Repeatability of USCOM®-measured cardiac output and systemic vascular resistance in normotensive non-pregnant and pregnant women (#25)
Objectives: To investigate the repeatability of ultrasonic cardiac output monitor (USCOM) measurements of cardiac output and systemic vascular resistance in non-pregnant and normotensive pregnant women.
Study design: Cardiac output and systemic vascular resistance were measured, using the USCOM, five times successively within 5 minutes in non-pregnant (n = 34) and normotensive pregnant (n = 32) women of any gestation with uniform technique by a single operator. The data were analysed using multi-level modeling and intra-class correlations.
Results: There was no statistically significant variation in either cardiac output or systemic vascular resistance with repeated measurement in non-pregnant or normotensive pregnant women. Intra-class correlations for cardiac output and systemic vascular resistance measurements were 0.921 (95% CI 0.887-0.947) and 0.934 (95% CI 0.905 – 0.956) respectively.
Conclusions: No extra information is added by making more than one USCOM measurement on the same woman under the same conditions in normotensive pregnant and non-pregnant women. The USCOM demonstrates excellent repeatability in this population. This finding should provide reassurance that single measurements using this system are of value in research and clinical practice.
ADIPS SOMANZ 2017*