Comparison of invasive and noninvasive blood hemoglobin measurement in the operating room: a systematic review and meta-analysis
- 142 Downloads
Noninvasive hemoglobin (Hb)-monitoring devices are new inventions in pulse oximeter systems that show hemoglobin levels continuously. The aim of this systematic review and meta-analysis was to evaluate the accuracy and precision of noninvasive versus standard central laboratory Hb measurements in the operating room. We systematically searched multiple databases. Then, for the quality assessment of studies, we modified QUADAS-2 in the Revman 5.3 software. The GRADE approach was used to measure the quality of evidence (Grading of Recommendations Assessment, Development, and Evaluation). Data were analyzed using the meta-analysis method (random effect model) using STATA 11 software. A total of 28 studies on 2000 participants were included in the meta-analysis. Meta-analysis results of mean differences between noninvasive and the central laboratory Hb measurements in overall pooled random effects were − 0.27 (95% LoA (0.44, − 0.10); P value < 0.05). According to this meta-analysis, noninvasive hemoglobin measurement has acceptable accuracy in comparison with the standard invasive method.
KeywordsMeasurement Pulse oximeter Noninvasive Hemoglobin Monitoring
This article is part of the dissertation entitled "Health technology assessment of Comparison of Invasive and Noninvasive Blood Hemoglobin Measurement in surgery" at the Master’s Degree in Health Technology Assessment supported by Iran University of Medical Sciences (code: iums/shmis-1395/9311592004).
- 12.Cannesson M, Talke P. Recent advances in pulse oximetry. F1000 Med Rep. 2009;1:66Google Scholar
- 27.Huang P, Shih BF, Tsai Y-F, Chung PCH, Liu FC, Yu HP, Lee WC, Chang CJ, Lin CC, editors. Accuracy and trending of continuous noninvasive hemoglobin monitoring in patients undergoing liver transplantation. Transplantation proceedings. Amsterdam: Elsevier; 2016.Google Scholar
- 29.Khanna P, Rajagopalan V, Singh G, Prabhakar H. A comparison of non-invasive versus invasive methods of haemoglobin estimation in patients undergoing intracranial surgery. South Afr J Anaesth Analg. 2014;20(3):160–3.Google Scholar
- 30.Lamhaut L, Apriotesei R, Combes X, Lejay M, Carli P, Vivien B. Comparison of the accuracy of noninvasive hemoglobin monitoring by spectrophotometry (SpHb) and HemoCue® with automated laboratory hemoglobin measurement. Anesthesiol J Am Soc Anesthesiol. 2011;115(3):548–54.Google Scholar
- 35.Skelton V, Wijayasinghe N, Sharafudeen S, Sange A, Parry N, Junghans C. Evaluation of point-of-care haemoglobin measuring devices: a comparison of Radical-7™ pulse co-oximetry, HemoCue® and laboratory haemoglobin measurements in obstetric patients. Anaesthesia. 2013;68(1):40–5.CrossRefGoogle Scholar
- 38.Erdogan GK, Colak YZ, Sanli M, Ucar M, Toprak HI. Accuracy of non-invasive hemoglobin monitoring by pulse CO-oximeter during liver transplantation. Minerva Anestesiol. 2017;83(5):485–92.Google Scholar
- 42.Riou B. Continuous measurement of hemoglobinmethodological approach and lessons for the future. Anesthesiol J Am Soc Anesthesiol. 2013;118(3):497-9-9.Google Scholar
- 45.Coquin J, Dewitte A, Manach YL, Caujolle M, Joannes-Boyau O, Fleureau C, Janvier G, Ouattara A. Precision of noninvasive hemoglobin-level measurement by pulse co-oximetry in patients admitted to intensive care units for severe gastrointestinal bleeds. Crit Care Med. 2012;40(9):2576–82.CrossRefGoogle Scholar
- 47.Koul PA, Khan UH, Wani AA, Eachkoti R, Jan RA, Shah S, Masoodi Z, Qadri SM, Ahmad M, Ahmad A, Standards for Reporting of Diagnostic Accuracy. Comparison and agreement between venous and arterial gas analysis in cardiopulmonary patients in Kashmir valley of the Indian subcontinent. Ann Thorac Med. 2011;6(1):33.CrossRefGoogle Scholar