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Review
. 2016 Sep;5(3):101-107.
doi: 10.1055/s-0035-1569997. Epub 2015 Dec 7.

Computerized Decision Support System for Traumatic Brain Injury Management

Sina Fartoumi  1   2 , Guillaume Emeriaud  2 , Nadia Roumeliotis  2 , David Brossier  2 , Mohamad Sawan  1
Affiliations
Review

Computerized Decision Support System for Traumatic Brain Injury Management

Sina Fartoumi et al. J Pediatr Intensive Care. 2016 Sep.

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; computerized decision support system; head trauma; intensive care unit; neurocritical care; pediatric intensive care unit.

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