Reference values for arterial blood gases in the elderly

Jon A. Hardie, William M. Vollmer, A. Sonia Buist, Ivar Ellingsen, Odd Mørkve

Research output: Contribution to journalArticle

45 Scopus citations

Abstract

Objectives: We present reference values for arterial blood gas measurements for persons > 70 years old. At the same time, we wish to examine how different criteria for exclusion from the reference sample with regard to previous smoking and various comorbidities might influence reference values. Methods: After first screening a random sample of the general elderly population by postal questionnaire, we selected 146 men and women without respiratory disease, significant dyspnea, symptomatic heart disease or hypertension, or current smoker status. Arterial blood samples were drawn from subjects while in the supine position. Results: The mean (SD; lower limit of normal) PaO 2 and arterial oxygen saturation (SaO2) for men was 77.0 mm Hg (9.1; 62.0) and 95.3% (1.4; 93.0), respectively, and for women was 73.5 mm Hg (8.4; 59.6) and 94.8% (1.7; 92.0). Mean (SD; upper limit of normal) PaCO2 was 39.4 mm Hg (3.3; 44.8) for both sexes. None of the blood gas variables were associated with age, smoking history, or presence of various comorbidities. Conclusions: The reference values for PaO2 and SaO2 in elderly persons are sex specific but age independent. Ex-smokers and persons with nonpulmonary comorbidities who do not have significant respiratory symptoms need not be excluded from the reference sample for arterial blood gases.

Original languageEnglish (US)
Pages (from-to)2053-2060
Number of pages8
JournalCHEST
Volume125
Issue number6
DOIs
StatePublished - Jun 2004

Keywords

  • Aged, 70 and over
  • Blood gas analysis
  • Frail elderly
  • Reference
  • Respiratory function tests

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

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  • Cite this

    Hardie, J. A., Vollmer, W. M., Buist, A. S., Ellingsen, I., & Mørkve, O. (2004). Reference values for arterial blood gases in the elderly. CHEST, 125(6), 2053-2060. https://doi.org/10.1378/chest.125.6.2053