Hemodynamics, fluids & transfusion

Prospective Evaluation of a Multibeat Analysis Cardiac Index Estimation in Patients With Cardiogenic Shock

J Cardiothorac Vasc AnesthPublished Prospective observational method-comparison study

Main finding · Cardiac indexResult — go to the resultMean difference (bias ± SD) 0.20 ± 0.47 L/min/m²

Authors' conclusion

Cardiac index-MBA is not interchangeable with CI-TD. However, CI-MBA provides reasonable correlation and clinically acceptable trending ability compared with CI-TD.

Study context

Population
Patients in cardiogenic shock in a cardiac ICU101 paired CI measurements
Participants
22 patients
Exposure
CI by multibeat analysis vs thermodilution via pulmonary artery catheter
Outcome
Cardiac index
Methodological detailssingle setting: cardiac ICU
  • Single setting: cardiac ICU

Main finding

As reported in the abstract

Mean difference (bias ± SD)

0.20 ± 0.47 L/min/m²

By group

Correlation coefficient across patients
0.78
Percentage error
40.0%
Concordance rate
94%

Observational data: associations, not effects.

Further findings

Accuracy during periods of arrhythmia (subgroup)

Similar accuracy of performance of CI-MBA

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Prospective Evaluation of a Multibeat Analysis Cardiac Index Estimation in Patients With Cardiogenic Shock. J Cardiothorac Vasc Anesth. Published 7 April 2023. doi:10.1053/j.jvca.2023.04.003

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