Pediatric anesthesia & critical care

Near-infrared Spectroscopy and Skin Tone in Children: A Prospective Cohort Study

AnesthesiologyPublished Prospective cohort study

Authors' conclusion

Darker skin tone is associated with worse NIRS performance and lower NIRS values compared to mixed venous saturation for the INVOS 5100C system.

Study context

Population
Consecutive patients under 21 yr undergoing cardiac catheterization; INVOS 5100C forehead near-infrared spectroscopy (NIRS) vs mixed venous saturation
Participants
110 participants
Exposure
NIRS bias by skin tone
Outcome
NIRS bias (regional oxygen saturation vs mixed venous saturation)

Main finding

As reported in the abstract

Mean bias

Individual typology angle (ITA) categories 5 and 6

−12.8%

mean

ITA categories 3 and 4

−2.5%

mean

ITA categories 1 and 2

0.3%

mean

Difference (95% CI)P value
ITA categories 5 and 6 vs ITA categories 3 and 4
10.3%(4.4–16.3)
P < 0.001
ITA categories 5 and 6 vs ITA categories 1 and 2
13.1%(7.5–18.7)
P < 0.001

Observational data: associations, not effects.

Further findings

ITA association with NIRS bias (multivariable regression)

Coefficient
0.173
P
P < 0.001

Original publication

Near-infrared Spectroscopy and Skin Tone in Children: A Prospective Cohort Study. Anesthesiology. Published 29 August 2025. doi:10.1097/aln.0000000000005738

Composed by AI from the published abstract and checked against it. How Briefs are made →

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