Prescription of Home Oxygen Therapy to Very Low Birth Weight Infants in Germany: A Nationwide Survey

Objective. There is no consensus on prescription of home oxygen therapy to infants in Germany. We hypothesized that this causes considerable variability in prescribing home oxygen to infants. Study Design. A structured questionnaire involving management of home oxygen therapy was sent to all German pediatric departments (n = 293). Results. Response rate was 84% (247/293). SpO2cutoff values below which oxygen therapy was considered indicated showed a wide range (80% to 94%, mean 90%). Respondents admitting >50 very low birth weight infants annually significantly more frequently prescribed home oxygen ( P < .001) and aimed for SpO2levels closer to the physiological range than those admitting less very low birth weight infants ( P = .046). Conclusion. Management of pediatric home oxygen therapy is diverse in Germany. Optimal SpO2targets have to be further investigated by controlled studies and German guidelines should be established. Until then practice should abide by existing foreign guidelines.