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ARTICLE |

Carboxyhemoglobin Levels in American Blood Donors FREE

Richard D. Stewart, MD, MPH; Edward D. Baretta, MS; Leigh R. Platte, MT (ASCP); Elizabeth B. Stewart, MT (ASCP); John H. Kalbfleisch, PhD; Barbara Van Yserloo; Alfred A. Rimm, PhD
[+] Author Affiliations

Reprint requests to Allen Bradley Laboratory, 8700 W Wisconsin Ave, Milwaukee, WI 53226 (Dr. Stewart).


JAMA. 1974;229(9):1187-1195. doi:10.1001/jama.1974.03230470029019
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A national survey was conducted in 1969-1972 for the purpose of determining the range of carboxyhemoglobin (COHb) levels in various segments of the American population. Venous blood samples for COHb analysis were obtained from 29,000 blood donors living in urban, suburban, and rural communities across the United States. For comparative purposes, COHb measurements were made on samples obtained from 11 volunteers breathing air free of carbon monoxide (CO) or air with known concentrations of CO. The mean COHb saturation of four adults breathing CO-free air was 0.45%. Fortyfive percent of all the nonsmoking blood donors tested had COHb saturations of more than 1.5% This indicated that exposure to CO in excess of that permitted by the Air Quality Standards was widespread and occurring regularly. Tobacco smoking was the single most important factor responsible for the highest COHb saturations observed. The other chief factors influencing the COHb saturation were the geographical location of the individual, occupation, and the existing meteorological conditions.

(JAMA 229:1187-1195, 1974)

REFERENCES

Forbes WH, Sargent F, Roughton FJW:  The rate of carbon monoxide uptake by normal men . Am J Physiol 143:594-608, 1945;.
Stewart RD, et al:  Experimental human exposure to carbon monoxide . Arch Environ Health 21:154-164, 1970;.
Peterson JE, Stewart RD:  Absorption and elimination of carbon monoxide by inactive young men . Arch Environ Health 21:165-171, 1970;.
Ringold A, et al:  Estimating recent carbon monoxide exposures . Arch Environ Health 5:308-318, 1962;.
Peterson JE:  Postexposure relationship of carbon monoxide in blood and expired air . Arch Environ Health 21:172-173, 1970;.
Dubowski KM, Luke JL:  Measurement of carboxyhemoglobin and carbon monoxide in blood . Ann Clin Lab Sci 3:53-65, 1973;.
Malenfant AL, et al:  Spectrophotometric determination of hemoglobin concentration and percent oxyhemoglobin and carboxyhemoglobin saturation . Clin Chem 14:789, 1968;.
Collison HA, Rodkey FL, O'Neal JD:  Determination of carbon monoxide in blood by gas chromatography . Clin Chem 14:162-171, 1968;.
Dodd HC, et al: Analysis of Carboxyhemoglobin with a Helium-Ionization Detector. Report No. ENVIR MED MCW CRC-COHb-73-3, to be published.
Baretta ED, Graff SA, Donohoo KK: Analysis of Carbon Monoxide in the Blood and Breath of Man. Report No. ENVIR MED MCW CRC-COHb-73-2, to be published.
Stewart RD, et al: "Normal" Carboxyhemoglobin Levels of Blood Donors in the United States , NTIS report No. PB222503. Springfield, Va, National Clearinghouse for Federal Scientific and Technical Information.
Porter K, Volman PH:  Flame ionization detection of carbon monoxide for gas chromatographic analysis . Anal Chem 34:748-749, 1962;.
Peterson JE, Stewart RD: Predicting the Carboxyhemoglobin Levels Resulting from Carbon Monoxide Exposures. Report No. CRC-APRAC-CAPM-3-68, MCOW-ENVIR-CO-73-1, to be published.
Coburn RF, Forster RE, Kane PB:  Considerations of the physiological variables that determine the blood carboxyhemoglobin concentration in man . J Clin Invest 44:1899-1910, 1965;.
Bartlett D:  Pathophysiology of exposure to the low concentrations of carbon monoxide . Arch Environ Health 16:719-727, 1968;.

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Forbes WH, Sargent F, Roughton FJW:  The rate of carbon monoxide uptake by normal men . Am J Physiol 143:594-608, 1945;.
Stewart RD, et al:  Experimental human exposure to carbon monoxide . Arch Environ Health 21:154-164, 1970;.
Peterson JE, Stewart RD:  Absorption and elimination of carbon monoxide by inactive young men . Arch Environ Health 21:165-171, 1970;.
Ringold A, et al:  Estimating recent carbon monoxide exposures . Arch Environ Health 5:308-318, 1962;.
Peterson JE:  Postexposure relationship of carbon monoxide in blood and expired air . Arch Environ Health 21:172-173, 1970;.
Dubowski KM, Luke JL:  Measurement of carboxyhemoglobin and carbon monoxide in blood . Ann Clin Lab Sci 3:53-65, 1973;.
Malenfant AL, et al:  Spectrophotometric determination of hemoglobin concentration and percent oxyhemoglobin and carboxyhemoglobin saturation . Clin Chem 14:789, 1968;.
Collison HA, Rodkey FL, O'Neal JD:  Determination of carbon monoxide in blood by gas chromatography . Clin Chem 14:162-171, 1968;.
Dodd HC, et al: Analysis of Carboxyhemoglobin with a Helium-Ionization Detector. Report No. ENVIR MED MCW CRC-COHb-73-3, to be published.
Baretta ED, Graff SA, Donohoo KK: Analysis of Carbon Monoxide in the Blood and Breath of Man. Report No. ENVIR MED MCW CRC-COHb-73-2, to be published.
Stewart RD, et al: "Normal" Carboxyhemoglobin Levels of Blood Donors in the United States , NTIS report No. PB222503. Springfield, Va, National Clearinghouse for Federal Scientific and Technical Information.
Porter K, Volman PH:  Flame ionization detection of carbon monoxide for gas chromatographic analysis . Anal Chem 34:748-749, 1962;.
Peterson JE, Stewart RD: Predicting the Carboxyhemoglobin Levels Resulting from Carbon Monoxide Exposures. Report No. CRC-APRAC-CAPM-3-68, MCOW-ENVIR-CO-73-1, to be published.
Coburn RF, Forster RE, Kane PB:  Considerations of the physiological variables that determine the blood carboxyhemoglobin concentration in man . J Clin Invest 44:1899-1910, 1965;.
Bartlett D:  Pathophysiology of exposure to the low concentrations of carbon monoxide . Arch Environ Health 16:719-727, 1968;.
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