Table 3 Technical details on how CRT is performed in clinical practice
Overall | Adult practice | Pediatric practice | p-value | |
|---|---|---|---|---|
n = 418 | n = 308 | n = 110 | ||
If you think of the last patient with acute circulatory failure, how often did you assess capillary refill time, n (%) | ||||
0 /24 h | 26 (6.2) | 25 (8.1) | 1 (0.9) | < 0.001 |
1 to 2 /24 h | 165 (39.5) | 141 (45.8) | 24 (21.8) | |
3 to 6/24 h | 137 (32.8) | 56 (18.2) | 81 (73.6) | |
No answer | 90 (21.5) | 86 (27.9) | 4 (3.6) | |
On what part of the body do you assess capillary refill time, n (%) | ||||
On the fingertip (%) | 169 (40.4) | 138 (44.8) | 31 (28.2) | < 0.001 |
On the thorax (%) | 191 (45.7) | 86 (27.9) | 105 (95.5) | |
On the knee (%) | 131 (31.3) | 107 (34.7) | 24 (21.8) | |
On the gingiva (%) | 5 (1.2) | 4 (1.3) | 1 (0.9) | |
How do you control the pressure during the compression of the skin, n (%) | ||||
You apply a firm pressure | 247 (59.1) | 164 (53.2) | 83 (75.5) | < 0.001 |
You use the blanching of your finger nail to assess the pressure | 74 (17.7) | 51 (16.6) | 23 (20.9) | |
You use a glass microscope slide to assess the blanching of the patient’s skin | 7 (1.7) | 7 (2.3) | 0 (0.0) | |
No answer | 90 (21.5) | 86 (27.9) | 4 (3.6) | |
How long does the compression last, n (%) | ||||
0 to 3 seconds | 192 (45.9) | 145 (47.1) | 47 (42.7) | < 0.001 |
4 to 7 seconds | 119 (28.5) | 62 (20.1) | 57 (51.8) | |
7 to 10 seconds | 12 (2.9) | 10 (3.2) | 2 (1.8) | |
> 10 seconds | 5 (1.2) | 5 (1.6) | 0 (0.0) | |
No answer | 90 (21.5) | 86 (27.9) | 4 (3.6) | |
How do you measure the duration of the compression, n (%) | ||||
Using a chronometer | 8 (1.9) | 8 (2.6) | 0 (0.0) | < 0.001 |
Counting in your head | 320 (76.6) | 214 (69.5) | 106 (96.4) | |
No answer | 90 (21.5) | 86 (27.9) | 4 (3.6) | |
How do you measure capillary refill time, n (%) | ||||
Using a chronometer | 12 (2.9) | 12 (3.9) | 0 (0.0) | < 0.001 |
Counting in your head | 316 (75.6) | 210 (68.2) | 106 (96.4) | |
No answer | 90 (21.5) | 86 (27.9) | 4 (3.6) | |
To evaluate the capillary refill time of a patient at a given moment, how many CRT do you average, n (%) | ||||
1 measurement | 102 (24.4) | 81 (26.3) | 21 (19.1) | < 0.001 |
2 measurement | 147 (35.2) | 99 (32.1) | 48 (43.6) | |
3 measurement | 47 (11.2) | 28 (9.1) | 19 (17.3) | |
the longest of the measurements performed | 32 (7.7) | 14 (4.5) | 18 (16.4) | |
No answer | 90 (21.5) | 86 (27.9) | 4 (3.6) | |