integrated management of childhood illness
Primary care
Child health
Online Access:http://www.sciencedirect.com/science/article/pii/S258953702500238X
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