Abstract
AbstractPostoperative delirium (POD) is a complicated and harmful clinical syndrome. Traditional behaviour analysis mostly focuses on static parameters. However, animal behaviour is a bottom-up and hierarchical organizational structure composed of time-varying posture dynamics. Spontaneous and task-driven behaviours are used to conduct comprehensive profiling of behavioural data of various aspects of model animals. A machine-learning based method is used to assess the effect of dexmedetomidine. Fourteen statistically different spontaneous behaviours are used to distinguish the non-POD group from the POD group. In the task-driven behaviour, the non-POD group has greater deep versus shallow investigation preference, with no significant preference in the POD group. Hyperactive and hypoactive subtypes can be distinguished through pose evaluation. Dexmedetomidine at a dose of 25 μg kg−1 reduces the severity and incidence of POD. Here we propose a multi-scaled clustering analysis framework that includes pose, behaviour and action sequence evaluation. This may represent the hierarchical dynamics of delirium-like behaviours.
Publisher
Springer Science and Business Media LLC
Subject
General Agricultural and Biological Sciences,General Biochemistry, Genetics and Molecular Biology,Medicine (miscellaneous)
Reference92 articles.
1. Marcantonio, E. R. Delirium in hospitalized older adults. N. Engl. J. Med. 377, 1456–1466 (2017).
2. Hosker, C. M. G. & Bennett, M. I. Delirium and agitation at the end of life. BMJ (Clin. Res. ed.) 353, i3085 (2016).
3. Walther, S. et al. Structure and neural mechanisms of catatonia. Lancet Psychiatry 6, 610–619 (2019).
4. Albrecht, J. S. et al. Stability of postoperative delirium psychomotor subtypes in individuals with hip fracture. J. Am. Geriatrics Soc. 63, 970–976 (2015).
5. Inouye, S. K., Westendorp, R. G. J. & Saczynski, J. S. Delirium in elderly people. Lancet (Lond., Engl.) 383, 911–922 (2014).