The Effect of Skin Pigmentation on the Accuracy of Pulse Oximetry in Infants with Hypoxemia
Open accessAbstract
To compare pulse oximetry measurement bias between infants with hypoxemia with either dark skin or light skin with Masimo Radical 7 and Nellcor Oximax. There was no significant difference in systematic bias based on skin pigment for either oximeter.
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Among the 11/35 low risk studies, 3/11 (27.27%) reported no demonstrable loss of accuracy caused by skin pigmentation.
“3/11 (27.27%) reported no demonstrable loss of accuracy caused by skin pigmentation [46,48,70]”
From Skin pigmentation influence on pulse oximetry accuracy: a systematic review and bibliometric analysis (2022) · cites this paper as [48]
The skin pigmentation effect on pulse oximetry accuracy has long been studied, reporting some contradictory conclusions.
“The skin pigmentation effect on pulse oximetry accuracy has long been studied reporting some contradictory conclusions.”
From Skin pigmentation influence on pulse oximetry accuracy: a systematic review and bibliometric analysis (2022) · cites this paper as [48]
Objective scales such as the Fitzpatrick Skin Pigmentation (FSP) scale or the Munsell scale were used by 6/37 studies (16.21%) and 4/37 studies (10.81%), respectively.
“We find that objective scales such as the Fitzpatrick Skin Pigmentation (FSP) scale or the Munsell scale were used by 6/37 studies (16.21%) [61,69,70,71,76,77] and 4/37 studies (10.81%) [47,48,74,89], respectively.”
From Skin pigmentation influence on pulse oximetry accuracy: a systematic review and bibliometric analysis (2022) · cites this paper as [48]
One study asserted that there is no significant difference in systematic bias based on skin pigment for pulse oximetry, but this study was not statistically significant since it had a small sample size and a stringent inclusion criterion.
“Although one study asserted that there is no significant difference in systematic bias based on skin pigment for pulse oximetry [48], this study was not statistically significant since it had a small sample size and a stringent inclusion criterion that was not typical for premature infants.”
From Skin pigmentation influence on pulse oximetry accuracy: a systematic review and bibliometric analysis (2022) · cites this paper as [48]
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Effect of skin pigmentation on pulse oximetry accuracy in the emergency department
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- Authors
- Foglia, E. E., Whyte, R. K., Chaudhary, A., Mott, A., Chen, J., Propert, K. J., & Schmidt, B.
- Affiliations
- Children's Hospital of Philadelphia (US)
- Dalhousie University (CA)
- Baylor College of Medicine (US)
- University of Pennsylvania (US)
- Corresponding author
- Foglia, Elizabeth E.
- Venue
- The Journal of Pediatrics
- Publisher
- Elsevier BV
- Published
- 2017-03
- Volume
- 182
- Pages
- 375-377.e2
- ISSN
- 0022-3476 (ISSN-L)
- PMC
- PMC5328979
- OpenAlex
- W2560394825
- Cited by
- 96
- References
- 10
- Citations by year
- 2026: 10 · 2025: 21 · 2024: 15 · 2023: 7 · 2022: 31 · 2021: 7 · 2020: 3 · 2019: 1 · 2017: 1
- FWCI
- 0.32
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- The Journal of Pediatrics (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (L40 HD077522, T32HD060550)
- Topics
- Physical Sciences › Engineering › Biomedical Engineering › Non-Invasive Vital Sign Monitoring
- Health Sciences › Medicine › Surgery › Hemodynamic Monitoring and Therapy
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Optical Imaging and Spectroscopy Techniques
- Keywords
- pulse oximetry, skin pigmentation, hypoxemia, infants, measurement bias, dark skin, oxygen saturation monitoring
- MeSH terms
- Hypoxia, Cross-Sectional Studies, Female, Heart Defects, Congenital, Hospitals, Pediatric, Humans, Infant, Newborn, Infant, Premature, Intensive Care Units, Neonatal, Male, Oximetry, Prospective Studies, Sensitivity and Specificity, Skin Pigmentation, Critical Illness, Statistics, Nonparametric
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