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  2. Assessment of dynamic cerebral autoregulation in humans

Assessment of dynamic cerebral autoregulation in humans Artículos académico

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Resumen

  • We tested the influence of blood pressure variability on the reproducibility of dynamic cerebral autoregulation (DCA) estimates. Data were analyzed from the 2nd CARNet bootstrap initiative, where mean arterial blood pressure (MABP), cerebral blood flow velocity (CBFV) and end tidal CO2 were measured twice in 75 healthy subjects. DCA was analyzed by 14 different centers with a variety of different analysis methods. Intraclass Correlation (ICC) values increased significantly when subjects with low power spectral density MABP (PSD-MABP) values were removed from the analysis for all gain, phase and autoregulation index (ARI) parameters. Gain in the low frequency band (LF) had the highest ICC, followed by phase LF and gain in the very low frequency band. No significant differences were found between analysis methods for gain parameters, but for phase and ARI parameters, significant differences between the analysis methods were found. Alternatively, the Spearman-Brown prediction formula indicated that prolongation of the measurement duration up to 35 minutes may be needed to achieve good reproducibility for some DCA parameters. We conclude that poor DCA reproducibility (ICC<0.4) can improve to good (ICC > 0.6) values when cases with low PSD-MABP are removed, and probably also when measurement duration is increased.

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
  • http://research-hub.urosario.edu.co/ontology/vlocal#ExcludedPerson
    Bernardo Yelicich
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    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 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

  • PLOS ONE Revistas

fecha de publicación

  • enero 1, 2020

Identidad

Identificador de objeto digital (DOI)

  • https://doi.org/10.1371/journal.pone.0227651

Identificador único PubMed

  • 31923919

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Volumen

  • 15

Cuestión

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