Oximeters often overestimate COVID patients' oxygen levels, delaying care: Study

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Oximeters often overestimate COVID patients' oxygen levels, delaying care: Study
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A study led by Johns Hopkins University researchers suggests that the use of pulse oximeters in hospitalized COVID-19 patients often overestimated true arterial oxygen saturation (SaO2), especially in those of minority race, and led to delayed therapy in a high proportion of patients of all races.

Average patient age was 63.9 years, 41.9% were female, 41.4% were white, 32.2% were Hispanic, 16.0% were Black, and 10.4% were Asian, Native American or Alaskan Native, Hawaiian or Pacific Islander, or another race.

, leading to a greater risk of occult hypoxemia, generally defined as a true arterial oxygen saturation below 88% with an oxygen saturation by pulse oximetry in a normal range above 92%," the study authors wrote.for Black , Hispanic , and other race patients compared with white patients. In the patient subset, compared with white patients, Black patients were at significantly higher risk of having pulse oximetry measurements that masked the need for COVID-19 medication .

Of note, Black patients had the lowest rate of in-hospital death and the shortest length of hospital stay. Pulse oximeter inaccuracy was highest among patients of minority race, suggesting that these groups would be disproportionately affected on a, but about 13% of patients who had occult hypoxemia and over 43% of patients with an unrecognized need for COVID-19 medication by pulse oximetry were white.

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