Respiratory failure & ventilation

Racial effects on masimo pulse oximetry: impact of low perfusion index

J Clin Monit ComputPublished Secondary analysis of a desaturation study

Authors' conclusion

Masimo SET® pulse oximeters with RD SET® sensors are accurate for individuals of both Black and White races when Pi is normal, as well as during conditions when Pi is low.

Study context

Population
Healthy Black and White volunteers with SaO2 sequentially decreased from 100 to 70%7,183 paired samples
Participants
75 participants
Comparison
SpO2-SaO2 difference in Black vs White subjects, low (perfusion index (Pi) ≤ 1) vs normal (Pi > 1) perfusion index
  • Blackn = 39
  • Whiten = 36reference
Primary endpoint
SpO2-SaO2 bias (mean difference), precision (SD of the difference) and accuracy (ARMS) at low (Pi ≤ 1) vs normal (Pi > 1) perfusion
Methodological detailshealthy volunteers, laboratory desaturation
  • Healthy volunteers
  • Laboratory desaturation

Primary result

As reported in the abstract

SpO2-SaO2 bias ± precision, low perfusion (Pi ≤ 1)

Black

+ 0.19

mean · SD 1.53% · %

White

+ 0.91

mean · SD 1.57% · %

Overall bias ± precision, low perfusion
+ 0.48% ± 1.59%
ARMS, all subjects, low perfusion
1.64%

Further findings

OutcomeBlackWhite
SpO2-SaO2 bias ± precision, normal perfusion (Pi > 1)mean −0.26 (SD 1.37%) %mean - 0.12 (SD 1.31%) %
SpO2-SaO2 bias ± precision, normal perfusion (Pi > 1) — Overall bias ± precision, normal perfusion
+ 0.18% ± 1.34%
SpO2-SaO2 bias ± precision, normal perfusion (Pi > 1) — ARMS, all subjects, normal perfusion
1.37%

Original publication

Racial effects on masimo pulse oximetry: impact of low perfusion index. J Clin Monit Comput. Published 19 January 2024. doi:10.1007/s10877-023-01113-2

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