Actively Recruiting

Age: 4Weeks - 18Years
All Genders
ID06529575

Evaluating the Relationship Between Skin Color and Pulse Oximeter Accuracy in Children

Led by University of Pennsylvania · Updated on 2025-09-12

650

Participants Needed

3

Research Sites

N/A

Total Duration

On this page

Sponsors

U

University of Pennsylvania

Lead Sponsor

C

Children's Hospital of Philadelphia

Collaborating Sponsor

AI-Summary

What this Trial Is About

This research aims to understand how pulse oximeter accuracy varies among children with different skin colors during real-world clinical use. The study focuses on children undergoing cardiac catheterization, a group with varied baseline arterial oxygen levels due to their heart conditions. By objectively measuring skin color and comparing pulse oximeter readings to direct blood oxygen measurements, the study seeks to address limitations of earlier research and improve knowledge about pulse oximeter accuracy in pediatric patients. The study is observational and will take place at multiple sites, involving children under 18 years old who are having cardiac catheterization. Skin color will be measured using spectrophotometry to capture multiple dimensions such as melanin and redness. During the procedure, data collected as part of routine care, including pulse oximeter readings and arterial blood oxygen levels measured by co-oximeter, will be recorded by the study team for analysis. Participants will be monitored continuously with pulse oximeters during catheterization, and the primary measurement will be the difference between the pulse oximeter reading and direct arterial oxygen measurement. This information is collected once during the procedure, and there is no long-term follow-up. The study will contribute important insights into how skin color affects pulse oximeter accuracy in children, helping to inform clinical care.

CONDITIONS

Brief Title

Evaluating the Relationship Between Skin Color and Pulse Oximeter Accuracy in Children

Who Can Participate

Age: 4Weeks - 18Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Child is between 1 month and 18 years old
  • Child is undergoing a cardiac catheterization procedure that typically involves direct arterial oxygen saturation measurement by co-oximeter from a location reflective of systemic saturation.
Not Eligible

You will not qualify if you...

  • Child previously participated in the study
  • Child has differential cyanosis across extremities
  • Child is receiving an intravenous vasoconstrictor prior to procedure
  • Child has a ventricular assist device (VAD)

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

Diagnostic Evaluation

Duration - Procedure day

Participants undergo cardiac catheterization during which pulse oximeter readings and direct arterial oxygen saturation measurements are collected as part of routine care. Skin color measurements are also taken using spectrophotometry.

1 visit (in-person)

Trial Site Locations

Total: 3 locations

1

Columbia University Medical Center

New York, New York, United States, 10032

Not Yet Recruiting

2

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, United States, 19104

Actively Recruiting

3

Texas Children's Hospital

Houston, Texas, United States, 77030

Not Yet Recruiting

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Research Team

H

Halley Ruppel, PhD

M

Michelle Dunn

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

0

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Published Research Related To This Trial

Protocol for a multisite, observational clinical study of the association between skin colour and pulse oximeter accuracy in children undergoing cardiac catheterisation (PACH study).

Halley Ruppel, Liming Huang, Christopher J Petit...

https://pubmed.ncbi.nlm.nih.gov/40187780