Marcello F S Schmidt1, Jill Gernand2, Radhika Kakarala3. 1. Department of Internal Medicine, McLaren Flint, Flint, MI. Electronic address: schmidt.marcello@gmail.com. 2. Department of Mathematics, Kettering University, Flint, MI. 3. Department of Internal Medicine, McLaren Flint, Flint, MI. Electronic address: radhika.kakarala@mclaren.org.
Abstract
PURPOSE: To determine the relationship between the pulse oximetric saturation to fraction of inspired oxygen (SF) ratio and the arterial partial pressure of oxygen to the fraction of inspired oxygen (PF) ratio, and to assess the usefulness of the SF ratio in an automated acute respiratory distress syndrome (ARDS) screening tool. MATERIAL AND METHODS: This was a retrospective cohort study using the Multiparameter Intelligent Monitoring in Intensive Care II database. The relationship was derived and validated in all patients ventilated for at least 24 hours. RESULTS: The total data set included 7544 paired measurements from 3767 intensive care unit admissions. The correlation between SF ratio and PF ratio in the whole data set was good (Spearman ρ = 0.72, P < .001). An automated ARDS diagnostic tool using the derived SF cutoff had excellent agreement with the same tool using the PF ratio of 300 (κ = 0.87). CONCLUSION: The SF ratio may be an adequate substitute for the PF ratio in an automated ARDS screening tool.
PURPOSE: To determine the relationship between the pulse oximetric saturation to fraction of inspired oxygen (SF) ratio and the arterial partial pressure of oxygen to the fraction of inspired oxygen (PF) ratio, and to assess the usefulness of the SF ratio in an automated acute respiratory distress syndrome (ARDS) screening tool. MATERIAL AND METHODS: This was a retrospective cohort study using the Multiparameter Intelligent Monitoring in Intensive Care II database. The relationship was derived and validated in all patients ventilated for at least 24 hours. RESULTS: The total data set included 7544 paired measurements from 3767 intensive care unit admissions. The correlation between SF ratio and PF ratio in the whole data set was good (Spearman ρ = 0.72, P < .001). An automated ARDS diagnostic tool using the derived SF cutoff had excellent agreement with the same tool using the PF ratio of 300 (κ = 0.87). CONCLUSION: The SF ratio may be an adequate substitute for the PF ratio in an automated ARDS screening tool.
Authors: Juan Marco Figueira Gonçalves; José María Hernández Pérez; Marco Acosta Sorensen; Aurelio Luis Wangüemert Pérez; Elena Martín Ruiz de la Rosa; José Luis Trujillo Castilla; David Díaz Pérez; Yolanda Ramallo-Fariña Journal: BMC Res Notes Date: 2020-12-09
Authors: Eduardo Butturini de Carvalho; Thiago Ravache Sobreira Leite; Raquel Ferreira de Magalhães Sacramento; Paulo Roberto Loureiro do Nascimento; Cynthia Dos Santos Samary; Patrícia Rieken Macedo Rocco; Pedro Leme Silva Journal: Rev Bras Ter Intensiva Date: 2022 Jan-Mar