高级检索
当前位置: 首页 > 详情页

The Effect of Data Length on the Assessment of Dynamic Cerebral Autoregulation with Transfer Function Analysis in Neurological ICU Patients

文献详情

资源类型:
WOS体系:
Pubmed体系:

收录情况: ◇ SCIE

机构: [1]Department of Cerebral Function, The Second Affiliated Hospitalof Guangzhou University of Chinese Medicine, Guangzhou, China [2]Departmentof Neurological Intensive Care Unit, The Second Affiliated Hospitalof Guangzhou University of Chinese Medicine, Guangzhou, China [3]Instituteof Advanced Computing and Digital Engineering, Shenzhen Institutesof Advanced Technology, Chinese Academy of Sciences, Shenzhen, China [4]Department of Big Data Research of TCM, The Second Affiliated Hospitalof Guangzhou University of Chinese Medicine, Guangzhou, China
出处:
ISSN:

关键词: Data length Dynamic cerebral autoregulation Transfer function analysis Invasive arterial blood pressure Neurological intensive care unit

摘要:
Background Cerebral autoregulation plays an important role in safeguarding adequate cerebral perfusion and reducing the risk of secondary brain injury, which is highly important for patients in the neurological intensive care unit (neuro-ICU). Although the consensus white paper suggests that a minimum of 5 min of data are needed for assessing dynamic cerebral autoregulation with transfer function analysis (TFA), it remains unknown if the length of these data is valid for patients in the neuro-ICU, of whom are notably different than the general populations. We aimed to investigate the effect of data length using transcranial Doppler ultrasound combined with invasive blood pressure measurement for the assessment of dynamic cerebral autoregulation in patients in the neuro-ICU. Methods Twenty patients with various clinical conditions (severe acute encephalitis, ischemic stroke, subarachnoid hemorrhage, brain injury, cerebrovascular intervention operation, cerebral hemorrhage, intracranial space-occupying lesion, and toxic encephalopathy) were recruited for this study. Continuous invasive blood pressure, with a pressure catheter placed at the radial artery, and bilateral continuous cerebral blood flow velocity with transcranial Doppler ultrasound were simultaneously recorded for a length of 10 min for each patient. TFA was applied to derive phase shift, gain, and coherence function at all frequency bands from the first 2, 3, 4, 5, 6, 7, 8, 9, and 10 min of the 10-min recordings in each patient on both hemispheres. The variability in the autoregulatory parameters in each hemisphere was investigated by repeated measures analysis of variance. Results Forty-one recordings (82 hemispheres) were included in the study. According to the critical values of coherence provided by the Cerebral Autoregulation Research Network white paper, acceptable rates for the data were 100% with a length >= 7 min. The final analysis included 68 hemispheres. The effects of data length on trends in phase shift in the very low frequency (VLF) band (F-1.801,F-120.669 = 6.321, P = 0.003), in the LF band (F-1.274,F-85.343 = 4.290, P = 0.032), and in the HF band (F-1.391,F-93.189 = 3.868, P = 0.039) were significant for 3-7 min, for 4-7 min, and for 5-8 min, respectively. Effects were also significant on the gain in the VLF band (F-1.927,F-129.134 = 3.215, P = 0.045) for 2-8 min and on the coherence function in all frequency bands (VLF F-2.846,F-190.671 = 90.247, P < 0.001, LF F-2.515,F-168.492 = 55.770, P < 0.001, HF F-2.411,F- 161.542 = 33.833, P < 0.001) for 2-10 min. Conclusions Considering the acceptable rates for the data and the variation in the TFA variables (phase shift and gain), we recommend recording data for a minimum length of 7 min for TFA in patients in the neuro-ICU.

语种:
被引次数:
WOS:
PubmedID:
中科院(CAS)分区:
出版当年[2021]版:
大类 | 3 区 医学
小类 | 3 区 危重病医学 3 区 临床神经病学
最新[2025]版:
大类 | 2 区 医学
小类 | 3 区 临床神经病学 3 区 危重病医学
JCR分区:
出版当年[2020]版:
Q3 CLINICAL NEUROLOGY Q3 CRITICAL CARE MEDICINE
最新[2023]版:
Q2 CLINICAL NEUROLOGY Q2 CRITICAL CARE MEDICINE

影响因子: 最新[2023版] 最新五年平均 出版当年[2020版] 出版当年五年平均 出版前一年[2019版] 出版后一年[2021版]

第一作者:
第一作者机构: [1]Department of Cerebral Function, The Second Affiliated Hospitalof Guangzhou University of Chinese Medicine, Guangzhou, China
共同第一作者:
通讯作者:
推荐引用方式(GB/T 7714):
APA:
MLA:

资源点击量:2022 今日访问量:0 总访问量:648 更新日期:2024-07-01 建议使用谷歌、火狐浏览器 常见问题

版权所有©2020 广东省中医院 技术支持:重庆聚合科技有限公司 地址:广州市越秀区大德路111号