scholarly journals ASSOCIATIONS OF MEASURES OF SYSTEMIC BLOOD FLOW USED IN A RANDOMISED TRIAL OF DELAYED CORD CLAMPING IN PRETERM INFANTS

2019 ◽  
Vol 55 (S1) ◽  
pp. 94-94
2019 ◽  
Vol 86 (1) ◽  
pp. 138-138
Author(s):  
Himanshu Popat ◽  
Kristy P. Robledo ◽  
Adrienne Kirby ◽  
Lucille Sebastian ◽  
Nicholas Evans ◽  
...  

2019 ◽  
Vol 86 (1) ◽  
pp. 71-76 ◽  
Author(s):  
Himanshu Popat ◽  
Kristy P. Robledo ◽  
Adrienne Kirby ◽  
Lucille Sebastian ◽  
Nicholas Evans ◽  
...  

2016 ◽  
Vol 178 ◽  
pp. 81-86.e2 ◽  
Author(s):  
Himanshu Popat ◽  
Kristy P. Robledo ◽  
Lucille Sebastian ◽  
Nicholas Evans ◽  
Andrew Gill ◽  
...  

2017 ◽  
Vol 103 (3) ◽  
pp. F257-F263 ◽  
Author(s):  
Himanshu Popat ◽  
Kristy P Robledo ◽  
Lucille Sebastian ◽  
Nicholas Evans ◽  
Andrew Gill ◽  
...  

ObjectiveFunctional cardiac ultrasound measures are used clinically and in trials for assessing the haemodynamic status of newborn infants. Superior vena cava (SVC) flow and right ventricular output (RVO) are established measures of systemic blood flow on the first postnatal day. The objective was to assess image quality and interobserver agreement of these measures in preterm infants enrolled in a randomised trial of immediate versus delayed cord clamping.Design and settingImage quality and interobserver agreement for SVC flow, RVO and ductus arteriosus (DA) size were assessed on measurements taken at 3–6, 6–12 and 20–28 hours for the first 10 infants enrolled at each of four sites (total 40). Bland-Altman plots were constructed; mean difference (bias) and limits of agreement (LOA) were calculated. Potential sources of variation were explored.ResultsQuality was judged satisfactory for >97% of images. The mean difference and LOA between the observers were 5.4 mL/kg/min and −49.0 to 59.8 mL/kg/min for SVC flow, −26.6 mL/kg/min and −131.4 to 78.2 mL/kg/min for RVO, and 0 mm and −0.8 to 0.8 mm for DA diameter, respectively. The principal source of measurement error for SVC flow was diameter, and for RVO, diameter and velocity time integral. The difference between observers for both SVC and RVO was significantly associated with site.ConclusionInterobserver variability for SVC flow is consistent with that previously reported, but higher for RVO. The findings should be incorporated into clinical practice, training, accreditation and trial design.


2001 ◽  
Vol 139 (2) ◽  
pp. 227-232 ◽  
Author(s):  
Martin Kluckow ◽  
Nick Evans

NeoReviews ◽  
2004 ◽  
Vol 5 (3) ◽  
pp. e109-e121 ◽  
Author(s):  
D. Osborn ◽  
N. Evans ◽  
M. Kluckow

2014 ◽  
Vol 34 (4) ◽  
pp. 296-300 ◽  
Author(s):  
K König ◽  
K J Guy ◽  
G Walsh ◽  
S M Drew ◽  
A Watkins ◽  
...  

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