Evidence map›Paper›PMID 30978246›Full record

Trial reportPloS one2019

Calculated arterial blood gas values from a venous sample and pulse oximetry: Clinical validation.

Magnus Ekström, Anna Engblom, Adam Ilic, Nicholas Holthius, Peter Nordström, Ivar Vaara

Open access · goldAbstract readClinical TrialValidation Study
In one paragraph

Trial report in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.5field-weighted citation impact, top 19% 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

10 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Trending peripheral venous PCOBMJ open respiratory research · 2021
    Article
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

6 authors at 1 institution in 1 country.

Magnus EkströmDepartment of Clinical Sciences, Division of Respiratory Medicine & Allergology, Lund University, Lund, Sweden.ORCID 0000-0002-7227-5113
Anna EngblomDepartment of Medicine, Blekinge Hospital, Karlskrona, Sweden.
Adam IlicDepartment of Medicine, Blekinge Hospital, Karlskrona, Sweden.
Nicholas HolthiusDepartment of Clinical Chemistry, Blekinge Hospital, Karlskrona, Sweden.
Peter NordströmDepartment of Medicine, Blekinge Hospital, Karlskrona, Sweden.
Ivar VaaraDepartment of Clinical Chemistry, Blekinge Hospital, Karlskrona, Sweden.
Lund University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundArterial blood gases (ABG) are essential for assessment of patients with severe illness, but sampling is difficult in some settings and more painful than for peripheral venous blood gas (VBG). Venous to Arterial Conversion (v-TAC; OBIMedical ApS, Denmark) is a method to calculate ABG values from a VBG and pulse oximetry (SpO2). The aim was to validate v-TAC against ABG for measuring pH, carbon dioxide (pCO2) and oxygenation (pO2).

methodsOf 103 sample sets, 87 paired ABGs and VBGs with SpO2 from 46 inpatients eligible for ABG met strict sampling criteria. Agreement was evaluated using mean difference with 95% limits of agreement (LoA) and Bland-Altman plots.

resultsv-TAC had very high agreement with ABG for pH (mean diff(ABG-v-TAC) -0.001; 95% LoA -0.017 to 0.016), pCO2 (-0.14 kPa; 95% LoA -0.46 to 0.19) and moderate to high for pO2 (-0.28 kPa; 95% LoA -1.31 to 0.76). For detecting hypercapnia (PaCO2>6.0 kPa), v-TAC had sensitivity 100%, specificity 93.8% and accuracy 97%. The accuracy of v-TAC for detecting hypoxemia (PaO2<8.0 kPa) was comparable to that of pulse oximetry. Agreement with ABG was higher for v-TAC than for VBG for all analyses.

conclusionCalculated arterial blood gases (v-TAC) from a venous sample and pulse oximetry were comparable to ABG values and may be useful for evaluation of blood gases in clinical settings. This could reduce the logistic burden of arterial sampling, facilitate improved screening and follow-up and reduce patient pain.

Indexed as

AgedAged, 80 and overArteriesBlood Gas AnalysisCarbon DioxideCross-Sectional StudiesFemaleHumansHydrogen-Ion ConcentrationMaleMiddle AgedOximetryOxygenVeinsCarbon DioxideOxygen

Identifiers

PMID30978246
PMCPMC6461265
OpenAlexW2938254392

What OpenQuestion holds

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LicenceCC BY
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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.