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Microvasc Res ; 117: 44-49, 2018 05.
Article in English | MEDLINE | ID: mdl-29325705

ABSTRACT

BACKGROUND: Transcutaneous oxygen pressure (tcpO2) reliability is blunted by an unpredictable transcutaneous gradient through the skin. We hypothesized that the "Decrease from Rest of Oxygen pressure (DROP: subtraction of limb-changes from chest-changes from the respective starting values) would show a good to excellent reliability during Exercise -tcpO2 investigations. METHODS: In three different experiments we tested: The intra-test variability at the peripheral level (Experiment A: 32 patients, 16 at each location), at the chest level (Experiment B: 45 patients) and the test-retest reproducibility within 3 months (Experiment C: 67 patients). We calculated the intra-class coefficient of correlation (ICC) with 95% confidence interval [Lower/upper limit]. ICC between 0.60 and 0.749 indicate a good agreement. ICC above 0.750 indicates an excellent agreement. RESULTS: ICC values for DROP-min were 0.848 [0.723/0.935] at the buttock and 0.920 [0.846/0.967] at the calf levels, in experiment A; ICC were 0.873 [0.799/0.923] at the buttock and 0.898 [0.790/0.953] at the calf levels, in experiment B; 0.806 [0.716/0.871] at then buttock level (n = 67) and 0.807 [0.722/0.868] at the calf in experiment C. CONCLUSIONS: Intra-test and test-retest reliability is excellent using the DROP calculation for exercise-tcpO2 investigations.


Subject(s)
Blood Gas Monitoring, Transcutaneous , Exercise Test , Intermittent Claudication/diagnosis , Oxygen/blood , Peripheral Arterial Disease/diagnosis , Aged , Biomarkers/blood , Female , Humans , Intermittent Claudication/blood , Intermittent Claudication/physiopathology , Male , Middle Aged , Peripheral Arterial Disease/blood , Peripheral Arterial Disease/physiopathology , Predictive Value of Tests , Prospective Studies , Reproducibility of Results , Retrospective Studies
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