Hemodynamics, fluids & transfusion

Reliability and reproducibility of the DICART device to assess capillary refill time: a bench and in-silico study

J Clin Monit ComputPublished Bench and in-silico study

Authors' conclusion

We confirmed the ability of the DiCART™ II device to perform multiple measurements without mechanical or electronic dysfunction. The precision and reproducibility of the algorithm are compatible with the assessment of clinical small changes in CRT.

Study context

Population
Videos acquired from a previous clinical study on healthy volunteers
Outcome
Reproducibility of DiCART CRT measurement (coefficient of variation)
Methodological detailsrobotic system, in-silico video modification, Bench: robotic system analysed 250 times nine previously acquired videos, In-silico: 222 videos; 30 blind-spot videos and 100 color-jitter videos created from each video
  • Robotic system
  • In-silico video modification
  • Bench: robotic system analysed 250 times nine previously acquired videos
  • In-silico: 222 videos; 30 blind-spot videos and 100 color-jitter videos created from each video

Main finding

As reported in the abstract

Bench study: coefficient of variation

11%

95% CI 9–13

Bench study: correlation with human-measured capillary refill time (CRT) (R2), P < 0.001

0.91

In-silico, blind spotted video: coefficient of variation

13%

95% CI 10–17

In-silico, color-jitter modified video: coefficient of variation

62%

95% CI 55–70

Original publication

Reliability and reproducibility of the DICART device to assess capillary refill time: a bench and in-silico study. J Clin Monit Comput. Published 18 May 2023. doi:10.1007/s10877-023-01027-z

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