The feasibility of noninvasive blood pressure monitoring in infants with a birth weight under 500 grams.

IF 2.4 3区 医学 Q2 OBSTETRICS & GYNECOLOGY
Soo Hyun Kim, Euiseok Jung, Hyo Myung Han, Ka Young Lee, Sookyoung Lee, Eun A Heo, Min-Ju Kim, Jung-Bok Lee, Byong Sop Lee, Ellen Ai-Rhan Kim, Ki-Soo Kim
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引用次数: 0

Abstract

Objective: To quantify agreement between oscillometric non-invasive blood pressure (NIBP) and invasive arterial blood pressure (IBP) in infants <500 g during the first postnatal week.

Study design: Retrospective cohort of infants with a birth weight <500 g admitted to a tertiary NICU (2011-2023). Paired IBP-NIBP readings obtained within 1 min were analyzed. Bland-Altman plots quantified bias and 95% limits of agreement for systolic (SBP), diastolic (DBP) and mean arterial pressure (MAP).

Results: Thirty-six infants (median gestation of 26.2 weeks) contributed 337 paired measurements. Mean (±SD) IBP vs. NIBP were 47.3  ±  10.4 vs. 49.4  ±  9.3 mm Hg (SBP), 29.2  ±  7.0 vs. 28.3  ±  8.2 mm Hg (DBP) and 35.1  ±  7.7 vs. 35.2  ±  7.9 mm Hg (MAP). Mean bias was +2.1 ±  6.8 mm Hg (SBP), -0.9  ±  6.7 mm Hg (DBP) and +0.1 ± 5.4 mm Hg (MAP), satisfying AAMI/ESH/ISO criteria (≤5 mm Hg mean difference, ≤8 mm Hg SD). Bias remained <3 mm Hg without inotropes; MAP bias rose to +1.3 mm Hg with inotropic support.

Conclusion: Oscillometric NIBP compared to IBP provided acceptable agreement in hemodynamically stable neonates <500 g. Whereas, invasive arterial monitoring remains preferable in unstable neonates.

对出生体重低于500克的婴儿进行无创血压监测的可行性。
目的:量化婴儿无创血压(NIBP)和有创动脉血压(IBP)之间的一致性研究设计:具有出生体重的婴儿回顾性队列研究结果:36名婴儿(中位妊娠26.2周)提供了337对测量。意味着(±SD) IBP与NIBP分别为47.3±10.4和49.4±9.3毫米汞柱(SBP), 29.2±7.0和28.3±8.2毫米汞柱(菲律宾)和35.1±7.7和35.2±7.9毫米汞柱(地图)。平均偏差为+2.1±6.8 mm Hg (SBP), -0.9±6.7 mm Hg (DBP)和+0.1±5.4 mm Hg (MAP),满足AAMI/ESH/ISO标准(平均差≤5 mm Hg,标准差≤8 mm Hg)。结论:与IBP相比,振荡NIBP在血流动力学稳定的新生儿中提供了可接受的一致性
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来源期刊
Journal of Perinatology
Journal of Perinatology 医学-妇产科学
CiteScore
5.40
自引率
6.90%
发文量
284
审稿时长
3-8 weeks
期刊介绍: The Journal of Perinatology provides members of the perinatal/neonatal healthcare team with original information pertinent to improving maternal/fetal and neonatal care. We publish peer-reviewed clinical research articles, state-of-the art reviews, comments, quality improvement reports, and letters to the editor. Articles published in the Journal of Perinatology embrace the full scope of the specialty, including clinical, professional, political, administrative and educational aspects. The Journal also explores legal and ethical issues, neonatal technology and product development. The Journal’s audience includes all those that participate in perinatal/neonatal care, including, but not limited to neonatologists, perinatologists, perinatal epidemiologists, pediatricians and pediatric subspecialists, surgeons, neonatal and perinatal nurses, respiratory therapists, pharmacists, social workers, dieticians, speech and hearing experts, other allied health professionals, as well as subspecialists who participate in patient care including radiologists, laboratory medicine and pathologists.
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