Pediatric anesthesia & critical care
Evaluation of the Noninvasive Estimated Continuous Cardiac Output System for Pediatric Patients: A Prospective Observational Study
Authors' conclusion
Cardiac output measurement by esCCO with modified coefficients for pediatric patients showed high accuracy and tracking ability compared with cardiac output measurement by transthoracic echocardiography.
Study context
- Population
- Pediatric patients aged <15 years undergoing elective noncardiac surgerymain study
- Participants
- 80 patients
- Exposure
- Modified estimated continuous cardiac output (esCCO) vs transthoracic echocardiography for cardiac output
- Outcome
- Accuracy and trending ability of cardiac output measurement (Bland-Altman analysis and polar plot)
- Follow-up
- Pre- and postoperatively
Methodological detailsmethod-comparison, Bland-Altman analysis, polar plot
- Method-comparison
- Bland-Altman analysis
- Polar plot
Main finding
As reported in the abstract
Agreement of modified esCCO with transthoracic echocardiography
- Correlation coefficient, preoperative
- 0.96
- Correlation coefficient, postoperative
- 0.98
- Bias (SD), preoperative
- 0.03 (0.28)
- 95% limits of agreement, preoperative
- −0.53 to 0.60
- Percentage error, preoperative
- 18%
- Bias (SD), postoperative
- −0.04 (0.19)
- 95% limits of agreement, postoperative
- −0.42 to 0.35
- Percentage error, postoperative
- 15%
- Polar plot angular bias (SD)
- 2.9° (6.0°)
- Polar plot radial 95% limits of agreement
- −9.2° to 14.9°
Observational data: associations, not effects.
Original publication
Evaluation of the Noninvasive Estimated Continuous Cardiac Output System for Pediatric Patients: A Prospective Observational Study. Anesth Analg. Published 4 September 2024. doi:10.
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