Non-Invasive Estimation of Intracranial Pressure-Derived Cerebrovascular Reactivity Using Near-Infrared Spectroscopy Sensor Technology in Acute Neural Injury: A Time-Series Analysis

被引:4
|
作者
Gomez, Alwyn [1 ,2 ]
Froese, Logan [3 ]
Bergmann, Tobias J. G. [4 ]
Sainbhi, Amanjyot Singh [3 ]
Vakitbilir, Nuray [3 ]
Islam, Abrar [3 ]
Stein, Kevin Y. [3 ,5 ]
Marquez, Izabella [4 ]
Ibrahim, Younis [3 ]
Zeiler, Frederick A. [1 ,3 ,6 ,7 ,8 ]
机构
[1] Univ Manitoba, Rady Fac Hlth Sci, Dept Surg, Sect Neurosurg, Winnipeg, MB R3E 0W2, Canada
[2] Univ Manitoba, Rady Fac Hlth Sci, Dept Human Anat & Cell Sci, Winnipeg, MB R3E 0W2, Canada
[3] Univ Manitoba, Price Fac Engn, Dept Biomed Engn, Winnipeg, MB R3T 5V6, Canada
[4] Univ Manitoba, Price Fac Engn, Dept Biosyst Engn, Winnipeg, MB R3T 5V6, Canada
[5] Univ Manitoba, Rady Fac Hlth Sci, Undergraduate Med, Winnipeg, MB R3E 0W2, Canada
[6] Univ Manitoba, Ctr Aging, Winnipeg, MB R3E 0W2, Canada
[7] Univ Cambridge, Addenbrookes Hosp, Dept Med, Div Anaesthesia, Cambridge CB2 0QQ, England
[8] Karolinska Inst, Dept Clin Neurosci, S-17177 Stockholm, Sweden
基金
加拿大自然科学与工程研究理事会; 加拿大健康研究院; 加拿大创新基金会;
关键词
cerebrovascular reactivity monitoring; intracranial pressure monitoring; near-infrared spectroscopy; neurotrauma; CEREBRAL-BLOOD-FLOW; BRAIN; AUTOREGULATION; INDEX;
D O I
10.3390/s24020499
中图分类号
O65 [分析化学];
学科分类号
070302 ; 081704 ;
摘要
The contemporary monitoring of cerebrovascular reactivity (CVR) relies on invasive intracranial pressure (ICP) monitoring which limits its application. Interest is shifting towards near-infrared spectroscopic regional cerebral oxygen saturation (rSO2)-based indices of CVR which are less invasive and have improved spatial resolution. This study aims to examine and model the relationship between ICP and rSO2-based indices of CVR. Through a retrospective cohort study of prospectively collected physiologic data in moderate to severe traumatic brain injury (TBI) patients, linear mixed effects modeling techniques, augmented with time-series analysis, were utilized to evaluate the ability of rSO2-based indices of CVR to model ICP-based indices. It was found that rSO2-based indices of CVR had a statistically significant linear relationship with ICP-based indices, even when the hierarchical and autocorrelative nature of the data was accounted for. This strengthens the body of literature indicating the validity of rSO2-based indices of CVR and potential greatly expands the scope of CVR monitoring.
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页数:16
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