Utility of Skin Tone on Pulse Oximetry in Critically Ill Patients: A Prospective Cohort Study.
Journal
Critical care explorations
ISSN: 2639-8028
Titre abrégé: Crit Care Explor
Pays: United States
ID NLM: 101746347
Informations de publication
Date de publication:
Sep 2024
Sep 2024
Historique:
medline:
13
9
2024
pubmed:
13
9
2024
entrez:
13
9
2024
Statut:
epublish
Résumé
Pulse oximetry, a ubiquitous vital sign in modern medicine, has inequitable accuracy that disproportionately affects minority Black and Hispanic patients, with associated increases in mortality, organ dysfunction, and oxygen therapy. Previous retrospective studies used self-reported race or ethnicity as a surrogate for skin tone which is believed to be the root cause of the disparity. Our objective was to determine the utility of skin tone in explaining pulse oximetry discrepancies. Prospective cohort study. Patients were eligible if they had pulse oximetry recorded up to 5 minutes before arterial blood gas (ABG) measurements. Skin tone was measured using administered visual scales, reflectance colorimetry, and reflectance spectrophotometry. Admitted hospital patients at Duke University Hospital. None. Sao We found clinical performance differences in pulse oximetry, especially in darker skin tones. Additional studies are needed to determine the relative contributions of skin tone measures and other potential factors on pulse oximetry discrepancies.
Identifiants
pubmed: 39268149
doi: 10.1097/CCE.0000000000001133
pii: CCE-D-24-00159
pmc: PMC11392475
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e1133Informations 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. Wong holds equity and management roles in Ataia Medical. Dr. Wong is supported by the Duke CTSI by the National Center for Advancing Translational Sciences of the National Institutes of Health under UL1TR002553 and REACH Equity under the National Institute on Minority Health and Health Disparities of the National Institutes of Health under U54MD012530. Dr. Gichoya is a 2022 Robert Wood Johnson Foundation Harold Amos Medical Faculty Development Program and declares support from the RSNA Health Disparities grant (Number EIHD2204), Lacuna Fund (Number 67), Gordon and Betty Moore Foundation, and National Institutes of Health (National Institute of Biomedical Imaging and Bioengineering) Medical Imaging and Data Resource Center grant under contracts 75N92020C00008 and 75N92020C00021.
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