Blood Pressure Clinical Trial
Official title:
A-line/CareTaker Comparison Study in ICU Patients
Comparison of Blood Pressures obtained with the Pulse Decomposition Algorithm and Intra-Arterial Catheters in ICU Patients
The object of the work presented here was to validate a new approach to tracking blood
pressure that is based on the pulse analysis of the peripheral arterial pressure pulse. The
approach, referred to as the Pulse Decomposition Analysis (PDA) model, goes beyond
traditional pulse analysis by invoking a physical model that comprehensively links the
components of the peripheral pressure pulse envelope with two reflection sites in the
central arteries.
In these experiments, approved by the University of Virginia Institutional Review Board, the
arterial blood pressures of patients (23 m/11 f, mean age: 44.05 y, SD: 13.9 y, mean height:
173.3 cm, SD: 9.4 cm, mean weight: 95.3 kg, SD: 27.4 kg) hospitalized in University of
Virginia Medical Intensive Care Units (MICUs) were monitored using radial intra-arterial
catheters, while the CareTaker system collected pulse line shapes at the lower phalange of
the thumb of the ipsilateral hand.
Systolic and diastolic blood pressures continuously collected from the arterial catheter and
CT were compared. Pearson correlation coefficients were calculated between arterial catheter
and CT blood pressure measurements and a Bland-Altman analysis was created. Results were
within the limits established for the validation of automatic arterial pressure monitoring
(AAMI/ANSI/ISO 81060-1:2013).
;
Observational Model: Cohort, Time Perspective: Retrospective
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