Monitoring of Cardiac Output Using a New Smartphone Application (Capstesia) vs. Vigileo FloTrac System
Abstract
:1. Introduction
2. Materials and Methods
2.1. Patients
2.2. Perioperative Management and Monitoring
2.3. Capstesia and Vigileo Recording
2.4. Statistical Analysis
2.4.1. Sample Size Calculation
2.4.2. Agreement between the Two Devices
3. Results
4. Discussion
4.1. Limitations
4.2. Caveats
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Conflicts of Interest
References
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Variables | Patients (n = 22) |
---|---|
Age (years) | 72 ± 6 |
Sex: male | 21 (95%) |
Weight (kg) | 77 ± 11 |
BMI (kg/m2) | 26 ± 3 |
BSA (m2) | 1.88 ± 0.15 |
ASA grade | |
I | 3 (14%) |
II | 4 (18%) |
III | 8 (36%) |
IV | 7 (32%) |
V-POSSUM | 17 ± 2 |
Comorbidities: | |
Coronary artery disease | 9 (41%) |
DCM | 5 (23%) |
Hypertension | 18 (82%) |
Diabetes mellitus | 4 (18%) |
Chronic Kidney Disease | 1 (5%) |
COPD | 3 (14%) |
Stroke or TIA | 2 (9%) |
Hemodynamic Data | Capstesia (n = 236) | Vigileo (n = 236) | ||
---|---|---|---|---|
Median | Interquartile Range | Median | Interquartile Range | |
Cardiac output | 4.48 | (3.40–5.40) | 4.70 | (4.10–5.50) |
Cardiac Index | 2.44 | (1.81–2.96) | 2.60 | (2.30–3.00) |
PPV | 10.50 | (5.48–23.63) | - | - |
SVV | - | - | 9.00 | (7.00–12.00) |
Stroke volume | 65.00 | (51.00–82.00) | 71.50 | (63.00–80.00) |
Stroke volume index | 35.50 | (28.00–44.00) | 39.00 | (34.75–43.00) |
Systemic vascular resistance | 1111.00 | (939.75–1307.00) | 1088.50 | (915.25–1288.50) |
Systemic vascular resistance index | 2042.50 | (1753.00–2419.75) | 1983.50 | (1613.00–2387.00) |
ICC | (95% CI) | Mean of the Differences (%) | SD of the Differences (%) | Limits of Agreement (%) | Error Percentage (1.96 * SD/Mean) (%) | ||
---|---|---|---|---|---|---|---|
Cardiac output | 0.527 | (0.387–0.634) | 0.33 | 1.41 | −2.44 | 3.10 | 61.91 |
Cardiac Index | 0.434 | (0.270–0.561) | 0.18 | 0.81 | −1.40 | 1.76 | 59.82 |
Stroke volume | 0.580 | (0.454–0.676) | 5.02 | 21.14 | −36.42 | 46.45 | 57.19 |
Stroke volume index | 0.478 | (0.326–0.595) | 2.58 | 11.61 | −20.19 | 25.34 | 57.68 |
Systemic vascular resistance | 0.609 | (0.495–0.698) | −75.99 | 405.13 | −870.04 | 718.06 | 69.94 |
Systemic vascular resistance index | 0.663 | (0.563–0.740) | −140.13 | 726.70 | −1564.45 | 1284.19 | 68.55 |
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Nisi, F.; Melchiorri, C.; Di Grigoli, P.; Giustiniano, E.; Cerutti, E.; Rispoli, P.; Balagna, R. Monitoring of Cardiac Output Using a New Smartphone Application (Capstesia) vs. Vigileo FloTrac System. Surgeries 2021, 2, 347-356. https://doi.org/10.3390/surgeries2040034
Nisi F, Melchiorri C, Di Grigoli P, Giustiniano E, Cerutti E, Rispoli P, Balagna R. Monitoring of Cardiac Output Using a New Smartphone Application (Capstesia) vs. Vigileo FloTrac System. Surgeries. 2021; 2(4):347-356. https://doi.org/10.3390/surgeries2040034
Chicago/Turabian StyleNisi, Fulvio, Chiara Melchiorri, Paola Di Grigoli, Enrico Giustiniano, Elisabetta Cerutti, Paolo Rispoli, and Roberto Balagna. 2021. "Monitoring of Cardiac Output Using a New Smartphone Application (Capstesia) vs. Vigileo FloTrac System" Surgeries 2, no. 4: 347-356. https://doi.org/10.3390/surgeries2040034