• Mashup Score: 2
    Racial disparities in occult hypoxemia and clinically based mitigation strategies to apply in advance of technological advancements - 2 year(s) ago

    Background: Pulse oximetry is the mainstay of patient oxygen monitoring. Measurement error from pulse oximetry is more common for those with darker skin pigmentation, yet this topic remains understudied and evidence-based clinical mitigation strategies do not currently exist. Our objectives were to measure the rate of occult hypoxemia, defined as an arterial oxygen saturation less than 88% when…

    Source: American Association for Respiratory Care
    Categories: Critical Care, Latest Headlines
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      iwashyna

      @ChesleyMd @mlanefall @MarkMikkelsenMD That is, @chesleyMD @mlanefall @MarkMikkelsenMD et al look at discrepancies SaO2-SpO2 #PulseOx in patients with repeated measures 67% of patients had errors of >4 percentage points >75% patients had BOTH SpO2 overestimates AND SpO2 underestimates of SaO2 https://t.co/FHPONH1lUg https://t.co/EjlBrbrhsW

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      iwashyna

      Here is what is so clever about @ChesleyMD @mlanefall @MarkMikkelsenMD's paper: They reason, if we think of the big problem as a static racial bias, then we ought to be able to just apply "a correction factor" But they show there is so much noise, too! https://t.co/FHPONH1lUg https://t.co/lMX0aKEkRG

  • Mashup Score: 1
    Racial disparities in occult hypoxemia and clinically based mitigation strategies to apply in advance of technological advancements - 2 year(s) ago

    Background: Pulse oximetry is the mainstay of patient oxygen monitoring. Measurement error from pulse oximetry is more common for those with darker skin pigmentation, yet this topic remains understudied and evidence-based clinical mitigation strategies do not currently exist. Our objectives were to measure the rate of occult hypoxemia, defined as an arterial oxygen saturation less than 88% when…

    Source: American Association for Respiratory Care
    Categories: Critical Care, Latest Headlines
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    • Profile photo of iwashyna
      iwashyna

      (argh, I underestimated how long this thread would take to write carefully. I get to watch Roy Brower round in the MICU, which should be a ton of fun. But sorry to interrupt. More later. or READ @ChesleyMd's paper -- it is beautifully clear) https://t.co/FHPONH1lUg

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      iwashyna

      We've been talking a lot about #FixTheDamnMachines for #PulseOx I wanted to draw attention to a new paper in the peer-reviewed journal @respcare by @ChesleyMd @mlanefall @MarkMikkelsenMD https://t.co/FHPONH1lUg They ask: are we framing the #PulseOx Bias problem wrongly? https://t.co/AUdCRIAxqf

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