Perioperative medicine & outcomes

Change in pulse wave transit time measured using ear plethysmography is a useful substitute for finger plethysmography

J Clin Monit ComputPublished Prospective observational study

Main finding · Agreement of %ΔPWTT-ear vs %ΔPWTTResult — go to the resultBias (Bland-Altman) - 0.04 % CI - 0.17 to 0.17

Authors' conclusion

PWTT-ear was shorter than PWTT, but the % change in PWTT-ear was similar to that in PWTT. PWTT measured using ear plethysmography can be used as a substitute for measuring changes in PWTT.

Study context

Population
Patients undergoing elective hepatectomy, December 2021–April 2022311 paired readings
Participants
50 patients
Exposure
Pulse wave transit time (PWTT) by ear plethysmography vs finger plethysmography
Outcome
Global agreement of all PWTT measurements
Methodological detailsmethod comparison
  • Method comparison

Main finding

Agreement of %ΔPWTT-ear vs %ΔPWTT

Bias (Bland-Altman)

- 0.04 %

CI - 0.17 to 0.17

As reported in the abstract

PWTT-ear shorter than PWTT
68.1 ± 15.1 ms
Correlation %ΔPWTT-ear vs %ΔPWTT (r)
0.85
Correlation P
P < 0.001
Percentage error (2 SD/mean %ΔPWTT)
4.2%

Observational data: associations, not effects.

Secondary outcomes

Trending ability during hemodynamic changes

Conductance rate (four-quadrant plot)
95.9%
Angular conductance rate (polar plot)
98.9%
Radial limit
± 25.3

Original publication

Change in pulse wave transit time measured using ear plethysmography is a useful substitute for finger plethysmography. J Clin Monit Comput. Published 19 July 2025. doi:10.1007/s10877-025-01327-6

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