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. 2021 Sep 28;3(10):e0546. doi: 10.1097/CCE.0000000000000546

TABLE 2.

Hypoxemia Severity Assessment

Metric (95% CI) Spo2 ≤ 97% Spo2 > 97%
OI Using OSI OI Using ePao2 p OI Using OSI OI Using ePao2 p
Weighted kappa 0.60 (0.58–0.62) 0.79 (0.77–0.81) < 0.001 0.52 (0.50–0.54) 0.58 (0.56–0.59) < 0.001
Intraclass correlation coefficient 0.91 (0.89–0.92) 0.93 (0.92–0.94) 0.029 0.62 (0.60–0.64) 0.72 (0.69–0.75) < 0.001
Mean absolute error 3.68 (3.57–3.79) 1.90 (1.80–2.01) < 0.001 3.58 (3.47–3.68) 1.60 (1.54–1.67) < 0.001
Coefficient of determination (R2) 0.84 (0.82–0.86) 0.87 (0.85–0.89) 0.043 0.51 (0.48–0.55) 0.55 (0.51–0.59) 0.170
Slope 0.81 (0.78–0.84) 1.02 (0.98–1.06) < 0.001 0.42 (0.39–0.44) 0.93 (0.88–0.99) < 0.001
Fixed bias 2.01 (1.85–2.17) 0.15 (0.02–0.28) < 0.001 –0.48 (–0.63 to –0.34) 0.13 (0.05–0.21) < 0.001
Proportional bias –0.12 (–0.16 to –0.09) 0.09 (0.06–0.13) < 0.001 –0.61 (–0.67 to –0.55) 0.26 (0.20–0.34) < 0.001
Upper and lower limits of agreements difference 0.32 (0.30–0.34) 0.25 (0.23–0.28) < 0.001 0.29 (0.28–0.31) 0.16 (0.15–0.18) < 0.001
AUROC for mild hypoxemia (OI ≥ 4) 0.92 (0.91–0.93) 0.93 (0.92–0.94) 0.122 0.87 (0.86–0.88) 0.88 (0.87–0.89) 0.052
AUROC for severe hypoxemia (OI ≥ 16) 0.98 (0.97–0.98) 0.98 (0.98–0.99) 0.055 0.96 (0.95–0.97) 0.96 (0.95–0.97) 0.986

AUROC = area under the receiving operating characteristic curve, ePao2 = estimated Pao2, OI = oxygenation index, OSI = oxygenation saturation index.