Racial Disparities in Pulse Oximetry, in COVID-19 and ICU Settings.


Journal

Critical care explorations
ISSN: 2639-8028
Titre abrégé: Crit Care Explor
Pays: United States
ID NLM: 101746347

Informations de publication

Date de publication:
Aug 2024
Historique:
medline: 22 8 2024
pubmed: 22 8 2024
entrez: 22 8 2024
Statut: epublish

Résumé

This study aimed to assess the impact of race on pulse oximetry reliability, taking into account Spo Retrospective cohort study covering admissions from January 2020 to April 2024. National COVID Cohort Collaborative (N3C) database, consisting of electronic health records from 80 U.S. institutions. Patients were selected from the N3C database based on the availability of data on self-identified race and both pulse oximetry estimated Spo None. The agreement between Spo Race significantly impacts pulse oximetry reliability. Not only Black and Hispanic or Latino patients were at higher risk for hidden hypoxemia, but also those admitted with a COVID-19 diagnosis. Future in-depth explorations into the underlying causes and potential solutions are needed.

Sections du résumé

OBJECTIVES BACKGROUND UNASSIGNED
This study aimed to assess the impact of race on pulse oximetry reliability, taking into account Spo
DESIGN METHODS
Retrospective cohort study covering admissions from January 2020 to April 2024.
SETTING METHODS
National COVID Cohort Collaborative (N3C) database, consisting of electronic health records from 80 U.S. institutions.
PATIENTS/SUBJECTS METHODS
Patients were selected from the N3C database based on the availability of data on self-identified race and both pulse oximetry estimated Spo
INTERVENTIONS METHODS
None.
MEASUREMENTS AND MAIN RESULTS RESULTS
The agreement between Spo
CONCLUSIONS CONCLUSIONS
Race significantly impacts pulse oximetry reliability. Not only Black and Hispanic or Latino patients were at higher risk for hidden hypoxemia, but also those admitted with a COVID-19 diagnosis. Future in-depth explorations into the underlying causes and potential solutions are needed.

Identifiants

pubmed: 39170877
doi: 10.1097/CCE.0000000000001132
pii: CCE-D-24-00071
pmc: PMC11338246
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e1132

Informations de copyright

Copyright © 2024 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the Society of Critical Care Medicine.

Déclaration de conflit d'intérêts

Dr. Fleuren is the cofounder of Medscio, Dr. Heunks receives consultancy fees from Liberate Medical (Crestwood, KY), speakers fees from Mindray, and research funding to the department from European Respiratory Society and ZonMw. The remaining authors have disclosed that they do not have any potential conflicts of interest.

Auteurs

Carmen A T Reep (CAT)

Department of Intensive Care, Erasmus Medical Center, Rotterdam, the Netherlands.

Lucas M Fleuren (LM)

Department of Intensive Care, Erasmus Medical Center, Rotterdam, the Netherlands.

Leo Heunks (L)

Department of Intensive Care, Erasmus Medical Center, Rotterdam, the Netherlands.
Department of Intensive Care, Radboud UMC Nijmegen, Nijmegen, the Netherlands.

Evert-Jan Wils (EJ)

Department of Intensive Care, Erasmus Medical Center, Rotterdam, the Netherlands.
Department of Intensive Care, Franciscus Gasthuis and Vlietland, Rotterdam, the Netherlands.

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