• Walter A Schrading, Ben McCafferty, Jordan Grove, and David B Page.
• Office of Wilderness Medicine, Department of Emergency Medicine University of Alabama at Birmingham Birmingham Alabama USA.
• J Am Coll Emerg Physicians Open. 2020 Dec 1; 1 (6): 1450-1458.

ObjectiveTo determine the correlation between 3 lightweight portable pulse oximeter devices compared to a standard wall mount pulse oximetry device.MethodsWe performed a single-center, prospective, observational study of 4 pulse oximetry devices, 3 of which are commercially available to the public. A convenience sample of 200 emergency department (ED) patients with chief complaints of cardiopulmonary origin or a peripheral capillary oxygen saturation ≤ 94 percent were enrolled. Analysis of variance was performed to compare SpO2s and test characteristics of the 3 devices compared to control.ResultsAlthough differences in measured SpO2s were observed (P < 0.001) across groups, the differences were small (mean differences ranged from 1.00% to 1.87%). The correlation between test devices and the control were high (r range 0.70-0.79). Although the test characteristics were not perfect, the devices did have good sensitivity using a cutoff value of 94% (sensitivity ranging from 90% to 92%), which improved with lower SpO2 cutoff values to 92% (sensitivity ranging from 96% to 97%).ConclusionThe 3 commercially available devices were accurate enough to be clinically useful when compared to a hospital bedside monitor pulse oximeter. Consumer-grade portable pulse oximeters may be useful if overwhelming numbers of patients require oxygen saturation monitoring, such as during the COVID-19 pandemic.© 2020 The Authors. JACEP Open published by Wiley Periodicals LLC on behalf of the American College of Emergency Physicians.

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