Analysis of discrepancies between pulse oximetry and arterial oxygen saturation measurements by race and ethnicity and association with organ dysfunction and mortality
| Autor: | Eduardo Mireles-Cabodevila, Marie Charpignon, Christopher S. Josef, Mary E. Lough, Timothy G. Buchman, Han Kim, An-Kwok Ian Wong, Leandro Carvalho, Jhalique Jane Fojas, Andre Holder, Xiaoli Liu, R. W. M. A. Madushani, Azade Tabaie, Rishikesan Kamaleswaran, Lasith Adhikari, Ewout W. Steyerberg, Anne A H de Hond, Leo Anthony Celi |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Georgia Multiple Organ Failure Article Hypoxemia chemistry.chemical_compound Internal medicine Intensive care Organ Dysfunction Scores Ethnicity medicine Humans Oximetry Hypoxia Aged Retrospective Studies Creatinine medicine.diagnostic_test business.industry Incidence (epidemiology) Racial Groups Organ dysfunction General Medicine Middle Aged Pulse oximetry Cross-Sectional Studies chemistry Oxygen Saturation Arterial blood Female medicine.symptom business |
| Zdroj: | JAMA Netw Open Jama Network Open, 4(11). AMER MEDICAL ASSOC |
| Popis: | IMPORTANCE: Discrepancies in oxygen saturation measured by pulse oximetry (SpO(2)), when compared with arterial oxygen saturation (SaO(2)) measured by arterial blood gas (ABG), may differentially affect patients according to race and ethnicity. However, the association of these disparities with health outcomes is unknown. OBJECTIVE: To examine racial and ethnic discrepancies between SaO(2) and SpO(2) measures and their associations with clinical outcomes. DESIGN, SETTING, AND PARTICIPANTS: This multicenter, retrospective, cross-sectional study included 3 publicly available electronic health record (EHR) databases (ie, the Electronic Intensive Care Unit–Clinical Research Database and Medical Information Mart for Intensive Care III and IV) as well as Emory Healthcare (2014–2021) and Grady Memorial (2014–2020) databases, spanning 215 hospitals and 382 ICUs. From 141 600 hospital encounters with recorded ABG measurements, 87 971 participants with first ABG measurements and an SpO(2) of at least 88% within 5 minutes before the ABG test were included. EXPOSURES: Patients with hidden hypoxemia (ie, SpO(2) ≥88% but SaO(2) |
| Databáze: | OpenAIRE |
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