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Pulse oximeters missed low oxygen levels in more Black veterans than White veterans
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If You re Black and Using a Pulse Oximeter, Be Wary of Your Results
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Jan 7, 2021
WEDNESDAY, Jan. 6, 2021 (HealthDay News) Black patients have higher frequency of occult hypoxemia that is not detected by pulse oximetry, according to a research letter published in the Dec. 17 issue of the
New England
Journal of Medicine.
Michael W. Sjoding, M.D., from the University of Michigan Medical School in Ann Arbor, and colleagues examined potential racial bias in pulse oximetry measurements in a study involving adult inpatients receiving supplemental oxygen. A total of 10,789 pairs of measures of oxygen saturation by pulse oximetry and arterial oxygen saturation in arterial blood gas were analyzed from 1,333 White patients and 276 Black patients in a University of Michigan cohort (January through July 2020), and 37,308 pairs were analyzed from 7,342 White patients and 1,050 Black patients in a multicenter cohort (2014 through 2015).
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A new study published in the
New England Journal of Medicine says pulse oximeter results are three times likely to give misleading results in patients with black skin.
A pulse oximeter is a small device attached to the thumb which tells healthcare workers a person’s level of blood oxygenation.
A pulse oximeter works by a process that senses the level of oxygen in the blood by passing light through the skin. It’s thought that the wrong result in black skin could be because darker skin pigments absorb light differently.
Since the COVID-19 pandemic, there has been an increase in the use of the device. It helps to know the patients who are in critical conditions and who might benefit from the use of oxygen, or to make a decision to transfer a patient to the intensive care units. Those who are isolating at home can also use it to monitor their own condition too, to know if they need to go to hospital urgently.