Evidence map›Paper›PMID 40212826›Full record

ArticleCHEST pulmonary2025

Association of Oxygen Saturation on Home Pulse Oximetry With Telephone Triage Decision: A Retrospective Single-Center Study.

Diana C Bouhassira, Taylor Bernstein, Ashraf Fawzy, Theodore J Iwashyna, Mariah L Robertson

Abstract read
In one paragraph

Article in CHEST pulmonary, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Diana C BouhassiraDivisions of Pulmonary and Critical Care Medicine (D. C. B., T. B., A. F., and T. J. I.) and Geriatric Medicine and Gerontology (M. L. R.), Johns Hopkins University, Baltimore, MD.
Taylor BernsteinDivisions of Pulmonary and Critical Care Medicine (D. C. B., T. B., A. F., and T. J. I.) and Geriatric Medicine and Gerontology (M. L. R.), Johns Hopkins University, Baltimore, MD.
Ashraf FawzyDivisions of Pulmonary and Critical Care Medicine (D. C. B., T. B., A. F., and T. J. I.) and Geriatric Medicine and Gerontology (M. L. R.), Johns Hopkins University, Baltimore, MD.
Theodore J IwashynaDivisions of Pulmonary and Critical Care Medicine (D. C. B., T. B., A. F., and T. J. I.) and Geriatric Medicine and Gerontology (M. L. R.), Johns Hopkins University, Baltimore, MD.
Mariah L RobertsonDivisions of Pulmonary and Critical Care Medicine (D. C. B., T. B., A. F., and T. J. I.) and Geriatric Medicine and Gerontology (M. L. R.), Johns Hopkins University, Baltimore, MD.

Funding

MULTIDISCIPLINARY TRAINING PROGRAM IN LUNG DISEASEST32HL007534 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI Nadia N Hansel, Larissa A. Shimoda · 1985 to 2026
$28.3M
Uncertainty and Expectation Formation in Acute Respiratory Failure SurvivorsF32HL176151 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI BOUHASSIRA, DIANA · 2024 to 2025
$194k
NHLBI NIH HHS F32 HL176151NHLBI NIH HHS T32 HL007534
6 · The paper itself

Abstract

backgroundGiven limited tools for objective assessment during telephone triage, home pulse oximeters may augment clinical decision-making in patients with respiratory conditions. However, there are well-documented concerns about clinically significant, race-discrepant pulse oximetry error. RESEARCH QUESTION: Is home pulse oximetry incorporated into telephone triage decision-making and is it associated with triage disposition? STUDY DESIGN AND

methodsIn this retrospective study, we reviewed electronic medical record documentation regarding telephone calls to the pulmonary clinic triage line at a university-affiliated tertiary care center. All adults who called the triage line with an acute complaint between May 1, 2023, and October 31, 2023, were included. We tested the association between reported abnormal oxygen saturation and triage decision.

resultsA total of 118 telephone triage notes were reviewed. Median patient age was 50 years (interquartile range, 34-62), with 85 calls (72%) from White patients and 24 calls (20%) from Black patients. Of the calls, 70% (n = 83) were for respiratory symptoms. Pulse oximeter use was reported in 29 notes. No notes documented consideration of factors that might influence pulse oximeter accuracy. Among calls for respiratory symptoms, 24 (29%) discussed home pulse oximetry. Twenty-one calls (18%) were referred to the emergency department or hospital, and 12 (10%) were referred for an urgent visit. In multivariable analysis, patients with respiratory symptoms and peripheral oxygen saturation < 90% had 22.3 times the odds (95% CI, 1.9-258.9;

interpretationIn this study, providers documented home pulse oximetry readings in 1 in 3 patients calling the pulmonary triage line with respiratory symptoms. Patients with abnormal oxygen saturation were more likely to be triaged to in-person evaluation. Given the current state of widely available, variably accurate, and racially biased pulse oximeters, there is an opportunity for standardization of how triaging providers assess home pulse oximetry data and counsel patients on their limitations.

Indexed as

occult hypoxemiapulse oximetrytelephone triage

Identifiers

PMID40212826
PMCPMC11984633

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.