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Intensive Care Medicine
Published in: Intensive Care Medicine 11/2003

01-11-2003 | Review

Accuracy and repeatability of pediatric cardiac output measurement using Doppler: 20-year review of the literature

Authors: Michelle S. Chew, Jan Poelaert

Published in: Intensive Care Medicine | Issue 11/2003

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Abstract

Objective

Review of the accuracy and repeatability of Doppler cardiac output (CO) measurements in children.

Design

Publications in the scientific literature retrieved using a computerized Medline search from 1982–2002 and a manual review of article bibliographies. Studies comparing Doppler flow measurements with thermodilution, Fick, or dye dilution methods in the pediatric critical care setting were identified to assess the bias, precision, and intra- and interobserver repeatability of Doppler CO measurement. Where results were not suitable for comparison and the original measurements available, data were re-analyzed using appropriate statistical methods and presented in comparative tables.

Results

The precision of pediatric Doppler CO measurements compared to thermodilution, dye dilution, or Fick methods is around 30% and repeatability varies from less than 1% to 22%. Bias is generally less than 10% but varies considerably.

Conclusions

The bias, precision, and repeatability from study to study indicate that Doppler CO measurements are acceptably reproducible in children, with best results when used to track changes rather than absolute values, and using the transesophageal approach.
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Metadata
Title
Accuracy and repeatability of pediatric cardiac output measurement using Doppler: 20-year review of the literature
Authors
Michelle S. Chew
Jan Poelaert
Publication date
01-11-2003
Publisher
Springer-Verlag
Published in
Intensive Care Medicine / Issue 11/2003
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-003-1967-9

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