A digital solution for determining the severity of paroxysmal sympathetic hyperactivity syndrome in patients with brain injury

Author:

Tsentsiper L. M.1ORCID,Motienko A. I.2ORCID,Terekhov I. S.3ORCID,Levonevskiy D. K.2ORCID,Samochernykh K. A.3ORCID,Kondratyev A. N.3ORCID

Affiliation:

1. Polenov Neurosurgical Institute – Branch of the Almazov National Medical Research Center; St. Petersburg State Pediatric Medical University

2. St. Petersburg Federal Research Center of the Russian Academy of Sciences (SPC RAS)

3. Polenov Neurosurgical Institute – Branch of the Almazov National Medical Research Center

Abstract

Paroxysmal sympathetic hyperactivity syndrome is a frequent complication of acute severe brain injury, so with severe traumatic brain injury, it develops in 30 % of patients. Despite a large number of publications, the issues of diagnosis, prevention and treatment of this syndrome remain unresolved. To date, the assessment of the syndrome of paroxysmal sympathetic hyperactivity takes, with proper training of the doctor, from 8 to 15 minutes, taking into account the calculation of points using a calculator. With the digitalization of this process, a single assessment will take about 2–3 minutes to enter the indicators. In this case, the calculation will occur automatically. Subsequently, when using «wearable gadgets for measurement», the process of filling in indicators can also occur automatically. The application allows to register and store basic data about users who can have three roles: patients, specialist doctors, administrators. The creation of a database of patients with sympathetic hyperactivity syndrome will significantly improve diagnostic methods and assess the adequacy of therapy. Medical data is only useful if it can be turned into meaningful information. This requires high-quality data sets, uninterrupted communication between IT systems, and standard data formats that can be processed by humans and machines.

Publisher

FSBEI HE I.P. Pavlov SPbSMU MOH Russia

Subject

Anesthesiology and Pain Medicine,Critical Care and Intensive Care Medicine,Emergency Medicine

Reference15 articles.

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2. Tsentsiper L. M., Terekhov I. S., Shevelev O. A. et al. Paroxysmal sympathetic hyperactivity syndrome (review). General Resuscitation, 2022, vol. 18, no 4, pp. 55–67. (In Russ.) DOI: 10.15360/1813-9779-2022-4-55-67.

3. Tsentsiper L. M., Shevelev O. A., Polushin Yu. S. et al. Syndrome of paroxysmal sympathetic hyperactivity: pathophysiology, diagnosis and treatment. The Russian Neurosurgical Journal named after Professor A. L. Polenov, 2020, vol. 12, no. 4, pp. 59–64. (In Russ.)

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