Reproducibility, interchangeability of measures, time to measure stabilization, and reference values of two tissue oximeters in healthy volunteers

被引:6
作者
Cournoyer, Alexis [1 ]
Denault, Andre [2 ,3 ]
Cossette, Sylvie [4 ]
Fortier, Annik [5 ]
Daoust, Raoul [1 ]
Iseppon, Massimiliano [1 ]
Chauny, Jean-Marc [1 ]
Notebaert, Eric [1 ]
机构
[1] Univ Montreal, Fac Med, Dept Family Med & Emergency Med, 5400 Gouin Ouest, Montreal, PQ H4J 1C5, Canada
[2] Univ Montreal, Fac Med, Dept Anesthesia, 5000 Belanger, Montreal, PQ H1T 1C8, Canada
[3] Univ Montreal, Fac Med, Crit Care Div, 5000 Belanger, Montreal, PQ H1T 1C8, Canada
[4] Univ Montreal, Fac Nursing, 2375 Cote Ste Catherine, Montreal, PQ H3T 1A8, Canada
[5] Montreal Hlth Innovat Coordinating Ctr, 4100 Molson 400, Montreal, PQ H1Y 3N1, Canada
关键词
near-infrared spectroscopy; tissue oximetry; reproducibility; interdevice agreement; reference values; NEAR-INFRARED SPECTROSCOPY; CEREBRAL OXYGEN-SATURATION; PERFORMANCE; DEVICES; INVOS;
D O I
10.1117/1.JBO.21.9.097003
中图分类号
Q5 [生物化学];
学科分类号
071010 ; 081704 ;
摘要
This study aimed to compare two tissue oximeters, the INVOS 5100c and the Equanox 7600, in terms of their reproducibility and the interchangeability of their measures. In a randomized order, three measurements were taken at six different sites on both sides of the body in 53 healthy volunteers. Intraclass correlation coefficients (ICC) and within-subject standard deviation (S-w) were calculated for each device. The ICCs were compared using Fisher r-to-z transformation and the S-w were compared using paired-sample t-tests. We found no difference between the reproducibility of the INVOS {ICC = 0.92 [95% confidence interval (CI) 0.90 to 0.93]} and Equanox [ICC = 0.90 (95% CI 0.88 to 0.93)] in terms of ICCs (p = 0.06). However, the Equanox [S-w = 1.96 (95% CI 1.91 to 2.02)] showed a better S-w than the INVOS [S-w = 2.11 (95% CI 2.05 to 2.17)] (p = 0.019). Also, when compared directly to stable condition, the readings produced by the two oximeters varied considerably [ICC 0.43 (95% CI 0.36 to 0.49)]. When taken individually, both tissue oximeters displayed good reproducibility, the Equanox being slightly better than the INVOS in terms of absolute reproducibility. However, when compared, the oximeters showed poor interdevices agreement. Reference values were also described. (C) 2016 Society of PhotoOptical Instrumentation Engineers (SPIE)
引用
收藏
页数:10
相关论文
共 35 条
[1]   Baseline cerebral oximetry values in cardiac and vascular surgery patients: a prospective observational study [J].
Baikoussis, Nikolaos G. ;
Karanikolas, Menelaos ;
Siminelakis, Stavros ;
Matsagas, Miltiadis ;
Papadopoulos, Georgios .
JOURNAL OF CARDIOTHORACIC SURGERY, 2010, 5
[2]   Continuous Noninvasive Tissue Oximetry in the Early Evaluation of the Combat Casualty: A Prospective Study [J].
Beekley, Alec C. ;
Martin, Matthew J. ;
Nelson, Teresa ;
Grathwohl, Kurt W. ;
Griffith, Matthew ;
Beilman, Gregory ;
Holcomb, John B. .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2010, 69 :S14-S25
[3]   Factors Affecting the Performance of 5 Cerebral Oximeters During Hypoxia in Healthy Volunteers [J].
Bickler, Philip E. ;
Feiner, John R. ;
Rollins, Mark D. .
ANESTHESIA AND ANALGESIA, 2013, 117 (04) :813-823
[4]  
Bland JM, 1996, BRIT MED J, V313, P744
[5]   Near-infrared Spectroscopy Monitoring During Cardiac Arrest: A Systematic Review and Meta-analysis [J].
Cournoyer, Alexis ;
Iseppon, Massimiliano ;
Chauny, Jean-Marc ;
Denault, Andre ;
Cossette, Sylvie ;
Notebaert, Eric .
ACADEMIC EMERGENCY MEDICINE, 2016, 23 (08) :851-862
[6]   Impact of Extracranial Contamination on Regional Cerebral Oxygen Saturation A Comparison of Three Cerebral Oximetty Technologies [J].
Davie, Sophie N. ;
Grocott, Hilary P. .
ANESTHESIOLOGY, 2012, 116 (04) :834-840
[7]   Monitoring the microcirculation in the critically ill patient: current methods and future approaches [J].
De Backer, Daniel ;
Ospina-Tascon, Gustavo ;
Salgado, Diamantino ;
Favory, Raphael ;
Creteur, Jacques ;
Vincent, Jean-Louis .
INTENSIVE CARE MEDICINE, 2010, 36 (11) :1813-1825
[8]  
DELLINGER RP, 2013, INTENS CARE MED, V39, P165, DOI DOI 10.1007/s00134-012-2769-8
[9]   Comparing near-infrared spectroscopy devices and their sensors for monitoring regional cerebral oxygen saturation in the neonate [J].
Dix, Laura M. L. ;
van Bel, Frank ;
Baerts, Wim ;
Lemmers, Petra M. A. .
PEDIATRIC RESEARCH, 2013, 74 (05) :557-563
[10]  
Dullenkopf Alexander, 2005, Pediatr Crit Care Med, V6, P344, DOI 10.1097/01.PCC.0000161282.69283.75