Racial and Ethnic Discrepancy in Pulse Oximetry and Delayed Identification of Treatment Eligibility Among Patients With COVID-19
Racial and Ethnic Discrepancy in Pulse Oximetry and Delayed Identification of Treatment Eligibility Among Patients With COVID-19
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DOI：
10.1001/jamainternmed.2022.1906
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发表时间：
2022-05-31
影响因子：
39
通讯作者：
Garibaldi, Brian T.
中科院分区：
文献类型：
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作者：
Fawzy, Ashraf;Wu, Tianshi David;Garibaldi, Brian T.
脉搏血氧测量指导COVID-19的分诊和治疗决策。据报道，在COVID-19患者中，脉搏血氧仪测量的血氧饱和度是否存在种族差异，并与治疗决策相关，目前尚不清楚。目的确定不同种族或民族的COVID-19患者脉搏血氧测量是否存在差异不准确性，并估计这种不准确性与识别氧气阈值特异性COVID-19治疗资格的时间之间的关联。设计、环境和参与者本回顾性队列研究纳入了来自约翰霍普金斯卫生系统5个转诊中心和社区医院的临床数据，包括自认为是亚洲人、黑人、西班牙裔或白人的COVID-19患者。同时测量（10分钟内）动脉血氧饱和度（AaO(2)）和脉搏血氧饱和度（SpO(2)）。在同时进行SpO(2)和SpO(2)测量的患者中，隐匿性低氧血症（SaO(2)）的比例
IMPORTANCE Pulse oximetry guides triage and therapy decisions for COVID-19. Whether reported racial inaccuracies in oxygen saturation measured by pulse oximetry are present in patients with COVID-19 and associated with treatment decisions is unknown.OBJECTIVE To determine whether there is differential inaccuracy of pulse oximetry by race or ethnicity among patients with COVID-19 and estimate the association of such inaccuracies with time to recognition of eligibility for oxygen threshold-specific COVID-19 therapies.DESIGN, SETTING, AND PARTICIPANTS This retrospective cohort study of clinical data from 5 referral centers and community hospitals in the Johns Hopkins Health System included patients with COVID-19 who self-identified as Asian, Black, Hispanic, or White.EXPOSURES Concurrent measurements (within 10 minutes) of oxygen saturation levels in arterial blood (AaO(2)) and by pulse oximetry (SpO(2)).MAIN OUTCOMES AND MEASURES For patients with concurrent SpO(2) and SpO(2) measurements, the proportion with occult hypoxemia (SaO(2)