Lung-to-finger circulation time can be measured stably with high reproducibility by simple breath holding method in cardiac patients

Abstract Lung to finger circulation time (LFCT) has been used to estimate cardiac function. We developed a new LFCT measurement device using a laser sensor at fingertip. We measured LFCT by measuring time from re-breathing after 20 s of breath hold to the nadir of the difference of transmitted red l...

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Autores principales: Tomoyuki Tobushi, Takatoshi Kasai, Masayuki Hirose, Kazuhiro Sakai, Manabu Akamatsu, Chizuru Ohsawa, Yasuko Yoshioka, Shoko Suda, Nanako Shiroshita, Ryo Nakamura, Toshiaki Kadokami, Takeshi Tohyama, Kouta Funakoshi, Kazuya Hosokawa, Shin-ichi Ando
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:2af27f39d9b64858a840e14f26707a8e2021-12-02T16:35:46ZLung-to-finger circulation time can be measured stably with high reproducibility by simple breath holding method in cardiac patients10.1038/s41598-021-95192-32045-2322https://doaj.org/article/2af27f39d9b64858a840e14f26707a8e2021-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-95192-3https://doaj.org/toc/2045-2322Abstract Lung to finger circulation time (LFCT) has been used to estimate cardiac function. We developed a new LFCT measurement device using a laser sensor at fingertip. We measured LFCT by measuring time from re-breathing after 20 s of breath hold to the nadir of the difference of transmitted red light and infrared light, which corresponds to percutaneous oxygen saturation. Fifty patients with heart failure were enrolled. The intrasubject stability of the measurement was assessed by the intraclass correlation coefficient (ICC). The ICC calculated from 44 cases was 0.85 (95% confidence interval: 0.77–0.91), which means to have “Excellent reliability.” By measuring twice, at least one clear LFCT value was obtained in 89.1% of patients and the overall measurability was 95.7%. We conducted all LFCT measurements safely. High ICCs were obtained even after dividing patients according to age, cardiac index (CI); 0.85 and 0.84 (≥ 75 or < 75 years group, respectively), 0.81 and 0.84 (N = 26, ≥ or < 2.2 L/min/M2). These results show that our new method to measure LFCT is highly stable and feasible for any type of heart failure patients.Tomoyuki TobushiTakatoshi KasaiMasayuki HiroseKazuhiro SakaiManabu AkamatsuChizuru OhsawaYasuko YoshiokaShoko SudaNanako ShiroshitaRyo NakamuraToshiaki KadokamiTakeshi TohyamaKouta FunakoshiKazuya HosokawaShin-ichi AndoNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Tomoyuki Tobushi
Takatoshi Kasai
Masayuki Hirose
Kazuhiro Sakai
Manabu Akamatsu
Chizuru Ohsawa
Yasuko Yoshioka
Shoko Suda
Nanako Shiroshita
Ryo Nakamura
Toshiaki Kadokami
Takeshi Tohyama
Kouta Funakoshi
Kazuya Hosokawa
Shin-ichi Ando
Lung-to-finger circulation time can be measured stably with high reproducibility by simple breath holding method in cardiac patients
description Abstract Lung to finger circulation time (LFCT) has been used to estimate cardiac function. We developed a new LFCT measurement device using a laser sensor at fingertip. We measured LFCT by measuring time from re-breathing after 20 s of breath hold to the nadir of the difference of transmitted red light and infrared light, which corresponds to percutaneous oxygen saturation. Fifty patients with heart failure were enrolled. The intrasubject stability of the measurement was assessed by the intraclass correlation coefficient (ICC). The ICC calculated from 44 cases was 0.85 (95% confidence interval: 0.77–0.91), which means to have “Excellent reliability.” By measuring twice, at least one clear LFCT value was obtained in 89.1% of patients and the overall measurability was 95.7%. We conducted all LFCT measurements safely. High ICCs were obtained even after dividing patients according to age, cardiac index (CI); 0.85 and 0.84 (≥ 75 or < 75 years group, respectively), 0.81 and 0.84 (N = 26, ≥ or < 2.2 L/min/M2). These results show that our new method to measure LFCT is highly stable and feasible for any type of heart failure patients.
format article
author Tomoyuki Tobushi
Takatoshi Kasai
Masayuki Hirose
Kazuhiro Sakai
Manabu Akamatsu
Chizuru Ohsawa
Yasuko Yoshioka
Shoko Suda
Nanako Shiroshita
Ryo Nakamura
Toshiaki Kadokami
Takeshi Tohyama
Kouta Funakoshi
Kazuya Hosokawa
Shin-ichi Ando
author_facet Tomoyuki Tobushi
Takatoshi Kasai
Masayuki Hirose
Kazuhiro Sakai
Manabu Akamatsu
Chizuru Ohsawa
Yasuko Yoshioka
Shoko Suda
Nanako Shiroshita
Ryo Nakamura
Toshiaki Kadokami
Takeshi Tohyama
Kouta Funakoshi
Kazuya Hosokawa
Shin-ichi Ando
author_sort Tomoyuki Tobushi
title Lung-to-finger circulation time can be measured stably with high reproducibility by simple breath holding method in cardiac patients
title_short Lung-to-finger circulation time can be measured stably with high reproducibility by simple breath holding method in cardiac patients
title_full Lung-to-finger circulation time can be measured stably with high reproducibility by simple breath holding method in cardiac patients
title_fullStr Lung-to-finger circulation time can be measured stably with high reproducibility by simple breath holding method in cardiac patients
title_full_unstemmed Lung-to-finger circulation time can be measured stably with high reproducibility by simple breath holding method in cardiac patients
title_sort lung-to-finger circulation time can be measured stably with high reproducibility by simple breath holding method in cardiac patients
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/2af27f39d9b64858a840e14f26707a8e
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