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Autonomic Nervous System Monitoring in Intensive Care as a Prognostic Tool. Systematic Review

dc.contributor.authorBento, L
dc.contributor.authorFonseca-Pinto, R
dc.contributor.authorPóvoa, P
dc.date.accessioned2018-03-13T16:20:40Z
dc.date.available2018-03-13T16:20:40Z
dc.date.issued2017
dc.description.abstractOBJECTIVE: To present a systematic review of the use of autonomic nervous system monitoring as a prognostic tool in intensive care units by assessing heart rate variability. METHODS: Literature review of studies published until July 2016 listed in PubMed/Medline and conducted in intensive care units, on autonomic nervous system monitoring, via analysis of heart rate variability as a prognostic tool (mortality study). The following English terms were entered in the search field: ("autonomic nervous system" OR "heart rate variability") AND ("intensive care" OR "critical care" OR "emergency care" OR "ICU") AND ("prognosis" OR "prognoses" OR "mortality"). RESULTS: There was an increased likelihood of death in patients who had a decrease in heart rate variability as analyzed via heart rate variance, cardiac uncoupling, heart rate volatility, integer heart rate variability, standard deviation of NN intervals, root mean square of successive differences, total power, low frequency, very low frequency, low frequency/high frequency ratio, ratio of short-term to long-term fractal exponents, Shannon entropy, multiscale entropy and approximate entropy. CONCLUSION: In patients admitted to intensive care units, regardless of the pathology, heart rate variability varies inversely with clinical severity and prognosis.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationRev Bras Ter Intensiva. 2017 Oct-Dec;29(4):481-489.pt_PT
dc.identifier.doi10.5935/0103-507X.20170072pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/2948
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherAssociação de Medicina Intensiva Brasileirapt_PT
dc.subjectCHLC UUMpt_PT
dc.subjectAutonomic Nervous System/physiologypt_PT
dc.subjectCritical Care/methodspt_PT
dc.subjectHeart Rate/physiologypt_PT
dc.subjectIntensive Care Unitspt_PT
dc.subjectMonitoring, Physiologic/methods
dc.subjectPrognosis
dc.subjectSeverity of Illness Index
dc.titleAutonomic Nervous System Monitoring in Intensive Care as a Prognostic Tool. Systematic Reviewpt_PT
dc.title.alternativeMonitorização do Sistema Nervoso Autônomo em Ambiente de Cuidados Intensivos como Ferramenta de Prognóstico. Revisão Sistemáticapt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage489pt_PT
oaire.citation.issue4pt_PT
oaire.citation.startPage481pt_PT
oaire.citation.titleRevista Brasileira de Terapia Intensivapt_PT
oaire.citation.volume29pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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