Comparison of Noninvasive Cardiac Output Monitoring by Electrical Cardiometry with Transthoracic Echocardiography in Postoperative Paediatric Cardiac Surgical Patients - A Prospective Observational Study

ABSTRACT Aim: The present study was conducted to validate cardiac output (CO) and cardiac index (CI) obtained from electrical cardiometry (EC) ICON [sup.®] with transthoracic echocardiography (TTE) in postoperative pediatric cardiac surgical patients. Materials and Methods: A prospective observation...

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Published in:Annals of Cardiac Anaesthesia 2023, Vol.26 (4), p.380
Main Authors: Pedgaonkar, Raj A, Singh, Naveen G, Dhananjaya, Manasa, Nagaraja, PS, Nagesh, KS, Prabhakar, V
Format: Report
Language:English
Subjects:
Analysis
Cardiac patients
Children
Dexmedetomidine
Echocardiography
Health aspects
Information management
Medical research
Medicine, Experimental
Neonatology
Patient monitoring equipment
Pediatric cardiology
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container_start_page 380
container_title Annals of Cardiac Anaesthesia
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creator Pedgaonkar, Raj A
Singh, Naveen G
Dhananjaya, Manasa
Nagaraja, PS
Nagesh, KS
Prabhakar, V
description ABSTRACT Aim: The present study was conducted to validate cardiac output (CO) and cardiac index (CI) obtained from electrical cardiometry (EC) ICON [sup.®] with transthoracic echocardiography (TTE) in postoperative pediatric cardiac surgical patients. Materials and Methods: A prospective observational study was conducted in 25 pediatric patients with age < 10 years who underwent elective cardiac surgery. Data Analysis: BlandAltman plot was constructed for interchangeability and Polar plot was constructed to know trending ability. Results: A total of 250 datasets were analyzed. Spearman's correlation coefficient for CO between ICON [sup.®] and TTE showed good positive correlation (r = 0.850, 95 confidence interval 0.81 to 0.881, P
doi_str_mv 10.4103/aca.aca_9_23
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Materials and Methods: A prospective observational study was conducted in 25 pediatric patients with age &lt; 10 years who underwent elective cardiac surgery. Data Analysis: BlandAltman plot was constructed for interchangeability and Polar plot was constructed to know trending ability. Results: A total of 250 datasets were analyzed. Spearman's correlation coefficient for CO between ICON [sup.®] and TTE showed good positive correlation (r = 0.850, 95 confidence interval 0.81 to 0.881, P &lt;.0001). Moderate positive correlation was observed between ICON [sup.®] and TTE for CI (r = 0.60, 95 confidence interval 0.515 to 0.674, P &lt;.0001). Linear regression equations for CO and CI between ICON [sup.®] and TTE were: y = 0.5230 + 0.8078 X (R[sup.2] = 0.6597, P &lt;.001) and y = 1.8350 + 0.5869 X (R[sup.2] = 0.3985, P &lt;.001) [y- ICON [sup.®]; X - TTE], respectively. BlandAltman plot for CO between ICON [sup.®] and TTE showed a bias of 0.3012 with limits of agreement (LOA) being -0.69 to 1.3 and for CI bias was 0.6939 with LOA-2.1 to 3.5. Polar plot analysis showed an angular bias of 8.1750, with radial LOA being -13.74° to 30.08° for CO and angular bias of 6.6931, with radial LOA being -15.69° to 29.07° for CI. Conclusion: ICON [sup.®] monitor-derived parameters are not interchangeable with the values derived from TTE. However, the ICON [sup.®] monitor demonstrated a good trending ability for both CO and CI. Keywords: Cardiac index, cardiac output, electrical cardiometry, transthoracic echocardiography</description><identifier>ISSN: 0971-9784</identifier><identifier>DOI: 10.4103/aca.aca_9_23</identifier><language>eng</language><publisher>Medknow Publications and Media Pvt. 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Ltd.</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>776,780,4476,27902</link.rule.ids></links><search><creatorcontrib>Pedgaonkar, Raj A</creatorcontrib><creatorcontrib>Singh, Naveen G</creatorcontrib><creatorcontrib>Dhananjaya, Manasa</creatorcontrib><creatorcontrib>Nagaraja, PS</creatorcontrib><creatorcontrib>Nagesh, KS</creatorcontrib><creatorcontrib>Prabhakar, V</creatorcontrib><title>Comparison of Noninvasive Cardiac Output Monitoring by Electrical Cardiometry with Transthoracic Echocardiography in Postoperative Paediatric Cardiac Surgical Patients - A Prospective Observational Study</title><title>Annals of Cardiac Anaesthesia</title><description>ABSTRACT Aim: The present study was conducted to validate cardiac output (CO) and cardiac index (CI) obtained from electrical cardiometry (EC) ICON [sup.®] with transthoracic echocardiography (TTE) in postoperative pediatric cardiac surgical patients. Materials and Methods: A prospective observational study was conducted in 25 pediatric patients with age &lt; 10 years who underwent elective cardiac surgery. Data Analysis: BlandAltman plot was constructed for interchangeability and Polar plot was constructed to know trending ability. Results: A total of 250 datasets were analyzed. Spearman's correlation coefficient for CO between ICON [sup.®] and TTE showed good positive correlation (r = 0.850, 95 confidence interval 0.81 to 0.881, P &lt;.0001). Moderate positive correlation was observed between ICON [sup.®] and TTE for CI (r = 0.60, 95 confidence interval 0.515 to 0.674, P &lt;.0001). Linear regression equations for CO and CI between ICON [sup.®] and TTE were: y = 0.5230 + 0.8078 X (R[sup.2] = 0.6597, P &lt;.001) and y = 1.8350 + 0.5869 X (R[sup.2] = 0.3985, P &lt;.001) [y- ICON [sup.®]; X - TTE], respectively. BlandAltman plot for CO between ICON [sup.®] and TTE showed a bias of 0.3012 with limits of agreement (LOA) being -0.69 to 1.3 and for CI bias was 0.6939 with LOA-2.1 to 3.5. Polar plot analysis showed an angular bias of 8.1750, with radial LOA being -13.74° to 30.08° for CO and angular bias of 6.6931, with radial LOA being -15.69° to 29.07° for CI. Conclusion: ICON [sup.®] monitor-derived parameters are not interchangeable with the values derived from TTE. However, the ICON [sup.®] monitor demonstrated a good trending ability for both CO and CI. 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Ltd</general><scope/></search><sort><creationdate>20231001</creationdate><title>Comparison of Noninvasive Cardiac Output Monitoring by Electrical Cardiometry with Transthoracic Echocardiography in Postoperative Paediatric Cardiac Surgical Patients - A Prospective Observational Study</title><author>Pedgaonkar, Raj A ; Singh, Naveen G ; Dhananjaya, Manasa ; Nagaraja, PS ; Nagesh, KS ; Prabhakar, V</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-gale_infotracacademiconefile_A8187726493</frbrgroupid><rsrctype>reports</rsrctype><prefilter>reports</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Analysis</topic><topic>Cardiac patients</topic><topic>Children</topic><topic>Dexmedetomidine</topic><topic>Echocardiography</topic><topic>Health aspects</topic><topic>Information management</topic><topic>Medical research</topic><topic>Medicine, Experimental</topic><topic>Neonatology</topic><topic>Patient monitoring equipment</topic><topic>Pediatric cardiology</topic><toplevel>online_resources</toplevel><creatorcontrib>Pedgaonkar, Raj A</creatorcontrib><creatorcontrib>Singh, Naveen G</creatorcontrib><creatorcontrib>Dhananjaya, Manasa</creatorcontrib><creatorcontrib>Nagaraja, PS</creatorcontrib><creatorcontrib>Nagesh, KS</creatorcontrib><creatorcontrib>Prabhakar, V</creatorcontrib></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pedgaonkar, Raj A</au><au>Singh, Naveen G</au><au>Dhananjaya, Manasa</au><au>Nagaraja, PS</au><au>Nagesh, KS</au><au>Prabhakar, V</au><format>book</format><genre>unknown</genre><ristype>RPRT</ristype><atitle>Comparison of Noninvasive Cardiac Output Monitoring by Electrical Cardiometry with Transthoracic Echocardiography in Postoperative Paediatric Cardiac Surgical Patients - A Prospective Observational Study</atitle><jtitle>Annals of Cardiac Anaesthesia</jtitle><date>2023-10-01</date><risdate>2023</risdate><volume>26</volume><issue>4</issue><spage>380</spage><pages>380-</pages><issn>0971-9784</issn><abstract>ABSTRACT Aim: The present study was conducted to validate cardiac output (CO) and cardiac index (CI) obtained from electrical cardiometry (EC) ICON [sup.®] with transthoracic echocardiography (TTE) in postoperative pediatric cardiac surgical patients. Materials and Methods: A prospective observational study was conducted in 25 pediatric patients with age &lt; 10 years who underwent elective cardiac surgery. Data Analysis: BlandAltman plot was constructed for interchangeability and Polar plot was constructed to know trending ability. Results: A total of 250 datasets were analyzed. Spearman's correlation coefficient for CO between ICON [sup.®] and TTE showed good positive correlation (r = 0.850, 95 confidence interval 0.81 to 0.881, P &lt;.0001). Moderate positive correlation was observed between ICON [sup.®] and TTE for CI (r = 0.60, 95 confidence interval 0.515 to 0.674, P &lt;.0001). Linear regression equations for CO and CI between ICON [sup.®] and TTE were: y = 0.5230 + 0.8078 X (R[sup.2] = 0.6597, P &lt;.001) and y = 1.8350 + 0.5869 X (R[sup.2] = 0.3985, P &lt;.001) [y- ICON [sup.®]; X - TTE], respectively. BlandAltman plot for CO between ICON [sup.®] and TTE showed a bias of 0.3012 with limits of agreement (LOA) being -0.69 to 1.3 and for CI bias was 0.6939 with LOA-2.1 to 3.5. Polar plot analysis showed an angular bias of 8.1750, with radial LOA being -13.74° to 30.08° for CO and angular bias of 6.6931, with radial LOA being -15.69° to 29.07° for CI. Conclusion: ICON [sup.®] monitor-derived parameters are not interchangeable with the values derived from TTE. However, the ICON [sup.®] monitor demonstrated a good trending ability for both CO and CI. Keywords: Cardiac index, cardiac output, electrical cardiometry, transthoracic echocardiography</abstract><pub>Medknow Publications and Media Pvt. Ltd</pub><doi>10.4103/aca.aca_9_23</doi></addata></record>
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subjects Analysis
Cardiac patients
Children
Dexmedetomidine
Echocardiography
Health aspects
Information management
Medical research
Medicine, Experimental
Neonatology
Patient monitoring equipment
Pediatric cardiology
title Comparison of Noninvasive Cardiac Output Monitoring by Electrical Cardiometry with Transthoracic Echocardiography in Postoperative Paediatric Cardiac Surgical Patients - A Prospective Observational Study
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