Evidence map›Paper›PMID 26315477›Full record

SynthesisJournal of clinical monitoring and computing2016

Accuracy and precision of minimally-invasive cardiac output monitoring in children: a systematic review and meta-analysis.

Koichi Suehiro, Alexandre Joosten, Linda Suk-Ling Murphy, Olivier Desebbe, Brenton Alexander, Sang-Hyun Kim, Maxime Cannesson

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis 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 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 5% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 76 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Neonatal reference values and nomograms of systemic vascular resistances estimated with electrical cardiometry.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Electrocardiometry for Hemodynamic Categorization and Assessment of Fluid Responsiveness in Pediatric Septic Shock: A Pilot Observational Study.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2021
    Article
  15. Electrocardiometry Fluid Responsiveness in Pediatric Septic Shock.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2021
    Article
  16. Article
  17. Article
  18. Observational
  19. Observational
  20. Review
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

7 authors at 3 institutions in 3 countries.

Koichi SuehiroDepartment of Anesthesiology and Perioperative Care, University of California, Irvine, Irvine, CA, USA. suehirokoichi@yahoo.co.jp.
Alexandre JoostenDepartment of Anesthesiology and Perioperative Care, University of California, Irvine, Irvine, CA, USA.
Linda Suk-Ling MurphyAyala Science Library Reference Department, University of California, Irvine, Irvine, CA, USA.
Olivier DesebbeDepartment of Anesthesiology and Perioperative Care, University of California, Irvine, Irvine, CA, USA.
Brenton AlexanderDepartment of Anesthesiology and Perioperative Care, University of California, Irvine, Irvine, CA, USA.
Sang-Hyun KimDepartment of Anesthesiology and Perioperative Care, University of California, Irvine, Irvine, CA, USA.
Maxime CannessonDepartment of Anesthesiology and Perioperative Care, University of California, Irvine, Irvine, CA, USA.
University of California, Irvine · USFédération de recherche en imagerie multi-modalitéSoonchunhyang University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Several minimally-invasive technologies are available for cardiac output (CO) measurement in children, but the accuracy and precision of these devices have not yet been evaluated in a systematic review and meta-analysis. We conducted a comprehensive search of the medical literature in PubMed, Cochrane Library of Clinical Trials, Scopus, and Web of Science from its inception to June 2014 assessing the accuracy and precision of all minimally-invasive CO monitoring systems used in children when compared with CO monitoring reference methods. Pooled mean bias, standard deviation, and mean percentage error of included studies were calculated using a random-effects model. The inter-study heterogeneity was also assessed using an I(2) statistic. A total of 20 studies (624 patients) were included. The overall random-effects pooled bias, and mean percentage error were 0.13 ± 0.44 l min(-1) and 29.1 %, respectively. Significant inter-study heterogeneity was detected (P < 0.0001, I(2) = 98.3 %). In the sub-analysis regarding the device, electrical cardiometry showed the smallest bias (-0.03 l min(-1)) and lowest percentage error (23.6 %). Significant residual heterogeneity remained after conducting sensitivity and subgroup analyses based on the various study characteristics. By meta-regression analysis, we found no independent effects of study characteristics on weighted mean difference between reference and tested methods. Although the pooled bias was small, the mean pooled percentage error was in the gray zone of clinical applicability. In the sub-group analysis, electrical cardiometry was the device that provided the most accurate measurement. However, a high heterogeneity between studies was found, likely due to a wide range of study characteristics.

Indexed as

Cardiac OutputAdolescentAlgorithmsBiasCardiologyChildChild, PreschoolElectrophysiologyFemaleHumansInfantInfant, NewbornMaleModels, StatisticalMonitoring, PhysiologicRegression AnalysisAccuracyCardiac outputChildrenHemodynamic monitoringMeta-analysis

Identifiers

PMID26315477
OpenAlexW1203591844

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.