Evaluation of two portable pupillometers to assess clinical utility.

Q3 Medicine Concussion Pub Date : 2020-10-28 DOI:10.2217/cnc-2020-0016
Rachel Eshima McKay, Michael A Kohn, Elliot S Schwartz, Merlin D Larson
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引用次数: 3

Abstract

Background: Pupillometers have been proposed as clinical assessment tools. We compared two pupillometers to assess measurement agreement.

Materials & methods: We enrolled 30 subjects and simultaneously measured the pupil diameter and light reflex amplitude with an iPhone pupillometer and a portable infrared pupillometer. We then enrolled 40 additional subjects and made serial measurements with each device.

Results: Failure occurred in 30% of attempts made with the iPhone pupillometer compared with 4% of attempts made with the infrared pupillometer (Fisher's exact p = 0.0001). Method comparison of the two devices used simultaneously showed significant disagreement in dynamic measurements.

Conclusion: The iPhone pupillometer had poor repeatability and suggests that it is not a practical tool to support clinical decisions.

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评价两种便携式瞳孔计的临床应用价值。
背景:瞳孔计已被提议作为临床评估工具。我们比较了两个瞳孔计来评估测量的一致性。材料与方法:我们招募了30名受试者,使用iPhone瞳孔计和便携式红外瞳孔计同时测量瞳孔直径和光反射幅度。然后,我们招募了40名额外的受试者,并对每种设备进行了连续测量。结果:使用iPhone瞳孔计的尝试失败率为30%,而使用红外瞳孔计的尝试失败率为4% (Fisher’s精确p = 0.0001)。两种装置同时使用的方法比较,在动态测量上存在显著差异。结论:iPhone瞳孔计重复性差,提示其不是支持临床决策的实用工具。
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来源期刊
Concussion
Concussion Medicine-Neurology (clinical)
CiteScore
2.70
自引率
0.00%
发文量
2
审稿时长
12 weeks
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