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Tytuł:
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Cardiac output measurements via echocardiography versus thermodilution: A systematic review and meta-analysis.
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Autorzy:
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Zhang Y; Department of Emergency Medicine, Wuxi People's Hospital Affiliated to Nanjing Medical University, Wuxi, Jiangsu, China.
Wang Y; Education Department, Wuxi People's Hospital Affiliated to Nanjing Medical University, Wuxi, Jiangsu, China.
Shi J; Department of Emergency Medicine, Wuxi People's Hospital Affiliated to Nanjing Medical University, Wuxi, Jiangsu, China.
Hua Z; Department of Emergency Medicine, Wuxi People's Hospital Affiliated to Nanjing Medical University, Wuxi, Jiangsu, China.
Xu J; Department of Emergency Medicine, Wuxi People's Hospital Affiliated to Nanjing Medical University, Wuxi, Jiangsu, China.
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Źródło:
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PloS one [PLoS One] 2019 Oct 03; Vol. 14 (10), pp. e0222105. Date of Electronic Publication: 2019 Oct 03 (Print Publication: 2019).
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Typ publikacji:
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Journal Article; Meta-Analysis; Research Support, Non-U.S. Gov't; Systematic Review
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Język:
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English
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Imprint Name(s):
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Original Publication: San Francisco, CA : Public Library of Science
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MeSH Terms:
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Echocardiography*
Thermodilution*
Cardiac Output/*physiology
Echocardiography, Doppler ; Humans ; Publication Bias ; Regression Analysis ; Risk
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References:
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Molecular Sequence:
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Dryad 10.5061/dryad.6tr059p
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Entry Date(s):
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Date Created: 20191004 Date Completed: 20200311 Latest Revision: 20200311
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Update Code:
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20240104
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PubMed Central ID:
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PMC6776392
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DOI:
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10.1371/journal.pone.0222105
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PMID:
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31581196
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Echocardiography, as a noninvasive hemodynamic evaluation technique, is frequently used in critically ill patients. Different opinions exist regarding whether it can be interchanged with traditional invasive means, such as the pulmonary artery catheter thermodilution (TD) technique. This systematic review aimed to analyze the consistency and interchangeability of cardiac output measurements by ultrasound (US) and TD. Five electronic databases were searched for studies including clinical trials conducted up to June 2019 in which patients' cardiac output was measured by ultrasound techniques (echocardiography) and TD. The methodological quality of the included studies was evaluated by two independent reviewers who used the Quality Assessment of Diagnostic Accuracy Studies-2 (QUADAS-2), which was tailored according to our systematic review in Review Manager 5.3. A total of 68 studies with 1996 patients were identified as eligible. Meta-analysis and subgroup analysis were used to compare the cardiac output (CO) measured using the different types of echocardiography and different sites of Doppler use with TD. No significant differences were found between US and TD (random effects model: mean difference [MD], -0.14; 95% confidence interval, -0.30 to 0.02; P = 0.08). No significant differences were observed in the subgroup analyses using different types of echocardiography and different sites except for ascending aorta (AA) (random effects model: mean difference [MD], -0.37; 95% confidence interval, -0.74 to -0.01; P = 0.05) of Doppler use. The median of bias and limits of agreement were -0.12 and ±0.94 L/min, respectively; the median of correlation coefficient was 0.827 (range, 0.140-0.998). Although the difference in CO between echocardiography by different types or sites and TD was not entirely consistent, the overall effect of meta-analysis showed that no significant differences were observed between US and TD. The techniques may be interchangeable under certain conditions.
Competing Interests: The authors have declared that no competing interests exist.
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