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Agreement between the two methods has been reported in adults, children, and infants, but rarely in neonates, especially under general anesthesia. Aims: This retrospective study compared the agreement of each measured blood pressure value (oscillometric noninvasive or invasive intra\u2010arterial blood pressure monitoring) in term neonates under general anesthesia. Methods: Data were collected from neonates born at \u226536 weeks of gestation whose body weight was \u22652500 g and who underwent abdominal or noncardiac thoracic surgery with both oscillometric noninvasive and invasive intra\u2010arterial blood pressure measurements from January 2015 to March 2020. The primary outcome was the agreement of systolic, diastolic, and mean blood pressure values between the two methods using Bland\u2010Altman analysis. Results: Paired blood pressure measurements (n = 1193) from 67 cases were compared. In Bland\u2010Altman analysis, bias (standard deviation), 95% limits of agreement, and percentage error were \u22129.3 (8.4), \u221226.1\u20107.6, and 26.9% for systolic; 1.6 (6.5), \u221211.3\u201014.6, and 38.7% for diastolic; and \u22121.3 (5.8), \u221213.0\u201010.3, and 26.9% for mean blood pressure, respectively. During low blood pressure (intra\u2010arterial mean blood pressure \u226430 mm Hg), the biases (standard deviation) of systolic, diastolic, and mean blood pressure were \u221211.4 (5.7), \u22120.7 (3.7), and \u22125.1 (4.2), whereas during high blood pressure (intra\u2010arterial mean blood pressure \u226560 mm Hg), the values were 0.1 (9.7), 5.6 (9.4), and 6.4 (7.4), respectively. Conclusions: Based on the bias and percentage error, the mean blood pressure exhibited the most acceptable agreement between oscillometric noninvasive and invasive intra\u2010arterial blood pressure monitoring in term neonates under general anesthesia. However, during hypertension or hypotension, there was a large discrepancy between the two methods.", "subitem_description_type": "Abstract"}]}, "item_10_description_5": {"attribute_name": "\u5185\u5bb9\u8a18\u8ff0", "attribute_value_mlt": [{"subitem_description": "\u30d5\u30a1\u30a4\u30eb\u516c\u958b\uff1a2021-12-01", "subitem_description_type": "Other"}]}, "item_10_publisher_32": {"attribute_name": "\u51fa\u7248\u8005", "attribute_value_mlt": [{"subitem_publisher": "Wiley"}]}, "item_10_relation_11": {"attribute_name": "DOI", "attribute_value_mlt": [{"subitem_relation_type_id": {"subitem_relation_type_id_text": "https://doi.org/10.1111/pan.14020", "subitem_relation_type_select": "DOI"}}]}, "item_10_rights_12": {"attribute_name": "\u6a29\u5229", "attribute_value_mlt": [{"subitem_rights": "\"This is the peer reviewed version of the following article: [ Fujii, T, Nishiwaki, K. Comparing oscillometric noninvasive and invasive intra\u2010arterial blood pressure monitoring in term neonates under general anesthesia: A retrospective study. Pediatr. Anesth. 2020; 30: 1396\u2013 1401. https://doi.org/10.1111/pan.14020]. 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Comparing oscillometric noninvasive and invasive intra‐arterial blood pressure monitoring in term neonates under general anesthesia: A retrospective study
http://hdl.handle.net/2237/00033507
b04e24e8-9209-4749-9902-3f969c0c186f
名前 / ファイル | ライセンス | アクション | |
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2021-02-09 | |||||
タイトル | ||||||
タイトル | Comparing oscillometric noninvasive and invasive intra‐arterial blood pressure monitoring in term neonates under general anesthesia: A retrospective study | |||||
著者 |
Fujii, Tasuku
× Fujii, Tasuku× Nishiwaki, Kimitoshi |
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権利 | ||||||
権利情報 | "This is the peer reviewed version of the following article: [ Fujii, T, Nishiwaki, K. Comparing oscillometric noninvasive and invasive intra‐arterial blood pressure monitoring in term neonates under general anesthesia: A retrospective study. Pediatr. Anesth. 2020; 30: 1396– 1401. https://doi.org/10.1111/pan.14020]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions." | |||||
抄録 | ||||||
内容記述 | Background: Oscillometric noninvasive blood pressure and/or invasive intra‐arterial blood pressure are commonly used to measure the systolic, diastolic, and mean components of blood pressure. Agreement between the two methods has been reported in adults, children, and infants, but rarely in neonates, especially under general anesthesia. Aims: This retrospective study compared the agreement of each measured blood pressure value (oscillometric noninvasive or invasive intra‐arterial blood pressure monitoring) in term neonates under general anesthesia. Methods: Data were collected from neonates born at ≥36 weeks of gestation whose body weight was ≥2500 g and who underwent abdominal or noncardiac thoracic surgery with both oscillometric noninvasive and invasive intra‐arterial blood pressure measurements from January 2015 to March 2020. The primary outcome was the agreement of systolic, diastolic, and mean blood pressure values between the two methods using Bland‐Altman analysis. Results: Paired blood pressure measurements (n = 1193) from 67 cases were compared. In Bland‐Altman analysis, bias (standard deviation), 95% limits of agreement, and percentage error were −9.3 (8.4), −26.1‐7.6, and 26.9% for systolic; 1.6 (6.5), −11.3‐14.6, and 38.7% for diastolic; and −1.3 (5.8), −13.0‐10.3, and 26.9% for mean blood pressure, respectively. During low blood pressure (intra‐arterial mean blood pressure ≤30 mm Hg), the biases (standard deviation) of systolic, diastolic, and mean blood pressure were −11.4 (5.7), −0.7 (3.7), and −5.1 (4.2), whereas during high blood pressure (intra‐arterial mean blood pressure ≥60 mm Hg), the values were 0.1 (9.7), 5.6 (9.4), and 6.4 (7.4), respectively. Conclusions: Based on the bias and percentage error, the mean blood pressure exhibited the most acceptable agreement between oscillometric noninvasive and invasive intra‐arterial blood pressure monitoring in term neonates under general anesthesia. However, during hypertension or hypotension, there was a large discrepancy between the two methods. | |||||
内容記述タイプ | Abstract | |||||
内容記述 | ||||||
内容記述 | ファイル公開:2021-12-01 | |||||
内容記述タイプ | Other | |||||
出版者 | ||||||
出版者 | Wiley | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプresource | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | journal article | |||||
DOI | ||||||
関連識別子 | ||||||
識別子タイプ | DOI | |||||
関連識別子 | https://doi.org/10.1111/pan.14020 | |||||
ISSN(print) | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 1155-5645 | |||||
書誌情報 |
Pediatric Anesthesia 巻 30, 号 12, p. 1396-1401, 発行日 2020-12 |
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著者版フラグ | ||||||
値 | author |