RETRACTED ARTICLE: Noninvasive assessment of cardiac output using thoracic electrical bioimpedance in hemodynamically stable and unstable patients after cardiac surgery: ... View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2006-10-13

AUTHORS

Stefan Suttner, Thilo Schöllhorn, Joachim Boldt, Jochen Mayer, Kerstin D. Röhm, Katrin Lang, Swen N. Piper

ABSTRACT

ObjectiveTo compare noninvasive cardiac output (CO)measurement obtained with a new thoracic electrical bioimpedance (TEB) device, using a proprietary modification of the impedance equation, with invasive measurement obtained via pulmonary artery thermodilution.DesignProspective, observational study.SettingSurgical intensive care unit (ICU) of a university-affiliated community hospital.Patients and participantsSeventy-four adult patients undergoing elective cardiac surgery with routine pulmonary artery catheter placement.InterventionsNone.Measurements and resultsSimultaneous paired CO and cardiac index (CI) measurements by TEB and thermodilution were obtained in mechanically ventilated patients upon admission to the ICU. For analysis of CI data the patients were subdivided into a hemodynamically stable group and a hemodynamically unstable group. The groups were analyzed using linear regression and tests of bias and precision. We found a significant correlation between thermodilution and TEB (r = 0.83; n< 0.001), accompanied by a bias of –0.01 l/min/m2 and a precision of ±0.57 l/min/m2 for all CI data pairs. Correlation, bias, and precision were not influenced by stratification of the data. The correlation coefficient, bias, and precision for CI were 0.86 (n< 0.001), 0.03 l/min/m2, and ±0.47 l/min/m2 in hemodynamically stable patients and 0.79 (n< 0.001), 0.06 l/min/m2, and ±0.68 l/min/m2 in hemodynamically unstable patients.ConclusionsOur results demonstrate a close correlation and clinically acceptable agreement and precision between CO measurements obtained with impedance cardiography using a new algorithm to calculate CO from variations in TEB, and those obtained with the clinical standard of care, pulmonary artery thermodilution, in hemodynamically stable and unstable patients after cardiac surgery. More... »

PAGES

2053-2058

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00134-006-0409-x

DOI

http://dx.doi.org/10.1007/s00134-006-0409-x

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1029893854

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/17039348


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