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Neurocritical Care
Published in: Neurocritical Care 2/2014

01-12-2014 | Review Article

Multimodality Monitoring: Informatics, Integration Data Display and Analysis

Authors: J. Michael Schmidt, Michael De Georgia, The Participants in the International Multidisciplinary Consensus Conference on Multimodality Monitoring

Published in: Neurocritical Care | Special Issue 2/2014

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Abstract

The goal of multimodality neuromonitoring is to provide continuous, real-time assessment of brain physiology to prevent, detect, and attenuate secondary brain injury. Clinical informatics deals with biomedical data, information, and knowledge including their acquisition, storage, retrieval, and optimal use for clinical decision-making. An electronic literature search was conducted for English language articles describing the use of informatics in the intensive care unit setting from January 1990 to August 2013. A total of 64 studies were included in this review. Clinical informatics infrastructure should be adopted that enables a wide range of linear and nonlinear analytical methods be applied to patient data. Specific time epochs of clinical interest should be reviewable. Analysis strategies of monitor alarms may help address alarm fatigue. Ergonomic data display that present results from analyses with clinical information in a sensible uncomplicated manner improve clinical decision-making. Collecting and archiving the highest resolution physiologic and phenotypic data in a comprehensive open format data warehouse is a crucial first step toward information management and two-way translational research for multimodality monitoring. The infrastructure required is largely the same as that needed for telemedicine intensive care applications, which under the right circumstances improves care quality while reducing cost.
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Metadata
Title
Multimodality Monitoring: Informatics, Integration Data Display and Analysis
Authors
J. Michael Schmidt
Michael De Georgia
The Participants in the International Multidisciplinary Consensus Conference on Multimodality Monitoring
Publication date
01-12-2014
Publisher
Springer US
Published in
Neurocritical Care / Issue Special Issue 2/2014
Print ISSN: 1541-6933
Electronic ISSN: 1556-0961
DOI
https://doi.org/10.1007/s12028-014-0037-1

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