PMID- 32029030
OWN - NLM
STAT- MEDLINE
DCOM- 20200217
LR  - 20200217
IS  - 2095-4352 (Print)
VI  - 31
IP  - 12
DP  - 2019 Dec
TI  - [Ultrasound cardiac output monitor and thermodilution for cardiac function 
      monitoring in critical patients: a Meta-analysis].
PG  - 1462-1468
LID - 10.3760/cma.j.issn.2095-4352.2019.12.006 [doi]
AB  - OBJECTIVE: To assess the differences between ultrasound cardiac output monitor 
      (USCOM) and thermodilution (TD) systematically in cardiac function monitoring of 
      critically ill patients. METHODS: The Chinese and English literatures about the 
      clinical trials which using USCOM and TD to monitor cardiac function published in 
      CNKI, Wanfang database, China biomedical literature database, VIP database, China 
      Clinical Trial Registration Center, PubMed, Embase and Cochrane Library were 
      searched by computer from the establishment to December 2018. Some indicators, 
      like cardiac output (CO), cardiac index (CI), stroke volume (SV) and other 
      parameters were used to evaluate cardiac function. Literature search, quality 
      evaluation and data extraction were conducted independently by two authors. The 
      tailored Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) was used 
      for literature quality evaluation. EndNote X6 was used for literature screening 
      and management. RevMan 5.3 was used for Meta-analysis. Funnel chart analysis was 
      used for publication bias. RESULTS: A total of 26 studies involving 772 patients 
      were included. Among them, there were 5 literatures found that the agreements of 
      cardiac function between the USCOM and TD methods were poor. Meta-analysis showed 
      that there was no significant difference between the two methods in CO and CI 
      monitoring [CO: mean difference (MD) = -0.06, 95% confidence interval (95%CI) was 
      -0.17 to 0.05, P = 0.31; CI: MD = -0.04, 95%CI was -0.13 to 0.05, P = 0.38]. 
      Subgroup analysis of different TD methods [pulmonary artery catheter (PAC), pulse 
      indicator continuous cardiac output (PiCCO)] and different windows of USCOM 
      ultrasonic probe [aorta (AA), pulmonary artery (PA)] in CO monitoring was not 
      shown significant difference yet (PAC: MD = -0.07, 95%CI was -0.18 to 0.04, P = 
      0.23; PiCCO: MD = 0.09, 95%CI was -0.31 to 0.50, P = 0.65; AA windows: MD = 
      -0.14, 95%CI was -0.31 to 0.02, P = 0.09; PA windows: MD = -0.00, 95%CI was -0.15 
      to 0.14, P = 0.95; AA/PA windows: MD = 0.23, 95%CI was -0.40 to 0.86, P = 0.47). 
      However, the difference in SV was statistically significant between the USCOM and 
      TD method (MD = 1.48, 95%CI was 0.04 to 2.92, P = 0.04). Funnel chart showed that 
      the literature distribution of CO and CI monitoring were basically symmetrical, 
      indicating that the bias of literature publication is small. CONCLUSIONS: USCOM 
      has good consistency with TD method in monitoring the cardiac function parameters 
      of CO and CI, and different windows of ultrasonic probe of USCOM have no 
      significant influence on the monitoring results, but there is significant 
      difference in the consistency of the two methods in SV monitoring.
FAU - Zhang, Yun
AU  - Zhang Y
AD  - Department of Emergency, Wuxi People's Hospital of Nanjing Medical University, 
      Wuxi 214023, Jiangsu, China. Corresponding author: Shi Jing, Email: 
      wxshijing@163.com.
FAU - Wang, Yan
AU  - Wang Y
FAU - Ji, Dongdong
AU  - Ji D
FAU - Qian, Jiyin
AU  - Qian J
FAU - Xu, Jinyu
AU  - Xu J
FAU - Shi, Jing
AU  - Shi J
LA  - chi
PT  - Journal Article
PT  - Meta-Analysis
PL  - China
TA  - Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
JT  - Zhonghua wei zhong bing ji jiu yi xue
JID - 101604552
SB  - IM
MH  - *Cardiac Output
MH  - China
MH  - Humans
MH  - *Monitoring, Physiologic
MH  - *Thermodilution
MH  - *Ultrasonography
EDAT- 2020/02/08 06:00
MHDA- 2020/02/18 06:00
CRDT- 2020/02/08 06:00
PHST- 2020/02/08 06:00 [entrez]
PHST- 2020/02/08 06:00 [pubmed]
PHST- 2020/02/18 06:00 [medline]
AID - 10.3760/cma.j.issn.2095-4352.2019.12.006 [doi]
PST - ppublish
SO  - Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2019 Dec;31(12):1462-1468. doi: 
      10.3760/cma.j.issn.2095-4352.2019.12.006.