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Normative values of oxygen saturation by pulse oximetry (SpO2) in apparently healthy children from Eastern India - A
Vivekan R Chada1, Krishna M Gulla, Rashmi R Das
1Department of Pediatrics, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Insights
This study determined normal oxygen saturation (SpO2) levels in healthy Indian children aged 1 month to 14 years. The findings establish a reference range for SpO2, crucial for pediatric health assessments.
Area of Science:
- Pediatric Pulmonology
- Clinical Measurement Science
Background:
- Establishing normative data for physiological parameters is essential for accurate clinical assessment.
- Pulse oximetry is a key non-invasive tool for monitoring oxygen saturation in children.
- Previous studies may have limited data for specific pediatric age groups or geographic regions.
Purpose of the Study:
- To determine normative values for oxygen saturation (SpO2) using pulse oximetry in healthy children aged 1 month to 14 years.
- To investigate potential variations in SpO2 levels based on age and gender in this pediatric population.
- To establish a regional reference range for SpO2 in children from Eastern India.
Main Methods:
- A cross-sectional study was conducted in Bhubaneswar, Odisha, India, involving apparently healthy children.
- SpO2 was measured using a standardized pulse oximeter, with readings averaged after stabilization.
- The 2.5th centile of SpO2 values was used to define the lower limit of normal.
Main Results:
- The median SpO2 for the study population was 99.7% (IQR: 99-100).
- Key percentiles included 97.7% (2.5th), 98% (5th), 99% (25th), and 100% (75th).
- The 2.5th centile SpO2 for the infantile age group was 96.4%; no significant age or gender variations were observed.
Conclusions:
- This study provides normative reference ranges for SpO2 in healthy children from Eastern India.
- The established ranges are valuable for interpreting pulse oximetry readings in pediatric clinical practice.
- The findings contribute to the understanding of SpO2 variability in a specific pediatric demographic at moderate altitude.
Objectives:
The primary objective was to determine normative values of oxygen saturation (SpO2) by pulse oximetry in apparently healthy children, aged 1 month to 14 years. The secondary objective was to explore any variation in oxygen saturation levels by age and gender.
Materials And Methods:
It was a cross-sectional study conducted at a tertiary care centre and schools in Bhubaneswar, Odisha, India, from January 2021 to December 2022. Apparently healthy children were enrolled. Using a standardized pulse oximeter and appropriately sized probes, SpO2 was recorded after stabilization of plethysmograph waves. Three consecutive readings were taken, and an average was noted. The 2.5th centile SpO2 value was taken as the lower limit of normal.
Results:
The median (IQR) saturation of the sample population was 99.7% (99-100). The 2.5th, 5th, 25th, and 75th percentiles were 97.7%, 98%, 99%, and 100%, respectively. Median SpO2 and its percentiles were estimated for each age group. The 2.5th centile SpO2 for infantile age group was 96.4%. No significant age and gender-wise variations of SpO2 were noted.
Conclusions:
The present study established normal reference range oxygen SpO2 levels in apparently healthy children from an eastern India region that is situated at 62 m (204 ft) above the sea level.
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