Tracking Changes in Cardiac Output: Statistical Considerations on the 4-Quadrant Plot and the Polar Plot Methodology

被引:120
作者
Saugel, Bernd [1 ]
Grothe, Oliver [2 ,3 ]
Wagner, Julia Y. [1 ]
机构
[1] Univ Med Ctr Hamburg Eppendorf, Dept Anesthesiol, Ctr Anesthesiol & Intens Care Med, D-20246 Hamburg, Germany
[2] Univ Cologne, Dept Econ & Social Stat, D-50931 Cologne, Germany
[3] Karlsruhe Inst Technol, Inst Operat Res, D-76021 Karlsruhe, Germany
关键词
PULSE-CONTOUR ANALYSIS; PULMONARY-ARTERY THERMODILUTION; LITHIUM DILUTION; AGREEMENT; SURGERY; PRECISION; BIOIMPEDANCE; METAANALYSIS; ALGORITHM; MONITORS;
D O I
10.1213/ANE.0000000000000725
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
When comparing 2 technologies for measuring hemodynamic parameters with regard to their ability to track changes, 2 graphical tools are omnipresent in the literature: the 4-quadrant plot and the polar plot recently proposed by Critchley et al. The polar plot is thought to be the more advanced statistical tool, but care should be taken when it comes to its interpretation. The polar plot excludes possibly important measurements from the data. The polar plot transforms the data nonlinearily, which may prevent it from being seen clearly. In this article, we compare the 4-quadrant and the polar plot in detail and thoroughly describe advantages and limitations of each. We also discuss pitfalls concerning the methods to prepare the researcher for the sound use of both methods. Finally, we briefly revisit the Bland-Altman plot for the use in this context.
引用
收藏
页码:514 / 524
页数:11
相关论文
共 47 条
[1]   Comparison of esophageal Doppler, pulse contour analysis, and real-time pulmonary artery thermodilution for the continuous measurement of cardiac output [J].
Bein, B ;
Worthmann, F ;
Tonner, PH ;
Paris, A ;
Steinfath, M ;
Hedderich, J ;
Scholz, J .
JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA, 2004, 18 (02) :185-189
[2]   Agreement between methods of measurement with multiple observations per individual [J].
Bland, J. Martin ;
Altman, Douglas G. .
JOURNAL OF BIOPHARMACEUTICAL STATISTICS, 2007, 17 (04) :571-582
[3]   Agreed Statistics Measurement Method Comparison [J].
Bland, J. Martin ;
Altman, Douglas G. .
ANESTHESIOLOGY, 2012, 116 (01) :182-185
[4]   COMPARING METHODS OF MEASUREMENT - WHY PLOTTING DIFFERENCE AGAINST STANDARD METHOD IS MISLEADING [J].
BLAND, JM ;
ALTMAN, DG .
LANCET, 1995, 346 (8982) :1085-1087
[5]  
Bland JM, 1999, STAT METHODS MED RES, V8, P135, DOI 10.1177/096228029900800204
[6]   STATISTICAL METHODS FOR ASSESSING AGREEMENT BETWEEN TWO METHODS OF CLINICAL MEASUREMENT [J].
BLAND, JM ;
ALTMAN, DG .
LANCET, 1986, 1 (8476) :307-310
[7]   A comparison of the Nexfin® and transcardiopulmonary thermodilution to estimate cardiac output during coronary artery surgery [J].
Broch, O. ;
Renner, J. ;
Gruenewald, M. ;
Meybohm, P. ;
Schoettler, J. ;
Caliebe, A. ;
Steinfath, M. ;
Malbrain, M. ;
Bein, B. .
ANAESTHESIA, 2012, 67 (04) :377-383
[8]   Noninvasive Continuous Cardiac Output by the Nexfin Before and After Preload-Modifying Maneuvers: A Comparison with Intermittent Thermodilution Cardiac Output [J].
Bubenek-Turconi, Serban Ion ;
Craciun, Mihaela ;
Miclea, Ion ;
Perel, Azriel .
ANESTHESIA AND ANALGESIA, 2013, 117 (02) :366-372
[9]   Clinical evaluation of the FloTrac/Nigileo™ system and two established continuous cardiac output monitoring devices in patients undergoing cardiac surgery [J].
Button, D. ;
Weibel, L. ;
Reuthebuch, O. ;
Genoni, M. ;
Zollinger, A. ;
Hofer, C. K. .
BRITISH JOURNAL OF ANAESTHESIA, 2007, 99 (03) :329-336
[10]   Lithium dilution cardiac output measurement in the critically ill patient: determination of precision of the technique [J].
Cecconi, M. ;
Dawson, D. ;
Grounds, R. M. ;
Rhodes, A. .
INTENSIVE CARE MEDICINE, 2009, 35 (03) :498-504