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  2. Dynamic cerebral autoregulation reproducibility is affected by physiological variability

Dynamic cerebral autoregulation reproducibility is affected by physiological variability Artículos académico

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Resumen

  • Parameters describing dynamic cerebral autoregulation (DCA) have limited reproducibility. In an international, multi-center study, we evaluated the influence of multiple analytical methods on the reproducibility of DCA. Fourteen participating centers analyzed repeated measurements from 75 healthy subjects, consisting of 5 min of spontaneous fluctuations in blood pressure and cerebral blood flow velocity signals, based on their usual methods of analysis. DCA methods were grouped into three broad categories, depending on output types: (1) transfer function analysis (TFA); (2) autoregulation index (ARI); and (3) correlation coefficient. Only TFA gain in the low frequency (LF) band showed good reproducibility in approximately half of the estimates of gain, defined as an intraclass correlation coefficient (ICC) of > 0.6. None of the other DCA metrics had good reproducibility. For TFA-like and ARI-like methods, ICCs were lower than values obtained with surrogate data (p < 0.05). For TFA-like methods, ICCs were lower for the very LF band (gain 0.38 ± 0.057, phase 0.17 ± 0.13) than for LF band (gain 0.59 ± 0.078, phase 0.39 ± 0.11, p ≤ 0.001 for both gain and phase). For ARI-like methods, the mean ICC was 0.30 ± 0.12 and for the correlation methods 0.24 ± 0.23. Based on comparisons with ICC estimates obtained from surrogate data, we conclude that physiological variability or non-stationarity is likely to be the main reason for the poor reproducibility of DCA parameters.

Área temática

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autores

  • http://research-hub.urosario.edu.co/ontology/vlocal#ExcludedPerson
    Adam Mahdi
  • http://research-hub.urosario.edu.co/ontology/vlocal#ExcludedPerson
    Alexander Caicedo
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    Bernardo Yelicich
  • http://research-hub.urosario.edu.co/ontology/vlocal#ExcludedPerson
    Corina Puppo
  • http://research-hub.urosario.edu.co/ontology/vlocal#ExcludedPerson
    Dae C Shin
  • http://research-hub.urosario.edu.co/ontology/vlocal#ExcludedPerson
    David M Simpson
  • http://research-hub.urosario.edu.co/ontology/vlocal#ExcludedPerson
    Dragana Nikolic
  • http://research-hub.urosario.edu.co/ontology/vlocal#ExcludedPerson
    Edson Bor-Seng-Shu
  • http://research-hub.urosario.edu.co/ontology/vlocal#ExcludedPerson
    Erik D. Gommer
  • http://research-hub.urosario.edu.co/ontology/vlocal#ExcludedPerson
    Georgios D Mitsis
  • http://research-hub.urosario.edu.co/ontology/vlocal#ExcludedPerson
    Jan Willem J. Elting
  • http://research-hub.urosario.edu.co/ontology/vlocal#ExcludedPerson
    José L. Jara
  • http://research-hub.urosario.edu.co/ontology/vlocal#ExcludedPerson
    Jurgen A.H.R. Claassen
  • http://research-hub.urosario.edu.co/ontology/vlocal#ExcludedPerson
    Kyriaki Kostoglou
  • http://research-hub.urosario.edu.co/ontology/vlocal#ExcludedPerson
    Marcel Aries
  • http://research-hub.urosario.edu.co/ontology/vlocal#ExcludedPerson
    Marit L. Sanders
  • http://research-hub.urosario.edu.co/ontology/vlocal#ExcludedPerson
    Martin Müller
  • http://research-hub.urosario.edu.co/ontology/vlocal#ExcludedPerson
    Max Chacon
  • http://research-hub.urosario.edu.co/ontology/vlocal#ExcludedPerson
    Ricardo C. Nogueira
  • http://research-hub.urosario.edu.co/ontology/vlocal#ExcludedPerson
    Rong Zhang
  • http://research-hub.urosario.edu.co/ontology/vlocal#ExcludedPerson
    Ronney B Panerai
  • http://research-hub.urosario.edu.co/ontology/vlocal#ExcludedPerson
    Sabine Van Huffel
  • http://research-hub.urosario.edu.co/ontology/vlocal#ExcludedPerson
    Stephen J. Payne
  • http://research-hub.urosario.edu.co/ontology/vlocal#ExcludedPerson
    Takashi Tarumi
  • http://research-hub.urosario.edu.co/ontology/vlocal#ExcludedPerson
    Vasilis Z. Marmarelis

Publicado en

  • Frontiers in Physiology Revistas

fecha de publicación

  • 2019

Identidad

Identificador de objeto digital (DOI)

  • https://doi.org/10.3389/fphys.2019.00865

Identificador único PubMed

  • 31354518

Información adicional de documento

Volumen

  • 10

Cuestión

  • JUL