The Effect of Skin Pigmentation on the Accuracy of Pulse Oximetry in Infants with Hypoxemia

Elizabeth E Foglia, Robin K Whyte, Aasma Chaudhary, Antonio Mott, Jodi Chen, Kathleen J Propert, Barbara Schmidt, Elizabeth E Foglia, Robin K Whyte, Aasma Chaudhary, Antonio Mott, Jodi Chen, Kathleen J Propert, Barbara Schmidt

Abstract

To compare pulse oximetry measurement bias between infants with hypoxemia with either dark skin or light skin with Masimo Radical 7 and Nellcor Oximax. There was no significant difference in systematic bias based on skin pigment for either oximeter.

Keywords: accuracy; infant; oxygen saturation; pulse oximetry.

Conflict of interest statement

The authors declare no conflicts of interest.

Copyright © 2016 Elsevier Inc. All rights reserved.

Figures

Figure 1
Figure 1
Munsell Soil Book of Color, Hue 7.5YR used to designate pigment group. Light pigment included values 7 and 8. Dark pigment included values 5, 4, 3, and 2.5. Value 6 was considered intermediate and not classified as light or dark. Image reproduced with permission from Munsell Color of X-Rite Pantone inc. (Grand Rapids, Michigan).
Figure 2
Figure 2
Study screening and enrollment flow diagram.
Figure 3
Figure 3
SpO2 vs SaO2 for Masimo (top) and Nellcor (bottom) oximeters with line of equity (solid) and fitted line (dashed). Solid circles indicate dark skin pigment and open circles indicate light skin pigment.

References

    1. Fouzas S, Priftis KN, Anthracopoulos MB. Pulse oximetry in pediatric practice. Pediatrics. 2011;128:740–752.
    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.
    1. Bickler PE, Feiner JR, Severinghaus JW. Effects of skin pigmentation on pulse oximeter accuracy at low saturation. Anesthesiology. 2005;102:715–719.
    1. Siemens Healthcare Diagnostics, Inc. Rapidlab 1200 systems operator’s guide. Malvern (PA): Siemens Healthcare Diagnostics, Inc; 2012. 02087462 Rev. W.
    1. Ries AL, Prewitt LM, Johnson JJ. Skin color and ear oximetry. Chest. 1989;96:287–290.
    1. Adler JN, Hughes LA, Vivilecchia R, Camargo CA. Effect of skin pigmentation on pulse oximetry accuracy in the emergency department. Acad Emerg Med. 1998;5:965–970.
    1. Batchelder PB, Raley DM. Maximizing the laboratory setting for testing devices and understanding statistical output in pulse oximetry. Anesth Analg. 2007;105:S85–S94.
    1. US Food and Drug Administration. Pulse oximeters—premarket notification submissions [510(k)s]: guidance for industry and food and drug administration staff. [Accessed April 28, 2016]; .
    1. Ross PA, Newth CJL, Khemani RG. Accuracy of pulse oximetry in children. Pediatrics. 2014;133:22–29.
    1. Perlman JM, Wyllie J, Kattwinkel J, Wyckoff MH, Aziz K, Guinsburg R, et al. Part 7: neonatal resuscitation: 2015 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations. Circulation. 2015;132:S204–S241.
    1. Oster ME, Ehrlich A, King E, Petit CJ, Clabby M, Smith S, et al. Association of interstage home monitoring with mortality, readmissions, and weight gain: a multicenter study from the national pediatric cardiology quality improvement collaborative. Circulation. 2015;132:502–508.

Source: PubMed

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