Chetboul Valérie, Tissier Renaud, Gouni Vassiliki, de Almeida Virginie, Lefebvre Hervé P, Concordet Didier, Jamet Nathalie, Sampedrano Carolina Carlos, Serres François, Pouchelon Jean-Louis
Unité de Cardiologie d'Alfort, Unité Mixte de Recherche INSERM U955, Ecole Nationale Vétérinaire d'Alfort, 94 704 Maisons-Alfort cedex, France.
Am J Vet Res. 2010 Jul;71(7):766-72. doi: 10.2460/ajvr.71.7.766.
To determine the intra- and interobserver variability of systolic arterial pressure (SAP) and diastolic arterial pressure (DAP) measurements obtained with 2 indirect methods in awake dogs and percentage of successful measurements.
6 healthy conscious adult dogs.
4 observers with different levels of training measured SAP and DAP on 4 days by use of Doppler ultrasonography (DU) and high-definition oscillometry (HDO). The examinations were randomized. Measurements for each technique were recorded 5 consecutive times, and mean values (total, 720 measurements) were used for statistical analysis.
All within- and between-day coefficients of variation (CVs) for SAP were < 15% irrespective of the observer or method (HDO, 3.6% to 14.1%; DU, 4.1% to 12.4%). Conversely, half the CVs for DAP were > 15% with the highest within- and between-day CVs obtained by the least experienced observer by use of DU (19.5% and 25.9%, respectively). All attempts with HDO were successful, whereas DAP could not be measured by use of DU by the least experienced observer in 17% of attempts.
SAP may be assessed in healthy dogs by use of DU and HDO with good repeatability and reproducibility after a short period of training. Conversely, the variability of DAP is higher and longer training is required to assess DAP via DU than via HDO.
确定在清醒犬中使用两种间接方法测量收缩压(SAP)和舒张压(DAP)时观察者内和观察者间的变异性以及成功测量的百分比。
6只健康的成年清醒犬。
4名经过不同程度培训的观察者在4天内使用多普勒超声(DU)和高清示波法(HDO)测量SAP和DAP。检查是随机的。每种技术连续记录5次测量值,平均值(共720次测量)用于统计分析。
无论观察者或方法如何(HDO,3.6%至14.1%;DU,4.1%至12.4%),SAP的所有日内和日间变异系数(CV)均<15%。相反,DAP的CV有一半>15%,经验最少的观察者使用DU获得的日内和日间CV最高(分别为19.5%和25.9%)。HDO的所有测量尝试均成功,而经验最少的观察者使用DU在17%的尝试中无法测量DAP。
经过短时间培训后,使用DU和HDO可在健康犬中很好地重复和再现性地评估SAP。相反,DAP的变异性较高,与通过HDO评估DAP相比,通过DU评估DAP需要更长时间的培训。