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J Pediatr Intensive Care 2016; 05(03): 101-107
DOI: 10.1055/s-0035-1569997
Review Article
Georg Thieme Verlag KG Stuttgart · New York

Computerized Decision Support System for Traumatic Brain Injury Management

Sina Fartoumi
1   Polystim Neurotechnology Laboratory, Department of Electrical Engineering, Polytechnique Montreal, Quebec, Canada
2   Pediatric Intensive Care Unit, CHU Sainte-Justine, Université de Montréal, Quebec, Canada
,
Guillaume Emeriaud
2   Pediatric Intensive Care Unit, CHU Sainte-Justine, Université de Montréal, Quebec, Canada
,
Nadia Roumeliotis
2   Pediatric Intensive Care Unit, CHU Sainte-Justine, Université de Montréal, Quebec, Canada
,
David Brossier
2   Pediatric Intensive Care Unit, CHU Sainte-Justine, Université de Montréal, Quebec, Canada
,
Mohamad Sawan
1   Polystim Neurotechnology Laboratory, Department of Electrical Engineering, Polytechnique Montreal, Quebec, Canada
› Author Affiliations
Further Information

Publication History

26 August 2015

09 October 2015

Publication Date:
07 December 2015 (online)

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Abstract

Mortality and morbidity related to traumatic brain injury (TBI) present a major health care burden. Patients with severe TBI must be managed rapidly and efficiently to minimize secondary brain injury potentially leading to permanent sequelae. This is especially important in young patients, whose brain is still in development, making them particularly susceptible to secondary insults. The complexity of both brain injury pathophysiology and the intensive care unit environment makes the management of these patients challenging, with a risk of delayed response and/or patient instability contributing to worsened outcome. Computerized assistance in TBI appears likely to improve patient management, by helping clinicians quickly analyze and respond to ongoing clinical changes and optimizing patient status by guiding management. Currently, computerized decision support systems (CDSSs) do not feature continuous medical assistance with individualized treatment plans. This review presents new developments in CDSSs specialized in TBI. We also present the framework for future CDSSs needed to improve TBI management in real time, taking into account individual patient characteristics.

Keywords

brain injury - head trauma - intensive care unit - pediatric intensive care unit - computerized decision support system - neurocritical care
 

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