Evidence map›Paper›PMID 40925943›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2025

The feasibility of noninvasive blood pressure monitoring in infants with a birth weight under 500 grams.

Soo Hyun Kim, Euiseok Jung, Hyo Myung Han, Ka Young Lee, Sookyoung Lee, Eun A Heo, Min-Ju Kim, Jung-Bok Lee, Byong Sop Lee, Ellen Ai-Rhan Kim and 1 more

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Article in Journal of perinatology : official journal of the California Perinatal Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Soo Hyun KimDepartment of Pediatrics, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine, Seoul, Korea.
Euiseok JungDepartment of Pediatrics, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine, Seoul, Korea. euisjung@amc.seoul.kr.ORCID http://orcid.org/0000-0003-0693-5627
Hyo Myung HanDepartment of Pediatric Nursing, Asan Medical Center Children's Hospital, Seoul, Korea.
Ka Young LeeDepartment of Pediatric Nursing, Asan Medical Center Children's Hospital, Seoul, Korea.
Sookyoung LeeDepartment of Pediatric Nursing, Asan Medical Center Children's Hospital, Seoul, Korea.
Eun A HeoDepartment of Pediatric Nursing, Asan Medical Center Children's Hospital, Seoul, Korea.
Min-Ju KimDepartment of Clinical Epidemiology and Biostatistics, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Jung-Bok LeeDepartment of Clinical Epidemiology and Biostatistics, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Byong Sop LeeDepartment of Pediatrics, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine, Seoul, Korea.
Ellen Ai-Rhan KimDepartment of Pediatrics, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine, Seoul, Korea.
Ki-Soo KimDepartment of Pediatrics, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine, Seoul, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo quantify agreement between oscillometric non-invasive blood pressure (NIBP) and invasive arterial blood pressure (IBP) in infants <500 g during the first postnatal week. STUDY

designRetrospective cohort of infants with a birth weight <500 g admitted to a tertiary NICU (2011-2023). Paired IBP-NIBP readings obtained within 1 min were analyzed. Bland-Altman plots quantified bias and 95% limits of agreement for systolic (SBP), diastolic (DBP) and mean arterial pressure (MAP).

resultsThirty-six infants (median gestation of 26.2 weeks) contributed 337 paired measurements. Mean (±SD) IBP vs. NIBP were 47.3  ±  10.4 vs. 49.4  ±  9.3 mm Hg (SBP), 29.2  ±  7.0 vs. 28.3  ±  8.2 mm Hg (DBP) and 35.1  ±  7.7 vs. 35.2  ±  7.9 mm Hg (MAP). Mean bias was +2.1 ±  6.8 mm Hg (SBP), -0.9  ±  6.7 mm Hg (DBP) and +0.1 ± 5.4 mm Hg (MAP), satisfying AAMI/ESH/ISO criteria (≤5 mm Hg mean difference, ≤8 mm Hg SD). Bias remained <3 mm Hg without inotropes; MAP bias rose to +1.3 mm Hg with inotropic support.

conclusionOscillometric NIBP compared to IBP provided acceptable agreement in hemodynamically stable neonates <500 g. Whereas, invasive arterial monitoring remains preferable in unstable neonates.

Identifiers

PMID40925943

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