Continuous Monitoring of the Complexity of Intracranial Pressure After Head Injury

被引:6
|
作者
Lu, Cheng-Wei [1 ,2 ,3 ]
Czosnyka, Marek [3 ]
Shieh, Jiann-Shing [2 ]
Pickard, John D. [4 ]
Smielewski, Peter [3 ]
机构
[1] Far Eastern Mem Hosp, Dept Anaesthesiol, 21 Sect 2,Nan Ya South Rd, New Taipei, Taiwan
[2] Yuan Ze Univ, Dept Mech Engn, Taoyuan, Taiwan
[3] Univ Cambridge, Dept Clin Neurosci, Div Neurosurg, Cambridge CB2 1TN, England
[4] Univ Cambridge, Addenbrookes Hosp, Dept Neurosurg, Cambridge CB2 1TN, England
基金
英国医学研究理事会;
关键词
Complexity; Intracranial pressure; Multiscale entropy; Outcome; Traumatic brain injury; TRAUMATIC BRAIN-INJURY; PHYSIOLOGICAL-COMPLEXITY; APPROXIMATE ENTROPY; TIME-SERIES; HYPERTENSION;
D O I
10.1007/978-3-319-22533-3_6
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Multiscale entropy (MSE) has been increasingly used to investigate the complexity of biological signals. Our previous study demonstrated that the complexity of mean intracranial pressure (ICP), assessed by MSE based on the whole recording periods, is associated with the outcome after traumatic brain injury (TBI). To improve the feasibility of MSE in a clinical setting, this study examined whether the complexity of ICP waveforms based on shorter periods could be a reliable predictor of the outcome in patients with TBI. Results showed that the complexity of ICP slow waves, calculated in 3-h moving windows, correlates with the outcome of patients with TBI. Thus, the complexity of ICP may be a promising index to be incorporated into multimodal monitoring in patients with TBI.
引用
收藏
页码:33 / 35
页数:3
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