{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,30]],"date-time":"2025-08-30T17:02:54Z","timestamp":1756573374692,"version":"3.40.5"},"reference-count":21,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,6,23]],"date-time":"2021-06-23T00:00:00Z","timestamp":1624406400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Open"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>COVID\u201019 Oximetry@Home services have been commissioned nationally. This allows higher\u2010risk patients with mild COVID\u201019 symptoms to remain at home, being supplied with a Pulse Oximeter to measure their oxygen saturation (SpO<jats:sub>2<\/jats:sub>) two to three times daily for two weeks. Patients record their readings manually or electronically which are monitored by a clinical team. Clinical decisions, using an algorithm, are based on SpO<jats:sub>2<\/jats:sub> readings in a narrow range with 1\u20132 point changes potentially affecting care. In this article, we discussed the problem that multiple factors affect SpO<jats:sub>2<\/jats:sub> readings, and that some \u201cnormal\u201d individuals will have \u201clow\u2010normal\u201d scores at the threshold of clinical management, without any known respiratory problem. We discuss the potential magnitude of this problem based on the associated literature and consider how this will have an impact on the use of the Oximetry@home services, potentially partially confounding their purpose; to reduce face\u2010to\u2010face medical care.<\/jats:p>","DOI":"10.1002\/nop2.957","type":"journal-article","created":{"date-parts":[[2021,6,23]],"date-time":"2021-06-23T19:55:12Z","timestamp":1624478112000},"page":"1980-1983","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["COVID\u201019\u2014The impact of variable and \u201clow normal\u201d pulse oximetry scores on Oximetry@Home services and clinical pathways: Confounding variables?"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3402-3457","authenticated-orcid":false,"given":"Nicholas","family":"Harland","sequence":"first","affiliation":[{"name":"Faculty of Health Science and Wellbeing Helen McArdle Nursing and Care Research Institute University of Sunderland  Sunderland UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane","family":"Greaves","sequence":"additional","affiliation":[{"name":"Northumbria University  Newcastle upon Tyne UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Fuller","sequence":"additional","affiliation":[{"name":"South Tyneside NHS Foundation Trust  South Shields UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,6,23]]},"reference":[{"key":"e_1_2_12_2_1","first-page":"1","article-title":"Pulse oximetry","volume":"184","author":"American Thoracic Society Patient Education Series","year":"2018","journal-title":"American Journal of Respiratory and Critical Care Medicine"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinimag.2019.12.005"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1479972316667362"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/psyp.1297"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.3389\/fphys.2017.00555"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.13189"},{"volume-title":"People are buying pulse oximeters to try and detect coronavirus at home. 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