Evidence map›Paper›PMID 25721853›Full record

ArticleJournal of clinical monitoring and computing2016

Continuous cardiac output measurement by un-calibrated pulse wave analysis and pulmonary artery catheter in patients with septic shock.

Michael T Ganter, Jamal A Alhashemi, Adel M Al-Shabasy, Ursina M Schmid, Peter Schott, Sanaa A Shalabi, Ahmed M Badri, Sonja Hartnack, Christoph K Hofer

Open access · bronzeAbstract readComparative StudyMulticenter Study
PubMed Publisher
In one paragraph

Article in Journal of clinical monitoring and computing, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
4.1field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 53 citations in OpenAlex.

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  4. Noninvasive pulse contour analysis for determination of cardiac output in patients with chronic heart failure.Clinical research in cardiology : official journal of the German Cardiac Society · 2018
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 3 countries.

Michael T GanterInstitute of Anaesthesiology and Pain Medicine, Kantonsspital Winterthur, Brauerstr. 15, 8401, Winterthur, Switzerland.
Jamal A AlhashemiDepartment of Anaesthesia and Critical Care, King Abdulaziz University Jeddah, P.O. Box 80215, 21589, Jeddah, Saudi Arabia.
Adel M Al-ShabasyDepartment of Anaesthesia and Critical Care, King Abdulaziz University Jeddah, P.O. Box 80215, 21589, Jeddah, Saudi Arabia.
Ursina M SchmidInstitute of Anaesthesiology and Intensive Care Medicine, Triemli City Hospital Zurich, Birmensdorferstr. 497, 8063, Zurich, Switzerland.
Peter SchottInstitute of Anaesthesiology and Intensive Care Medicine, Triemli City Hospital Zurich, Birmensdorferstr. 497, 8063, Zurich, Switzerland.
Sanaa A ShalabiDepartment of Anaesthesia and Critical Care, King Abdulaziz University Jeddah, P.O. Box 80215, 21589, Jeddah, Saudi Arabia.
Ahmed M BadriDepartment of Anaesthesia and Critical Care, King Abdulaziz University Jeddah, P.O. Box 80215, 21589, Jeddah, Saudi Arabia.
Sonja HartnackSection of Epidemiology, Vetsuisse Faculty, University of Zurich, Winterthurerstr. 270, 8057, Zurich, Switzerland.
Christoph K HoferInstitute of Anaesthesiology and Intensive Care Medicine, Triemli City Hospital Zurich, Birmensdorferstr. 497, 8063, Zurich, Switzerland. hoferck@gmail.com.
King Abdulaziz University · SATriemli Hospital · CHUniversity of Zurich · CHWinterthur Museum Garden and Library · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Septic shock is a serious medical condition. With increased concerns about invasive techniques, a number of non-invasive and semi-invasive devices measuring cardiac output (CO) have become commercially available. The aim of the present study was to determine the accuracy, precision and trending abilities of the FloTrac and the continuous pulmonary artery catheter thermodilution technique determining CO in septic shock patients. Consecutive septic shock patients were included in two centres and CO was measured every 4 h up to 48 h by FloTrac (APCO) and by pulmonary artery catheter (PAC) using the continuous (CCO) and intermittent (ICO) technique. Forty-seven septic shock patients with 326 matched sets of APCO, CCO and ICO data were available for analysis. Bland and Altman analysis revealed a mean bias ±2 SD of 0.0 ± 2.14 L min(-1) for APCO-ICO (%error = 34.5 %) and 0.23 ± 2.55 L min(-1) for CCO-ICO (%error = 40.4 %). Trend analysis showed a concordance of 85 and 81 % for APCO and CCO, respectively. In contrast to CCO, APCO was influenced by systemic vascular resistance and by mean arterial pressure. In septic shock patients, APCO measurements assessed by FloTrac but also the established CCO measurements using the PAC did not meet the currently accepted statistical criteria indicating acceptable clinical performance.

Indexed as

Cardiac OutputPulmonary Wedge PressureSoftwareCalibrationCatheterization, PeripheralDiagnosis, Computer-AssistedEquipment DesignEquipment Failure AnalysisFemaleHeart Function TestsHumansMaleMiddle AgedPulse Wave AnalysisReproducibility of ResultsSaudi ArabiaCardiac output, measurementPulmonary artery catheterPulse wave analysisSepsisStroke volume, measurementThermodilution

Identifiers

PMID25721853
OpenAlexW2048158965

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.