Publications by authors named "I R Piper"

Artifacts are a common problem in physiological time series collected from intensive care units (ICU) and other settings. They affect the quality and reliability of clinical research and patient care. Manual annotation of artifacts is costly and time-consuming, rendering it impractical.

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Introduction: Intracranial pressure (ICP) monitoring is a very commonly performed neurosurgical procedure but there is a wide variation in how it is reported, hindering analysis of it. The current study sought to generate consensus on the reporting of ICP monitoring recording data.

Research Question: "What should be included in an ICP monitoring report?"

Material And Methods: The exercise was completed via a modified eDelphi survey.

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Article Synopsis
  • Scientists are using complicated models from brain pressure data to make better decisions in hospitals, but these models aren't often used directly by doctors during patient care.
  • There are several challenges stopping these models from being used at the bedside, like devices not working together and issues of trust and privacy with patient data.
  • To really help patients, doctors need quick and clear information from these models, and solutions are needed to overcome the problems that exist now.
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Introduction: Partial pressure of brain tissue oxygen (PbtO2) has been shown to be a safe an effective monitoring modality to compliment intracranial pressure (ICP) monitoring. It is related to metabolic activity, disease severity and mortality.

Research Question: Understanding the complex relationship between PbtO2 and ICP for patients with traumatic brain injury will enable better clinical decision making beyond simple threshold treatment strategies.

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To validate the intracranial pressure (ICP) dose-response visualization plot for the first time in a novel prospectively collected pediatric traumatic brain injury (pTBI) data set from the multi-center, multi-national KidsBrainIT consortium. Prospectively collected minute-by-minute ICP and mean arterial blood pressure time series of 104 pTBI patients were categorized in ICP intensity-duration episodes. These episodes were correlated with the 6-month Glasgow Outcome Score (GOS) and displayed in a color-coded ICP dose-response plot.

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