Validation of a non-invasive pulse CO-oximetry based hemoglobin estimation in normal blood donors

Transfus Apher Sci. 2014 Feb;50(1):95-8. doi: 10.1016/j.transci.2013.10.007. Epub 2013 Nov 4.


Introduction: Non-invasive hemoglobin estimation may increase the recruitment of blood donors. CO-oximetry hemoglobin estimation is a non-invasive method used to estimate the hemoglobin level. The primary objective of this study is to validate the pulse CO-oximetry based hemoglobin estimation in normal blood donors.

Methods: We conducted a prospective observational study on 106 in a tertiary care hospital blood bank over a period of 4 weeks. We performed a Spot Hemoglobin concentration (Sp Hb) using Masimo Pronto-7 Pulse CO-oximetry, and compared it to a venous sample Hb concentration (Reference Hemoglobin; Ref Hb) measured using Abbott CELL-DYN Sapphire hematology analyzer. Age, gender, weight, height, blood pressure and reference hemoglobin were used in the multivariable linear regression model of the difference in measurement.

Results: Total of 106 donors (98 males, 8 females) were enrolled with a mean age and Ref Hb of 27 years (SD 6.2; 18-49) and 14.2 g/dL (SD 1.2; 11.5-17) respectively. The mean Sp Hb was 14.4 g/dL (SD 1.2;11.3-16.7). The mean difference between the Sp Hb and Ref Hb was 0.2 g/dL (SD 1.2;-4.5 to 3) with a correlation coefficient of 0.46 (R(2)=21%). In the multivariable model, height (p=0.015) and Hb level (p<0.001) were statistically significant predictors. A strong correlation was found between the two CO-oximetry Hb measurements (coefficient 0.78, R(2)=60%).

Conclusions: Our study validated the use of the CO-oximetry in blood donors. Larger prospective studies are needed to confirm our results.

Keywords: Blood donors; Hemoglobin; Non-invasive; Validation.

Publication types

  • Observational Study
  • Validation Study

MeSH terms

  • Adolescent
  • Adult
  • Blood Banks
  • Blood Donors
  • Carbon Monoxide / chemistry*
  • Female
  • Hematology / methods
  • Hemoglobinometry / methods
  • Hemoglobins / analysis
  • Hemoglobins / chemistry*
  • Humans
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Oximetry / methods*
  • Prospective Studies
  • Young Adult


  • Hemoglobins
  • Carbon Monoxide