Brain trauma care targets analysis using a high-rate recording and computing network
© BioMed Central Ltd 2008
Published: 13 March 2008
We analyze information on brain-injured patients' monitoring and care provided by a powerful information system.
We analyzed 543 hours on 11 patients, limited to 72 hours per patient when available: mean arterial pressure (MAP), intracranial pressure (ICP) and cerebral perfusion pressure (CPP) values were plotted against guideline thresholds, respectively 90 mmHg, 20 mmHg and 60 mmHg. The data were sampled every 2 seconds. Extraction was performed using a 3 teraflops supercomputer. We developed a method to detect periods of abnormal values.
Detected abnormal episodes
Monitoring artifacts should be better identified when monitoring-based targets are used to guide therapy. Computer-based data analysis shows evidence of frequent episodes requiring therapeutic actions according to published guidelines, assuming that multimodal monitoring is not limited to the three studied parameters. Caregivers need new tools for data management to provide a better quality of care.
Project funded by the EC and Martinique country.
This article is published under license to BioMed Central Ltd.