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Research ArticleOriginal Article
Open Access

Normative pulse oximetry values in healthy children

A cross-sectional study from Jeddah, Saudi Arabia

Turki S. Alahmadi, Mohammed A. Alsubaie, Abdullah Z. Alsuheili, Anas S. Alyazidi, Israa A. Habis, Taif K. Alotibi, Areen Y. Ibrahim, Saddiq B. Habiballah and Matter A. Alsulami
Saudi Medical Journal April 2025, 46 (4) 358-363; DOI: https://doi.org/10.15537/smj.2025.46.4.20241051
Turki S. Alahmadi
From the Department of Pediatrics (Alahmadi, Habiballah), Faculty of Medicine, King Abdulaziz University, Jeddah; from the Department of Pediatrics (Alahmadi), Faculty of Medicine in Rabigh, King Abdulaziz University, Rabigh; from the Department of Pediatrics (Alsubaie, Alsuheili), King Faisal Specialist Hospital and Research Centre, Jeddah; from the Faculty of Medicine (Alyazidi, Habis, Alotibi, Ibrahim), King Abdulaziz University, Jeddah; from the Immunology Unit (Habiballah), King Fahd Medical Research Center, Jeddah; and from the Department of Pediatrics (Alsulami), Hera General Hospital, Mecca, Kingdom of Saudi Arabia.
MBBS, MM
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  • ORCID record for Turki S. Alahmadi
  • For correspondence: [email protected]
Mohammed A. Alsubaie
From the Department of Pediatrics (Alahmadi, Habiballah), Faculty of Medicine, King Abdulaziz University, Jeddah; from the Department of Pediatrics (Alahmadi), Faculty of Medicine in Rabigh, King Abdulaziz University, Rabigh; from the Department of Pediatrics (Alsubaie, Alsuheili), King Faisal Specialist Hospital and Research Centre, Jeddah; from the Faculty of Medicine (Alyazidi, Habis, Alotibi, Ibrahim), King Abdulaziz University, Jeddah; from the Immunology Unit (Habiballah), King Fahd Medical Research Center, Jeddah; and from the Department of Pediatrics (Alsulami), Hera General Hospital, Mecca, Kingdom of Saudi Arabia.
MBBS
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Abdullah Z. Alsuheili
From the Department of Pediatrics (Alahmadi, Habiballah), Faculty of Medicine, King Abdulaziz University, Jeddah; from the Department of Pediatrics (Alahmadi), Faculty of Medicine in Rabigh, King Abdulaziz University, Rabigh; from the Department of Pediatrics (Alsubaie, Alsuheili), King Faisal Specialist Hospital and Research Centre, Jeddah; from the Faculty of Medicine (Alyazidi, Habis, Alotibi, Ibrahim), King Abdulaziz University, Jeddah; from the Immunology Unit (Habiballah), King Fahd Medical Research Center, Jeddah; and from the Department of Pediatrics (Alsulami), Hera General Hospital, Mecca, Kingdom of Saudi Arabia.
MBBS
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Anas S. Alyazidi
From the Department of Pediatrics (Alahmadi, Habiballah), Faculty of Medicine, King Abdulaziz University, Jeddah; from the Department of Pediatrics (Alahmadi), Faculty of Medicine in Rabigh, King Abdulaziz University, Rabigh; from the Department of Pediatrics (Alsubaie, Alsuheili), King Faisal Specialist Hospital and Research Centre, Jeddah; from the Faculty of Medicine (Alyazidi, Habis, Alotibi, Ibrahim), King Abdulaziz University, Jeddah; from the Immunology Unit (Habiballah), King Fahd Medical Research Center, Jeddah; and from the Department of Pediatrics (Alsulami), Hera General Hospital, Mecca, Kingdom of Saudi Arabia.
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Israa A. Habis
From the Department of Pediatrics (Alahmadi, Habiballah), Faculty of Medicine, King Abdulaziz University, Jeddah; from the Department of Pediatrics (Alahmadi), Faculty of Medicine in Rabigh, King Abdulaziz University, Rabigh; from the Department of Pediatrics (Alsubaie, Alsuheili), King Faisal Specialist Hospital and Research Centre, Jeddah; from the Faculty of Medicine (Alyazidi, Habis, Alotibi, Ibrahim), King Abdulaziz University, Jeddah; from the Immunology Unit (Habiballah), King Fahd Medical Research Center, Jeddah; and from the Department of Pediatrics (Alsulami), Hera General Hospital, Mecca, Kingdom of Saudi Arabia.
Roles: Medical Student
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Taif K. Alotibi
From the Department of Pediatrics (Alahmadi, Habiballah), Faculty of Medicine, King Abdulaziz University, Jeddah; from the Department of Pediatrics (Alahmadi), Faculty of Medicine in Rabigh, King Abdulaziz University, Rabigh; from the Department of Pediatrics (Alsubaie, Alsuheili), King Faisal Specialist Hospital and Research Centre, Jeddah; from the Faculty of Medicine (Alyazidi, Habis, Alotibi, Ibrahim), King Abdulaziz University, Jeddah; from the Immunology Unit (Habiballah), King Fahd Medical Research Center, Jeddah; and from the Department of Pediatrics (Alsulami), Hera General Hospital, Mecca, Kingdom of Saudi Arabia.
Roles: Medical Student
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Areen Y. Ibrahim
From the Department of Pediatrics (Alahmadi, Habiballah), Faculty of Medicine, King Abdulaziz University, Jeddah; from the Department of Pediatrics (Alahmadi), Faculty of Medicine in Rabigh, King Abdulaziz University, Rabigh; from the Department of Pediatrics (Alsubaie, Alsuheili), King Faisal Specialist Hospital and Research Centre, Jeddah; from the Faculty of Medicine (Alyazidi, Habis, Alotibi, Ibrahim), King Abdulaziz University, Jeddah; from the Immunology Unit (Habiballah), King Fahd Medical Research Center, Jeddah; and from the Department of Pediatrics (Alsulami), Hera General Hospital, Mecca, Kingdom of Saudi Arabia.
Roles: Medical Student
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Saddiq B. Habiballah
From the Department of Pediatrics (Alahmadi, Habiballah), Faculty of Medicine, King Abdulaziz University, Jeddah; from the Department of Pediatrics (Alahmadi), Faculty of Medicine in Rabigh, King Abdulaziz University, Rabigh; from the Department of Pediatrics (Alsubaie, Alsuheili), King Faisal Specialist Hospital and Research Centre, Jeddah; from the Faculty of Medicine (Alyazidi, Habis, Alotibi, Ibrahim), King Abdulaziz University, Jeddah; from the Immunology Unit (Habiballah), King Fahd Medical Research Center, Jeddah; and from the Department of Pediatrics (Alsulami), Hera General Hospital, Mecca, Kingdom of Saudi Arabia.
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Matter A. Alsulami
From the Department of Pediatrics (Alahmadi, Habiballah), Faculty of Medicine, King Abdulaziz University, Jeddah; from the Department of Pediatrics (Alahmadi), Faculty of Medicine in Rabigh, King Abdulaziz University, Rabigh; from the Department of Pediatrics (Alsubaie, Alsuheili), King Faisal Specialist Hospital and Research Centre, Jeddah; from the Faculty of Medicine (Alyazidi, Habis, Alotibi, Ibrahim), King Abdulaziz University, Jeddah; from the Immunology Unit (Habiballah), King Fahd Medical Research Center, Jeddah; and from the Department of Pediatrics (Alsulami), Hera General Hospital, Mecca, Kingdom of Saudi Arabia.
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  • Figure 1
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    Figure 1

    - Scatter plot illustrating the relationship between age (years) and oxygen saturation (%) in a pediatric population. Each dot represents an individual data point. The x-axis represents age in years, ranging from infancy to 18 years, while the Y-axis represents oxygen saturation (%) measured via pulse oximetry. Oxygen saturation values predominantly cluster at 100%, with some variation observed between 97% and 99%. A correlation analysis showed no significant association between age and oxygen saturation (r=0.036, p=0.259)

  • Figure 2
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    Figure 2

    - Distribution of oxygen saturation values in healthy children (n=973).Bar chart illustrating the frequency distribution of oxygen saturation values (%) among the study population.The X-axis represents oxygen saturation levels (%) measured by pulse oximetry, while the Y-axis represents the frequency of occurrences for each saturation level. The majority of subjects have an oxygen saturation of 100%, followed by 99% and 98%, with a smaller proportion at 97%.

Tables

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    Table 1

    - Participants’ characteristics (N=973).

    CharacteristicsFrequency (%)
    Gender
    Male537 (55.2)
    Female436 (44.8)
    Ethnicity
    Arab959 (98.6)
    Pakistani8 (0.8)
    Black3 (0.3)
    Indian2 (0.2)
    Asian1 (0.1)
    Age, Mean ± Standard deviation6.99 ± 4.49
    Infancy (< 1 year)91 (9.4)
    Toddler (1-3 years)230 (23.6)
    Pre-school (4-6 years)162 (16.6)
    School age (7-12 years)365 (37.6)
    Adolescent (13-18 years)125 (12.8)
    • View popup
    Table 2

    - Mean and median heart rates across age groups.

    Age groupsnMean (95% Confidence Interval)Median (IQR)
    <1 year91136.28 (132.32-140.23)140 (130-150)
    1-3 years230110.86 (108.41-113.32)110 (96-125)
    4-6 years16299.49 (97.42-101.55)98 (89-110)
    7-12 years36595.93 (94.45-97.40)94 (87-103)
    13-18 years12593.24 (90.39-96.09)92 (83-102)
    Total973103.49 (102.21-104.76)99 (89-115)

    A statistically significant difference was observed between the age groups, with the mean heart rate decreasing as age increased (p<0.001). n: number, IQR: interquartile range

      • View popup
      Table 3

      - Mean and median oxygen saturation values across age groups.

      Age groupsnMean (95% CI)SDMedian (IQR)
      < 1 year9199.16 (98.94-99.39)1.01100 (99-100)
      1-3 years23099.09 (98.97-99.22)0.9699 (98-100)
      4-6 years16299.13 (99-99.27)0.8999 (98-100)
      7-12 years36599.21 (99.12-99.31)0.9099 (99-100)
      13-18 years12599.21 (99.03-99.38)0.98100 (98-100)
      Total97399.17 (99.11-99.23)0.9499 (99-100)

      The analysis revealed no statistically significant variations in oxygen. saturation values among the various age groups (p=0.622). n: number SD: standard deviation, IQR: interquartile range

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      Normative pulse oximetry values in healthy children
      Turki S. Alahmadi, Mohammed A. Alsubaie, Abdullah Z. Alsuheili, Anas S. Alyazidi, Israa A. Habis, Taif K. Alotibi, Areen Y. Ibrahim, Saddiq B. Habiballah, Matter A. Alsulami
      Saudi Medical Journal Apr 2025, 46 (4) 358-363; DOI: 10.15537/smj.2025.46.4.20241051

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      Normative pulse oximetry values in healthy children
      Turki S. Alahmadi, Mohammed A. Alsubaie, Abdullah Z. Alsuheili, Anas S. Alyazidi, Israa A. Habis, Taif K. Alotibi, Areen Y. Ibrahim, Saddiq B. Habiballah, Matter A. Alsulami
      Saudi Medical Journal Apr 2025, 46 (4) 358-363; DOI: 10.15537/smj.2025.46.4.20241051
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      Keywords

      • Oxygen saturation
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      • pulse oximetry

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