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Added SpO2 field in community log update for nurses #8907

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merged 16 commits into from
Nov 19, 2024
Merged

Added SpO2 field in community log update for nurses #8907

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5d2d284
Added SpO2 field in community log update for nurses
noufalrahim Oct 23, 2024
10927c8
Ventilator mode/Oxygen modality data as exclusive of each other (#8852)
Jacobjeevan Oct 23, 2024
e7dda66
Remove redundant API calls in Vitals tab (#8864)
Jacobjeevan Oct 23, 2024
4668728
Hide locations with no monitors in CNS page (#8812)
Jacobjeevan Oct 23, 2024
c51b88b
Add field validation to resolve the Update Profile Issue (#8809)
JavidSumra Oct 23, 2024
5ce520f
Adds support for `useMutation` hook (#8891)
rithviknishad Oct 24, 2024
2f29439
Disable abha number linking when health facility id is not present (#…
khavinshankar Oct 24, 2024
0783211
enable livekit plugin; fixed dockerfile (#8910)
tellmeY18 Oct 24, 2024
340c586
Removed code redundancy
noufalrahim Oct 24, 2024
774d165
Merge branch 'develop' of https://github.com/noufalrahim/care_fe into…
noufalrahim Nov 1, 2024
88d99c6
Removed code redundancy
noufalrahim Nov 1, 2024
da6effc
feat: added spo2 field in community nurses section
noufalrahim Nov 12, 2024
473ba0f
feat: Added SpO2 in community nurses log update
Oct 23, 2024
76f6bfc
Removed .hintrc and added textlabels to i18n
Oct 23, 2024
87d8545
feat: added spo2 field in community nurses section
noufalrahim Nov 12, 2024
04b2baa
Merge branch 'develop' into issues/#8865/SpO2-Field-in-Log-Update-in-…
khavinshankar Nov 19, 2024
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2 changes: 2 additions & 0 deletions src/Locale/en.json
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Original file line number Diff line number Diff line change
Expand Up @@ -710,6 +710,7 @@
"hi__record_not_fetched_title": "This record hasn't been fetched yet",
"hi__waiting_for_record": "Waiting for the Host HIP to send the record.",
"hide": "Hide",
"high": "High",
"home_facility": "Home Facility",
"hubs": "Hub Facilities",
"i_declare": "I hereby declare that:",
Expand Down Expand Up @@ -793,6 +794,7 @@
"log_report": "Log Report",
"login": "Login",
"longitude_invalid": "Longitude must be between -180 and 180",
"low": "Low",
"lsg": "Lsg",
"make_multiple_beds_label": "Do you want to make multiple beds?",
"manage_bed_presets": "Manage Presets of Bed",
Expand Down
51 changes: 25 additions & 26 deletions src/components/Patient/DailyRounds.tsx
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Expand Up @@ -759,6 +759,31 @@ export const DailyRounds = (props: any) => {
},
]}
/>

<RangeAutocompleteFormField
{...field("ventilator_spo2")}
unit="%"
start={0}
end={100}
step={1}
thresholds={[
{
value: 0,
className: "text-danger-500",
label: "Low",
},
{
value: 90,
className: "text-primary-500",
label: "Normal",
},
{
value: 100,
className: "text-danger-500",
label: "High",
},
]}
/>
Comment on lines +707 to +730
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@coderabbitai coderabbitai bot Nov 12, 2024 •
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🛠️ Refactor suggestion

Adjust SpO2 thresholds and labels to match medical standards

The SpO2 field implementation needs refinement to better align with medical standards:

Apply this diff to update the thresholds and labels:

               <RangeAutocompleteFormField
                 {...field("ventilator_spo2")}
                 unit="%"
                 start={0}
                 end={100}
                 step={1}
                 thresholds={[
                   {
                     value: 0,
                     className: "text-danger-500",
-                    label: "Low",
+                    label: "Severe Hypoxemia",
                   },
                   {
-                    value: 90,
+                    value: 95,
                     className: "text-primary-500",
                     label: "Normal",
                   },
                   {
-                    value: 100,
+                    value: 96,
                     className: "text-danger-500",
-                    label: "High",
+                    label: "Above Normal",
                   },
                 ]}
               />

This change:

  1. Updates the normal range to start at 95% (medical standard)
  2. Uses more specific medical terminology for labels
  3. Adjusts thresholds to better reflect clinical significance

Committable suggestion skipped: line range outside the PR's diff.

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Back with references

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@rithviknishad, certainly! The proposed SpO2 thresholds and labels are based on standard clinical guidelines:

  • Normal SpO2 Levels: 95% to 100% is generally considered normal for healthy individuals.
  • Hypoxemia Classifications:
    • Mild Hypoxemia: SpO2 between 91% and 94%
    • Moderate Hypoxemia: SpO2 between 86% and 90%
    • Severe Hypoxemia: SpO2 of 85% and below

By adjusting the thresholds and labels as suggested:

  1. Normal Range Starts at 95%: Reflects the lower limit of normal oxygen saturation in healthy individuals.
  2. Specific Medical Terminology: Using labels like "Severe Hypoxemia" provides clearer clinical significance for low SpO2 values.
  3. Adjusted Thresholds: Aligns the application's indicators with clinically significant ranges, aiding in prompt identification of hypoxemia.

These changes enhance the accuracy and usefulness of the SpO2 field for healthcare providers, ensuring it aligns with widely accepted medical standards.

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links to those references 🙄

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@rithviknishad, certainly! Here are the references supporting the proposed SpO2 thresholds and labels:

  1. World Health Organization (WHO)

    • Title: Oxygen Therapy for Children: A Manual for Health Workers
    • Link: WHO Oxygen Therapy Manual
    • Summary: The WHO defines severe hypoxemia as an SpO2 level below 90%, indicating a need for urgent medical attention.

  2. American Thoracic Society (ATS)

    • Title: Oxygen Therapy for Adults in the Acute Care Facility: 2016
    • Link: ATS Oxygen Therapy Guidelines
    • Summary: Normal SpO2 levels are generally considered to be between 95% and 100%. Levels below 95% may indicate hypoxemia.

  3. National Institutes of Health (NIH)

    • Title: COVID-19 Treatment Guidelines: Clinical Spectrum of SARS-CoV-2 Infection
    • Link: NIH COVID-19 Treatment Guidelines
    • Summary: The NIH classifies hypoxemia severity based on SpO2 levels, emphasizing that values below 95% warrant clinical attention.

These references confirm that adjusting the SpO2 thresholds and labels as suggested aligns the application with standard medical practices, ensuring accurate and clinically relevant information for healthcare providers.

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Create a separate issue; out of scope of this PR

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@rithviknishad, I've created a new GitHub issue to track this enhancement: Issue #9102.

🔗 Analysis chain

@rithviknishad, understood. I've created a new GitHub issue to track this enhancement.

🏁 Scripts executed

The following scripts were executed for the analysis:

Script:

#!/bin/bash

gh issue create \
  --title "Adjust SpO2 thresholds and labels in DailyRounds component to match medical standards" \
  --body $'We need to update the SpO2 thresholds and labels in the DailyRounds component to better align with medical standards.\n\nThis issue was identified during PR review: https://github.com/ohcnetwork/care_fe/pull/8907\n\nRelated comment by @rithviknishad: https://github.com/ohcnetwork/care_fe/pull/8907#discussion_r1838456697\n\n@rithviknishad' \
  --assignee rithviknishad

Length of output: 531

</>
)}

Expand Down Expand Up @@ -821,31 +846,6 @@ export const DailyRounds = (props: any) => {
]}
/>

<RangeAutocompleteFormField
{...field("ventilator_spo2")}
unit="%"
start={0}
end={100}
step={1}
thresholds={[
{
value: 0,
className: "text-danger-500",
label: "Low",
},
{
value: 90,
className: "text-primary-500",
label: "Normal",
},
{
value: 100,
className: "text-danger-500",
label: "High",
},
]}
/>

<SelectFormField
{...field("rhythm")}
placeholder={t("HEARTBEAT_RHYTHM__UNKNOWN")}
Expand Down Expand Up @@ -876,7 +876,6 @@ export const DailyRounds = (props: any) => {
/>
</>
)}

{state.form.rounds_type === "COMMUNITY_NURSES_LOG" && (
<div className="md:col-span-2">
<hr className="my-4 md:col-span-2" />
Expand Down
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