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Design and representation of multivariate patient-based reference regions for arterial pH, PCO2 and base excess
M Hekking1, J Lindemans, E S Gelsema
1Department of Medical Informatics, Erasmus University, Rotterdam, The Netherlands.
Objectives:
To determine and compare the shape and location of three data sets of arterial pH, PCO2, and BE values from intensive care patients in a new acid-base chart for the purpose of deriving multivariate reference regions.
Design And Methods:
The new chart is constructed by applying a statistical technique called principal component analysis (PCA). Three different data sets, each comprised of 1500 arterial pH, PCO2, and BE values, were subjected to PCA. The 3 data sets were collected in a respiratory intensive care unit (ICU) of a University Hospital, in a general ICU of a District Hospital, and in a neonatal ICU of a Children's Hospital.
Results:
The outlines of the resulting charts are similar for all 3 data sets, but the representations of the three distributions in the new chart are highly dissimilar, both in shape and in location.
Conclusions:
PCA can be used to derive a patient-based reference region for arterial pH, PCO2, and BE values. Furthermore, the new chart may be useful for the graphical monitoring of acid-base data because distances between consecutive observations are faithfully represented.