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Equivalence of bioimpedance and thermodilution in measuring cardiac index after cardiac surgery.

作者信息

Sageman W Scott, Riffenburgh Robert H, Spiess Bruce D

机构信息

Pulmonary Medicine, Monterey, CA , USA.

出版信息

J Cardiothorac Vasc Anesth. 2002 Feb;16(1):8-14. doi: 10.1053/jcan.2002.29635.

DOI:10.1053/jcan.2002.29635
PMID:11854871
Abstract

OBJECTIVE

To compare thoracic electrical bioimpedance (TEB) cardiography versus pulmonary artery thermodilution (TD) derived cardiac index in patients after cardiopulmonary bypass.

DESIGN

Prospective, blinded electronic data collection.

SETTING

Intensive care unit of a military hospital.

PARTICIPANTS

Post-cardiopulmonary bypass patients for primary comparison between technologies (n = 20) and patients for comparison of variability within each technology (n = 20).

INTERVENTIONS

None.

MEASUREMENTS AND MAIN RESULTS

Cardiac index values by TEB or TD were collected simultaneously. Linear regression, Lin's concordance correlation coefficient, bias, and precision measures within the large data set group and within each patient over time were calculated. Linearity in regression and Lin's concordance correlation coefficient of 0.99 were shown. A bias of 0.07 L/min/m(2) and precision of 0.40 L/min/m(2) were within acceptable clinical limits, as were equivalence test results.

CONCLUSIONS

TEB is equivalent to TD-derived cardiac index in postoperative cardiac surgery patients.

摘要

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