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Neural network analysis of heart rhythm variability for diagnosis of immobilization syndrome and objectivization of effectiveness of early rehabilitation

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1. Title Title of document Neural network analysis of heart rhythm variability for diagnosis of immobilization syndrome and objectivization of effectiveness of early rehabilitation
2. Creator Author's name, affiliation, country Julia Yu. Nekrasova; Federal Research and Clinical Center of Intensive Care and Rehabilitology; Moscow Aviation Institute (National Research University); Russian Federation
2. Creator Author's name, affiliation, country D. S. Yankevich; Federal Research and Clinical Center of Intensive Care and Rehabilitology; Russian Federation
2. Creator Author's name, affiliation, country М. М. Kanarsky; Federal Research and Clinical Center of Intensive Care and Rehabilitology; Russian Federation
2. Creator Author's name, affiliation, country A. S. Markov; Moscow Aviation Institute (National Research University); Russian Federation
3. Subject Discipline(s)
3. Subject Keyword(s) heart rate variability; immobilization syndrome; post-intensive care syndrome (PICS); impaired consciousness; neural networks; rehabilitation
4. Description Abstract

The article discusses the use of a neural network analysis of heart rate variability for the diagnosis of immobilization syndrome and post-intensive care syndrome (PICS) in patients with disorders of consciousness for monitoring the quality of the rehabilitation process. It is shown that there are statistical differences between the curves characterizing the heart rate variability of healthy patients and patients with impaired consciousness. The use of a neural network allows to automatically evaluate the severity of the immobilization syndrome and Post Intensive Care Syndrome, as well as the effectiveness of measures for their prevention and the overall quality of the work of medical personnel.

5. Publisher Organizing agency, location Eco-Vector
6. Contributor Sponsor(s)
7. Date (DD-MM-YYYY) 15.08.2020
8. Type Status & genre Peer-reviewed Article
8. Type Type Research Article
9. Format File format
10. Identifier Uniform Resource Identifier https://rjmseer.com/1560-9537/article/view/34233
10. Identifier Digital Object Identifier (DOI) 10.17816/MSER34233
10. Identifier Digital Object Identifier (DOI) (PDF (Rus)) 10.17816/MSER34233-23311
11. Source Title; vol., no. (year) Medical and Social Expert Evaluation and Rehabilitation; Vol 23, No 1 (2020)
12. Language English=en ru
13. Relation Supp. Files Figure: 1. Increments of the amplitudes of R-peaks, intervals between R-peaks and angle α (198KB) doi: 10.17816/MSER34233-24457
Figure: 2. Statistical characteristics of the main group of patients (156KB) doi: 10.17816/MSER34233-24458
Figure: 3. Dependences of dR (marked in red), dT (blue) and dα (green) on the interval number: a - for a healthy person, b - for a patient in a vegetative state due to anoxic brain damage, c - for a patient in a vegetative state condition due to traumatic brain injury, d - for a patient in a state of minimal consciousness due to traumatic brain injury, e - for a patient who regained consciousness after severe brain contusion (891KB) doi: 10.17816/MSER34233-24459
Figure: 4. Diagrams of the amplitude range of R-peaks: a - for healthy subjects, b - for patients of the main group (146KB) doi: 10.17816/MSER34233-24460
Figure: 5. Values of the dispersion of the amplitude of the R wave for different categories of patients (59KB) doi: 10.17816/MSER34233-24461
Figure: 6. Diagrams of the range of values of the coefficients of asymmetry (a) and kurtosis (b) for patients of the main group and healthy subjects (107KB) doi: 10.17816/MSER34233-24462
Figure: 7. The structure of the neural network (247KB) doi: 10.17816/MSER34233-24463
Figure: 8. Dependence of the classification accuracy of the neural network on the number of training epochs for training (blue) and test (orange) data (60KB) doi: 10.17816/MSER34233-24464
14. Coverage Geo-spatial location, chronological period, research sample (gender, age, etc.)
15. Rights Copyright and permissions Copyright (c) 2020 Eco-Vector