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Evaluation of the BladderScan® in estimating bladder volume in paediatric patients
Institution:1. Pediatric Urology Research Center, Children''s Center of Excellence, Department of Pediatric Urology, Islamic Republic of Iran;2. Department of Experimental Research, Cancer Research Center, Iranian Cancer Institute, Islamic Republic of Iran;3. Department of Pathology, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran;1. Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, JHOC 8, 601 North Caroline Street, Baltimore, MD 21287, USA;2. Department of Radiology, State University of New York Downstate Medical Center, 450 Clarkson Avenue #24, Brooklyn, NY 11203, USA;3. Department of Urology, Johns Hopkins University School of Medicine, 1800 Orleans Street #7304, Baltimore, MD 21287, USA;1. Department of Obstetrics and Gynecology, International Islamic University Malaysia, Kuantan, Pahang, Malaysia;2. Department of Obstetrics and Gynecology, Hospital Tengku Ampuan Afzan, Kuantan, Pahang, Malaysia;3. Department of Community Medicine, International Islamic University Malaysia, Kuantan, Pahang, Malaysia;1. Division of Urology, University of Utah, Primary Children''s Medical Center, 30 North 1900 East, Salt Lake City, UT 84132, USA;2. Department of Medical Imaging, Primary Children''s Medical Center, 100 N Mario Capecchi Dr, Salt Lake City, UT 84113, USA;3. Division of Epidemiology, University of Utah, 295 Chipeta Way, Salt Lake City, UT 84108, USA;1. Department of Pediatric Urology, University of Texas Southwestern, Dallas, TX, USA;2. Mayo Clinic, Rochester, MN, USA
Abstract:ObjectiveTo evaluate the reliability of estimates of bladder volume (BV) in children with the BladderScan BVI 9400 (BS) compared with the volume obtained at catheterization (CV).Materials and methodsBV was measured using the BS in 50 children (age range 6 weeks–14 years) who required urinary catheter placement during surgery or urodynamic studies. BS measurements were taken prior to catheter insertion. BV was compared with CV.ResultsBS volumes ranged from 0 to 513 mL (mean = 79 mL, median = 34 mL) and CV from 0 to 500 mL (mean = 81 mL, median = 31 mL). There was high correlation between the BS and CV measures (rho = 0.96). The mean difference between BS and CV volumes was ?2.1 mL (SD 21). Where the CV ≤ 100 mL the BS volumes ranged from 0 to 84 mL (mean = 74 mL, median = 30 mL) and the CV from 0 to 88 mL (mean = 76 mL, median = 25 mL) (rho = 0.89). The mean difference = 0.5 mL (95% limits of agreement ± 23 mL). In a small sample of 12 children <36 months, correlation between BS and CV volumes was not as strong with rho = 0.82.ConclusionsOverall the BladderScan showed a high correlation with catheter volume and there was good clinical agreement between the measures.
Keywords:Children  BladderScan  Catheter  Bladder volume
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