Racial Bias in Pulse Oximetry Measurement Among Patients About to Undergo Extracorporeal Membrane Oxygenation in 2019-2020: A Retrospective Cohort Study.
ECMO
hypoxemia
oxygen
pulse oximetry
racial bias
Journal
Chest
ISSN: 1931-3543
Titre abrégé: Chest
Pays: United States
ID NLM: 0231335
Informations de publication
Date de publication:
04 2022
04 2022
Historique:
received:
13
02
2021
revised:
04
09
2021
accepted:
16
09
2021
pubmed:
1
10
2021
medline:
13
4
2022
entrez:
30
9
2021
Statut:
ppublish
Résumé
Pulse oximeters may produce less accurate results in non-White patients. Do pulse oximeters detect arterial hypoxemia less effectively in Black, Hispanic, and/or Asian patients than in White patients in respiratory failure and about to undergo extracorporeal membrane oxygenation (ECMO)? Data on adult patients with respiratory failure readings 6 h before ECMO were provided by the Extracorporeal Life Support Organization registry. Data was collected from 324 centers between January 2019 and July 2020. Our primary analysis was of rates of occult hypoxemia-low arterial oxygen saturation (Sao The rate of pre-ECMO occult hypoxemia, that is, arterial oxygen saturation (Sao Compared with White patients, the prevalence of occult hypoxemia was higher in Black patients than in White patients about to undergo ECMO for respiratory failure, but it was comparable in Hispanic and Asian patients compared with White patients.
Sections du résumé
BACKGROUND
Pulse oximeters may produce less accurate results in non-White patients.
RESEARCH QUESTION
Do pulse oximeters detect arterial hypoxemia less effectively in Black, Hispanic, and/or Asian patients than in White patients in respiratory failure and about to undergo extracorporeal membrane oxygenation (ECMO)?
STUDY DESIGN AND METHODS
Data on adult patients with respiratory failure readings 6 h before ECMO were provided by the Extracorporeal Life Support Organization registry. Data was collected from 324 centers between January 2019 and July 2020. Our primary analysis was of rates of occult hypoxemia-low arterial oxygen saturation (Sao
RESULTS
The rate of pre-ECMO occult hypoxemia, that is, arterial oxygen saturation (Sao
INTERPRETATION
Compared with White patients, the prevalence of occult hypoxemia was higher in Black patients than in White patients about to undergo ECMO for respiratory failure, but it was comparable in Hispanic and Asian patients compared with White patients.
Identifiants
pubmed: 34592317
pii: S0012-3692(21)04065-4
doi: 10.1016/j.chest.2021.09.025
pmc: PMC9005857
pii:
doi:
Substances chimiques
Oxygen
S88TT14065
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, Non-P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
971-978Subventions
Organisme : NHLBI NIH HHS
ID : R01 HL144599
Pays : United States
Organisme : NHLBI NIH HHS
ID : K01 HL136687
Pays : United States
Organisme : NHLBI NIH HHS
ID : K12 HL138039
Pays : United States
Organisme : AHRQ HHS
ID : R01 HS028038
Pays : United States
Organisme : NLM NIH HHS
ID : R01 LM013325
Pays : United States
Organisme : NHLBI NIH HHS
ID : K23 HL140165
Pays : United States
Organisme : AHRQ HHS
ID : T32 HS000053
Pays : United States
Commentaires et corrections
Type : CommentIn
Informations de copyright
Copyright © 2021 American College of Chest Physicians. All rights reserved.
Références
Lancet. 1995 Oct 21;346(8982):1085-7
pubmed: 7564793
Acta Anaesthesiol Scand. 1992 May;36(4):346-9
pubmed: 1595341
Anesth Analg. 2017 Jan;124(1):62-71
pubmed: 27183375
Ann Am Thorac Soc. 2020 Sep;17(9):1040-1046
pubmed: 32521167
Anesthesiology. 2005 Apr;102(4):715-9
pubmed: 15791098
Anesth Analg. 2007 Dec;105(6 Suppl):S18-S23
pubmed: 18048893
Lancet. 2020 Oct 10;396(10257):1071-1078
pubmed: 32987008
PLoS One. 2015 May 15;10(5):e0126979
pubmed: 25978517
Chest. 1990 Jun;97(6):1420-5
pubmed: 2347228
Respir Care. 2016 Dec;61(12):1671-1680
pubmed: 27899542
J Clin Epidemiol. 1996 Dec;49(12):1373-9
pubmed: 8970487
Crit Care. 2015 Jul 16;19:272
pubmed: 26179876
Lancet. 1986 Feb 8;1(8476):307-10
pubmed: 2868172
Stat Methods Med Res. 1999 Jun;8(2):135-60
pubmed: 10501650
BMJ Open Respir Res. 2020 Dec;7(1):
pubmed: 33361436
N Engl J Med. 2020 Mar 12;382(11):989-998
pubmed: 31613432
Lancet Respir Med. 2021 Apr;9(4):e37
pubmed: 33662275
N Engl J Med. 2020 Dec 17;383(25):2477-2478
pubmed: 33326721
Anesthesiology. 2018 Mar;128(3):520-530
pubmed: 29200008