Measuring accuracy of plethysmography based respiratory rate measurement using pulse oximeter at a tertiary hospital in India

Pneumonia
Varun AlwadhiHarish Kumar

Abstract

Childhood pneumonia continues to be a major infectious killer in India. WHO recommended respiratory rate and oxygen saturation (SpO2) measurements are not well implemented in Indian public health outpatient facilities with the result that treatment decision-making rely on subjective assessments from variably trained and supervised healthcare providers. The introduction of a multi-modal pulse oximeter (POx) that gives reliable measurements would mitigate incorrect diagnosis. In light of future potential use of pulse oximeter in peripheral health centres, it becomes important to measure accuracy of respiratory rate and oxygen saturation of such an instrument. The current study measures accuracy of plethysmography based respiratory rate (RR) using a pulse oximeter (Masimo Rad-G) by comparing it with a gold standard (pediatrician) measurement. A cross sectional study was conducted in the OPD and emergency ward of Kalawati Saran Children's Hospital over a 2 week period wherein a convenience sample of 97 children (2 to 59 months) were assessed by a pediatrician as part of routine assessment alongside independent measure by a consultant using pulse oximeter. The level of agreement between plethymography based RR and pediatrician measu...Continue Reading

References

Oct 1, 1991·Archives of Disease in Childhood·E A SimoesJ Murphy
Apr 23, 2013·Tropical Medicine & International Health : TM & IH·Daniel OlsonEric D McCollum
Feb 26, 2016·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Bronwyn U HarrisChandra Ramamoorthy
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Dec 21, 2016·Bulletin of the World Health Organization·Eric D McCollumTim Colbourn

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Citations

Sep 1, 2020·Annals of the American Thoracic Society·Valentina Quaresima, Marco Ferrari

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Software Mentioned

Masimo

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