The Big Consequences of Small Discrepancies: Why Racial Differences in Pulse Oximetry Errors Matter

doi:10.1097/CCM.0000000000005447

Editorial

. 2022 Feb 1;50(2):335-337.

doi: 10.1097/CCM.0000000000005447.

The Big Consequences of Small Discrepancies: Why Racial Differences in Pulse Oximetry Errors Matter

Andre L Holder¹, An-Kwok Ian Wong^{2

3}

Affiliations

¹ Division of Pulmonary, Allergy, Critical Care and Sleep Medicine, Department of Medicine, Emory University, Atlanta, GA.
² Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, Duke University, Durham, NC.
³ Division of Translational Biomedical Informatics, Department of Biostatistics and Bioinformatics, Duke University, Durham, NC.

PMID: 35100196
PMCID: PMC8887789
DOI: 10.1097/CCM.0000000000005447

Editorial

The Big Consequences of Small Discrepancies: Why Racial Differences in Pulse Oximetry Errors Matter

Andre L Holder et al. Crit Care Med. 2022.

. 2022 Feb 1;50(2):335-337.

doi: 10.1097/CCM.0000000000005447.

Authors

Andre L Holder¹, An-Kwok Ian Wong^{2

3}

Affiliations

¹ Division of Pulmonary, Allergy, Critical Care and Sleep Medicine, Department of Medicine, Emory University, Atlanta, GA.
² Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, Duke University, Durham, NC.
³ Division of Translational Biomedical Informatics, Department of Biostatistics and Bioinformatics, Duke University, Durham, NC.

PMID: 35100196
PMCID: PMC8887789
DOI: 10.1097/CCM.0000000000005447

No abstract available

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Comment on

Disparities in Hypoxemia Detection by Pulse Oximetry Across Self-Identified Racial Groups and Associations With Clinical Outcomes.
Henry NR, Hanson AC, Schulte PJ, Warner NS, Manento MN, Weister TJ, Warner MA. Henry NR, et al. Crit Care Med. 2022 Feb 1;50(2):204-211. doi: 10.1097/CCM.0000000000005394. Crit Care Med. 2022. PMID: 35100193 Free PMC article.

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Hao S, Dempsey K, Matos J, Cox CE, Rotemberg V, Gichoya JW, Kibbe W, Hong C, Wong AI. Hao S, et al. Crit Care Explor. 2024 Sep 11;6(9):e1133. doi: 10.1097/CCE.0000000000001133. eCollection 2024 Sep. Crit Care Explor. 2024. PMID: 39268149 Free PMC article.
Effect of Skin Pigmentation and Finger Choice on Accuracy of Oxygen Saturation Measurement in an IoT-Based Pulse Oximeter.
Haxha S, Nwibor C, Ali M, Sakel M, Saunders K, Dyo V, Nabakooza S. Haxha S, et al. Sensors (Basel). 2024 May 22;24(11):3301. doi: 10.3390/s24113301. Sensors (Basel). 2024. PMID: 38894093 Free PMC article.
Investigation on the influence of the skin tone on hyperspectral imaging for free flap surgery.
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Utility of skin tone on pulse oximetry in critically ill patients: a prospective cohort study.
Hao S, Dempsey K, Matos J, Cox CE, Rotemberg V, Gichoya JW, Kibbe W, Hong C, Wong I. Hao S, et al. medRxiv [Preprint]. 2024 Feb 27:2024.02.24.24303291. doi: 10.1101/2024.02.24.24303291. medRxiv. 2024. Update in: Crit Care Explor. 2024 Sep 11;6(9):e1133. doi: 10.1097/CCE.0000000000001133 PMID: 38464170 Free PMC article. Updated. Preprint.
Effects of skin tone on photoacoustic imaging and oximetry.
Else TR, Hacker L, Gröhl J, Bunce EV, Tao R, Bohndiek SE. Else TR, et al. J Biomed Opt. 2024 Jan;29(Suppl 1):S11506. doi: 10.1117/1.JBO.29.S1.S11506. Epub 2023 Dec 20. J Biomed Opt. 2024. PMID: 38125716 Free PMC article.

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References

1. Jubran A, Tobin MJ: Reliability of pulse oximetry in titrating supplemental oxygen therapy in ventilator-dependent patients. Chest 1990; 97:1420–1425 - PubMed
1. Chan ED, Chan MM, Chan MM: Pulse oximetry: understanding its basic principles facilitates appreciation of its limitations. Respir Med 2013; 107:789–799 - PubMed
1. Bickler PE, Feiner JR, Severinghaus JW: Effects of skin pigmentation on pulse oximeter accuracy at low saturation. Anesthesiology 2005; 102:715–719 - PubMed
1. Zeballos RJ, Weisman IM: Reliability of noninvasive oximetry in black subjects during exercise and hypoxia. Am Rev Respir Dis 1991; 144:1240–1244 - PubMed
1. Feiner JR, Severinghaus JW, Bickler PE: Dark skin decreases the accuracy of pulse oximeters at low oxygen saturation: the effects of oximeter probe type and gender. Anesth Analg 2007; 105:S18–S23 - PubMed

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[1] Jubran A, Tobin MJ: Reliability of pulse oximetry in titrating supplemental oxygen therapy in ventilator-dependent patients. Chest 1990; 97:1420–1425 - PubMed

[2] Jubran A, Tobin MJ: Reliability of pulse oximetry in titrating supplemental oxygen therapy in ventilator-dependent patients. Chest 1990; 97:1420–1425 - PubMed

[3] Chan ED, Chan MM, Chan MM: Pulse oximetry: understanding its basic principles facilitates appreciation of its limitations. Respir Med 2013; 107:789–799 - PubMed

[4] Chan ED, Chan MM, Chan MM: Pulse oximetry: understanding its basic principles facilitates appreciation of its limitations. Respir Med 2013; 107:789–799 - PubMed

[5] Bickler PE, Feiner JR, Severinghaus JW: Effects of skin pigmentation on pulse oximeter accuracy at low saturation. Anesthesiology 2005; 102:715–719 - PubMed

[6] Bickler PE, Feiner JR, Severinghaus JW: Effects of skin pigmentation on pulse oximeter accuracy at low saturation. Anesthesiology 2005; 102:715–719 - PubMed

[7] Zeballos RJ, Weisman IM: Reliability of noninvasive oximetry in black subjects during exercise and hypoxia. Am Rev Respir Dis 1991; 144:1240–1244 - PubMed

[8] Zeballos RJ, Weisman IM: Reliability of noninvasive oximetry in black subjects during exercise and hypoxia. Am Rev Respir Dis 1991; 144:1240–1244 - PubMed

[9] Feiner JR, Severinghaus JW, Bickler PE: Dark skin decreases the accuracy of pulse oximeters at low oxygen saturation: the effects of oximeter probe type and gender. Anesth Analg 2007; 105:S18–S23 - PubMed

[10] Feiner JR, Severinghaus JW, Bickler PE: Dark skin decreases the accuracy of pulse oximeters at low oxygen saturation: the effects of oximeter probe type and gender. Anesth Analg 2007; 105:S18–S23 - PubMed

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The Big Consequences of Small Discrepancies: Why Racial Differences in Pulse Oximetry Errors Matter

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