| Unique ID issued by UMIN | UMIN000060795 |
|---|---|
| Receipt number | R000069015 |
| Scientific Title | Comparison between peripheral perfusion index and nailfold microcirculation: a single-center prospective observational study |
| Date of disclosure of the study information | 2026/03/10 |
| Last modified on | 2026/03/02 11:13:51 |
Comparison between peripheral perfusion index and nailfold microcirculation: a single-center prospective observational study
Comparison between peripheral perfusion index and nailfold microcirculation: a single-center prospective observational study
Comparison between peripheral perfusion index and nailfold microcirculation: a single-center prospective observational study
Comparison between peripheral perfusion index and nailfold microcirculation: a single-center prospective observational study
| Japan |
Healthy adults
| Anesthesiology | Intensive care medicine | Adult |
Others
NO
Peripheral Perfusion Index (PPI) derived from pulse oximetry quantifies peripheral circulation noninvasively and conveniently based on the pulse waveform amplitude and has been increasingly used in clinical research. Microcirculation is an important factor related to prognosis, but continuous assessment in routine practice is difficult because dedicated devices are required. Nailfold Video Capillaroscopy (NVC) can quantify nailfold microcirculation, yet it is not widely used in general clinical practice. If PPI correlates with NVC metrics, PPI may serve not only as a peripheral perfusion indicator but also as a surrogate marker of microcirculation. Primary objective is to evaluate the association between pulse oximetry-derived PPI (PAI and PI) and nailfold microcirculation metrics assessed by NVC (capillary blood flow velocity and capillary diameter).
Others
PPI values differ by manufacturer (e.g., pulse-amplitude index [PAI] and perfusion index [PI]), and clarifying the relationship between PAI and PI is important for cross-device comparison and consistent evaluation. Secondary objective is to clarify the relationship between PAI and PI and to develop conversion equations.
Correlation (Pearson r with 95% CI) between PAI/PI and simultaneously measured nailfold capillary blood flow velocity and capillary diameter under each temperature condition (16 C, 22 C, 28 C).
Regression-based conversion equations between PAI and PI
Observational
| 18 | years-old | <= |
| Not applicable |
Male and Female
1. Healthy adults (staff of Department of Anesthesiology, operating room nurses, and clinical engineers at Nagasaki University Hospital).
2. Able to provide written informed consent.
1. Nail polish or other decorations on fingers.
2. Current smoker.
3. Underlying disease under active treatment.
4. People without cuticles
30
| 1st name | TAKAYUKI |
| Middle name | |
| Last name | MORIMOTO |
Nagasaki University Hospital
Department of Anesthesiology
852-8102
1-7-1 Sakamoto, Nagasaki, JAPAN
095-819-7370
tmorimoto@nagasaki-u.ac.jp
| 1st name | TAKAYUKI |
| Middle name | |
| Last name | MORIMOTO |
Nagasaki University Hospital
Department of Anesthesiology
852-8102
1-7-1 Sakamoto, Nagasaki, JAPAN
095-819-7370
tmorimoto@nagasaki-u.ac.jp
Nagasaki University Hospital
Nagasaki University Hospital
Other
Ethics Committee for Medical Sciences, Nagasaki University Graduate School of Biomedical Sciences
1-12-4 Sakamoto, Nagasaki
095-819-7198
gakujutu_gakuji@ml.nagasaki-u.ac.jp
NO
| 2026 | Year | 03 | Month | 10 | Day |
Unpublished
Preinitiation
| 2026 | Year | 01 | Month | 30 | Day |
| 2026 | Year | 03 | Month | 01 | Day |
| 2026 | Year | 12 | Month | 31 | Day |
This is a single-center prospective observational study.
Measurements are performed under three ambient temperature conditions (16 C, 22 C, and 28 C). At each condition, data are collected 5 minutes after entering the room. PAI and PI are measured simultaneously using pulse oximeter probes attached to the dominant index and ring fingers. Nailfold microcirculation is assessed on the dominant middle finger using nailfold video capillaroscopy (NVC), and capillary blood flow velocity and capillary diameter (and related metrics) are evaluated. SpO2, noninvasive blood pressure, heart rate, body temperature, and a 10-point comfort VAS are recorded simultaneously. The order of temperature conditions is not fixed. All procedures are noninvasive and do not involve therapeutic intervention.
| 2026 | Year | 03 | Month | 02 | Day |
| 2026 | Year | 03 | Month | 02 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000069015