Accuracy of Smartphone-Paired Pulse Oximeter for Detecting Hypoxemia in Neonates
DOI:
https://doi.org/10.70749/ijbr.v3i4.2572Keywords:
Smartphone, Pulse oximeter, Hypoxemia, Neonates, AccuracyAbstract
Introduction: Hypoxemia, defined as an abnormally low level of oxygen in the blood, is a critical condition that can lead to severe health complications in neonates, including developmental delays, organ failure, and even death if left untreated. Objective: The objective of this study is to determine diagnostic accuracy of smartphone-paired Pulse oximeter (Masimo ispo2-RxrM) in detecting hypoxemia in neonates, keeping Hospital grade cardiac monitor as gold standard. Methodology: This prospective observational study was conducted at June 5, 2O24 to December 5, 2024. A total of 130 neonates were included in the study. After obtaining informed consent from the parents or guardians of the neonates, baseline characteristics, including gestational age, birth weight, and clinical condition, were recorded. Following this, each neonate underwent simultaneous monitoring of oxygen saturation using both a smartphone-paired pulse oximeter and a standard, clinically validated pulse oximeter. Results: Data were collected from 130 patients, with 40% (52) being preterm (<37 weeks) and 60% (78) full-term (≥37 weeks). The mean age of the neonates was 7.4 days (ranging from 1 to 28 days), and the mean birth weight was 2.5 kg (ranging from 1.2 to 4.0 kg). The gender distribution was fairly balanced, with 52% male (68) and 48% female (62). Additionally, 15% of the neonates required supplemental oxygen (20 neonates), and 10% were on mechanical ventilation (13 neonates). Conclusion: It is concluded that the smartphone-paired pulse oximeter demonstrates high accuracy in detecting hypoxemia in neonates, with strong sensitivity and specificity comparable to traditional pulse oximeters.
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