Hemodynamics, fluids & transfusion

Multimodal assessment of peripheral perfusion in critically ill patients: a pilot study

Ann Intensive CarePublished Prospective observational pilot study

Authors' conclusion

Most bedside peripheral perfusion parameters were strongly interrelated, particularly PPI, SBFBT, and ΔT. In contrast, rSO₂ appeared poorly correlated and less predictive. CRT emerged as the most reliable marker of ICU mortality.

Study context

Population
Adult ICU patients with an expected stay ≥ 3 days
Participants
55 patients
Outcome
Correlation between parameters

Main finding

As reported in the abstract

day 1
  • Strong correlations between Peripheral Perfusion Index (PPI), Capillary Refill Time (CRT), SBFBT and ΔT
  • rSO₂ showed no significant associations

Observational data: associations, not effects.

Secondary outcomes

OutcomeCRTMS
Prediction of ICU mortality
AUC0.750.72
Pp = 0.007— not stated in the abstract

— not stated in the abstract

Subgroup consistency of correlations (subgroup)

Correlations strongest in circulatory shock, weaker in acute brain injury (ABI) and acute respiratory failure (ARF) subgroups

Prediction of ICU mortality

CRT highest predictive value, followed by Mottling Score (MS), SBFBT and PPI; ΔT limited performance; rSO₂ weakest predictor

Original publication

Multimodal assessment of peripheral perfusion in critically ill patients: a pilot study. Ann Intensive Care. Published 30 October 2025. doi:10.1186/s13613-025-01585-2

Composed by AI from the published abstract and checked against it. How Briefs are made →

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