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Non-invasive oscillometric versus invasive arterial blood pressure measurements in critically ill patients: A post hoc analysis of a prospective observational study

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Non-invasive oscillometric versus invasive arterial blood pressure measurements in critically ill patients: A post hoc analysis of a prospective observational study. / Kaufmann, Thomas; Cox, Eline G M; Wiersema, Renske; Hiemstra, Bart; Eck, Ruben J; Koster, Geert; Scheeren, Thomas W L; Keus, Frederik; Saugel, Bernd; van der Horst, Iwan C C; SICS Study Group.

In: J CRIT CARE, Vol. 57, 06.2020, p. 118-123.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Kaufmann, T, Cox, EGM, Wiersema, R, Hiemstra, B, Eck, RJ, Koster, G, Scheeren, TWL, Keus, F, Saugel, B, van der Horst, ICC & SICS Study Group 2020, 'Non-invasive oscillometric versus invasive arterial blood pressure measurements in critically ill patients: A post hoc analysis of a prospective observational study', J CRIT CARE, vol. 57, pp. 118-123. https://doi.org/10.1016/j.jcrc.2020.02.013

APA

Kaufmann, T., Cox, E. G. M., Wiersema, R., Hiemstra, B., Eck, R. J., Koster, G., Scheeren, T. W. L., Keus, F., Saugel, B., van der Horst, I. C. C., & SICS Study Group (2020). Non-invasive oscillometric versus invasive arterial blood pressure measurements in critically ill patients: A post hoc analysis of a prospective observational study. J CRIT CARE, 57, 118-123. https://doi.org/10.1016/j.jcrc.2020.02.013

Vancouver

Kaufmann T, Cox EGM, Wiersema R, Hiemstra B, Eck RJ, Koster G et al. Non-invasive oscillometric versus invasive arterial blood pressure measurements in critically ill patients: A post hoc analysis of a prospective observational study. J CRIT CARE. 2020 Jun;57:118-123. https://doi.org/10.1016/j.jcrc.2020.02.013

Bibtex

@article{f11715761bcc48f1a7d9fb2c50b5cde9,
title = "Non-invasive oscillometric versus invasive arterial blood pressure measurements in critically ill patients: A post hoc analysis of a prospective observational study",
abstract = "PURPOSE: The aim was to compare non-invasive blood pressure measurements with invasive blood pressure measurements in critically ill patients.METHODS: Non-invasive blood pressure was measured via automated brachial cuff oscillometry, and simultaneously the radial arterial catheter-derived measurement was recorded as part of a prospective observational study. Measurements of systolic arterial pressure (SAP), diastolic arterial pressure (DAP), and mean arterial pressure (MAP) were compared using Bland-Altman and error grid analyses.RESULTS: Paired measurements of blood pressure were available for 736 patients. Observed mean difference (±SD, 95% limits of agreement) between oscillometrically and invasively measured blood pressure was 0.8 mmHg (±15.7 mmHg, -30.2 to 31.7 mmHg) for SAP, -2.9 mmHg (±11.0 mmHg, -24.5 to 18.6 mmHg) for DAP, and -1.0 mmHg (±10.2 mmHg, -21.0 to 18.9 mmHg) for MAP. Error grid analysis showed that the proportions of measurements in risk zones A to E were 78.3%, 20.7%, 1.0%, 0%, and 0.1% for MAP.CONCLUSION: Non-invasive blood pressure measurements using brachial cuff oscillometry showed large limits of agreement compared to invasive measurements in critically ill patients. Error grid analysis showed that measurement differences between oscillometry and the arterial catheter would potentially have triggered at least low-risk treatment decisions in one in five patients.",
author = "Thomas Kaufmann and Cox, {Eline G M} and Renske Wiersema and Bart Hiemstra and Eck, {Ruben J} and Geert Koster and Scheeren, {Thomas W L} and Frederik Keus and Bernd Saugel and {van der Horst}, {Iwan C C} and {SICS Study Group}",
note = "Copyright {\textcopyright} 2020 The Authors. Published by Elsevier Inc. All rights reserved.",
year = "2020",
month = jun,
doi = "10.1016/j.jcrc.2020.02.013",
language = "English",
volume = "57",
pages = "118--123",
journal = "J CRIT CARE",
issn = "0883-9441",
publisher = "Elsevier BV",

}

RIS

TY - JOUR

T1 - Non-invasive oscillometric versus invasive arterial blood pressure measurements in critically ill patients: A post hoc analysis of a prospective observational study

AU - Kaufmann, Thomas

AU - Cox, Eline G M

AU - Wiersema, Renske

AU - Hiemstra, Bart

AU - Eck, Ruben J

AU - Koster, Geert

AU - Scheeren, Thomas W L

AU - Keus, Frederik

AU - Saugel, Bernd

AU - van der Horst, Iwan C C

AU - SICS Study Group

N1 - Copyright © 2020 The Authors. Published by Elsevier Inc. All rights reserved.

PY - 2020/6

Y1 - 2020/6

N2 - PURPOSE: The aim was to compare non-invasive blood pressure measurements with invasive blood pressure measurements in critically ill patients.METHODS: Non-invasive blood pressure was measured via automated brachial cuff oscillometry, and simultaneously the radial arterial catheter-derived measurement was recorded as part of a prospective observational study. Measurements of systolic arterial pressure (SAP), diastolic arterial pressure (DAP), and mean arterial pressure (MAP) were compared using Bland-Altman and error grid analyses.RESULTS: Paired measurements of blood pressure were available for 736 patients. Observed mean difference (±SD, 95% limits of agreement) between oscillometrically and invasively measured blood pressure was 0.8 mmHg (±15.7 mmHg, -30.2 to 31.7 mmHg) for SAP, -2.9 mmHg (±11.0 mmHg, -24.5 to 18.6 mmHg) for DAP, and -1.0 mmHg (±10.2 mmHg, -21.0 to 18.9 mmHg) for MAP. Error grid analysis showed that the proportions of measurements in risk zones A to E were 78.3%, 20.7%, 1.0%, 0%, and 0.1% for MAP.CONCLUSION: Non-invasive blood pressure measurements using brachial cuff oscillometry showed large limits of agreement compared to invasive measurements in critically ill patients. Error grid analysis showed that measurement differences between oscillometry and the arterial catheter would potentially have triggered at least low-risk treatment decisions in one in five patients.

AB - PURPOSE: The aim was to compare non-invasive blood pressure measurements with invasive blood pressure measurements in critically ill patients.METHODS: Non-invasive blood pressure was measured via automated brachial cuff oscillometry, and simultaneously the radial arterial catheter-derived measurement was recorded as part of a prospective observational study. Measurements of systolic arterial pressure (SAP), diastolic arterial pressure (DAP), and mean arterial pressure (MAP) were compared using Bland-Altman and error grid analyses.RESULTS: Paired measurements of blood pressure were available for 736 patients. Observed mean difference (±SD, 95% limits of agreement) between oscillometrically and invasively measured blood pressure was 0.8 mmHg (±15.7 mmHg, -30.2 to 31.7 mmHg) for SAP, -2.9 mmHg (±11.0 mmHg, -24.5 to 18.6 mmHg) for DAP, and -1.0 mmHg (±10.2 mmHg, -21.0 to 18.9 mmHg) for MAP. Error grid analysis showed that the proportions of measurements in risk zones A to E were 78.3%, 20.7%, 1.0%, 0%, and 0.1% for MAP.CONCLUSION: Non-invasive blood pressure measurements using brachial cuff oscillometry showed large limits of agreement compared to invasive measurements in critically ill patients. Error grid analysis showed that measurement differences between oscillometry and the arterial catheter would potentially have triggered at least low-risk treatment decisions in one in five patients.

U2 - 10.1016/j.jcrc.2020.02.013

DO - 10.1016/j.jcrc.2020.02.013

M3 - SCORING: Journal article

C2 - 32109843

VL - 57

SP - 118

EP - 123

JO - J CRIT CARE

JF - J CRIT CARE

SN - 0883-9441

ER -