Abstract
<h3>Objectives</h3> To determine the agreement of fingertip and sternum capillary refill time (CRT) in children. <h3>Design</h3> Prospective, method-comparison study. <h3>Setting</h3> Single children9s emergency department, UK <h3>Participants</h3> 92 children aged 0–12 years, with clinical observations within normal ranges for their age, no relevant medical history and presenting to hospital with a minor illness or injury. <h3>Main outcome measures</h3> Agreement between fingertip and sternum CRT measurements. <h3>Results</h3> Fingertip CRT ranged from 0.05 to 2.78 s with a mean of 1.08±0.44 and sternum CRT ranged from 0.85 to 2.38 s with a mean of 1.5±0.33. There was a significant difference between fingertip and sternum CRT (t=−9.2, df=91, p=<0.001) and a weak association between the two measurements (r=0.18, p=0.9). A Bland Altman comparison showed the mean difference between fingertip and sternum CRT was −0.49±0.51 with an upper and lower limit of agreement ranging from −1.5 (95% CI −1.69 to −1.32) to 0.53 (95% CI 0.34 to 0.71). <h3>Conclusions</h3> Measurements of CRT taken at the fingertip and sternum are not comparable. Fingertip CRT was faster than sternum CRT. Normal CRT is 2–3 s. The current study questions the usefulness of CRT in the assessment of circulation in children.
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