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INFRARED THERMOGRAPHY-BASED BODY-SURFACE THERMAL INHOMOGENEITY MONITORING TO ASSESS THE SEVERITY OF HYPOPERFUSION IN CRITICALLY ILL PATIENTS | |
2022-11-01 | |
发表期刊 | SHOCK (IF:2.7[JCR-2023],2.8[5-Year]) |
ISSN | 1073-2322 |
EISSN | 1540-0514 |
卷号 | 58期号:5 |
发表状态 | 已发表 |
DOI | 10.1097/SHK.0000000000001998 |
摘要 | Background: Uneven body-surface thermal distribution is a manifestation of hypoperfusion and can be quantified by infrared thermography. Our aim was to investigate whether body-surface thermal inhomogeneity could accurately evaluate the severity of patients at risk of hypoperfusion. Methods: This was a prospective cohort study in which infrared thermography images were taken from unilateral legs of critically ill patients at high risk of hypoperfusion in a cardiac surgical intensive care unit. For each patient, five body-surface thermal inhomogeneity parameters, including standard deviation (SD), kurtosis, skewness, entropy, and low-temperature area rate (LTAR), were calculated. Demographic, clinical, and thermal characteristics of deceased and living patients were compared. The risk of mortality and capillary refill time (CRT) were chosen as the primary outcome and benchmarking parameter for hypoperfusion, respectively. The area under the receiver operating characteristic curve (AUROC) was used to evaluate predictive accuracy. Results: Three hundred seventy-three patients were included, and 55 (14.7%) died during hospital stay. Of inhomogeneity parameters, SD (0.738) and LTAR (0.768) had similar AUROC to CRT (0.757) for assessing mortality risk. Besides, there was a tendency for LTAR (1%-3%-7%) and SD (0.81 degrees C-0.88 degrees C-0.94 degrees C) to increase in normotensive, hypotensive, and shock patients. These thermal parameters are associated with CRT, lactate, and blood pressure. The AUROC of a combined prediction incorporating three thermal inhomogeneity parameters (SD, kurtosis, and entropy) was considerably higher at 0.866. Conclusions: Body-surface thermal inhomogeneity provided a noninvasive and accurate assessment of the severity of critically ill patients at high risk of hypoperfusion. |
关键词 | Infrared thermography thermal inhomogeneity hypoperfusion intelligent monitoring |
URL | 查看原文 |
收录类别 | SCI |
语种 | 英语 |
WOS研究方向 | General & Internal Medicine ; Hematology ; Surgery ; Cardiovascular System & Cardiology |
WOS类目 | Critical Care Medicine ; Hematology ; Surgery ; Peripheral Vascular Disease |
WOS记录号 | WOS:000893021000003 |
出版者 | LIPPINCOTT WILLIAMS & WILKINS |
引用统计 | 正在获取...
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文献类型 | 期刊论文 |
条目标识符 | https://kms.shanghaitech.edu.cn/handle/2MSLDSTB/266590 |
专题 | 信息科学与技术学院_PI研究组_高飞组 物质科学与技术学院 物质科学与技术学院_特聘教授组_陆卫组 信息科学与技术学院_硕士生 |
通讯作者 | Lu, Wei; Gao, Fei; Luo, Zhe |
作者单位 | 1.Fudan Univ, Zhongshan Hosp, Dept Crit Care Med, Shanghai, Peoples R China 2.ShanghaiTech Univ, Shanghai Engn Res Ctr Intelligent Vis & Imaging, Sch Informat Sci & Technol, Hybrid Imaging Syst Lab, Shanghai, Peoples R China 3.Australian Natl Univ, Coll Engn & Comp Sci, Canberra, ACT, Australia 4.Fudan Univ, Shanghai Med Coll, Shanghai, Peoples R China 5.Fudan Univ, Zhongshan Hosp, Dept Informat & Intelligence Dev, Shanghai, Peoples R China 6.ShanghaiTech Univ, Sch Phys Sci & Technol, Shanghai, Peoples R China 7.Fudan Univ, Zhongshan Hosp, Dept Crit Care Med, Xiamen Branch, Xiamen, Peoples R China 8.Chinese Acad Sci, Shanghai Inst Tech Phys, State Key Lab Infrared Phys, Shanghai, Peoples R China |
通讯作者单位 | 物质科学与技术学院; 上海科技大学 |
推荐引用方式 GB/T 7714 | Luo, Jing-chao,Zhang, Jia-dong,Zhao, Qin-yu,et al. INFRARED THERMOGRAPHY-BASED BODY-SURFACE THERMAL INHOMOGENEITY MONITORING TO ASSESS THE SEVERITY OF HYPOPERFUSION IN CRITICALLY ILL PATIENTS[J]. SHOCK,2022,58(5). |
APA | Luo, Jing-chao.,Zhang, Jia-dong.,Zhao, Qin-yu.,Wang, Huan.,Tu, Guo-wei.,...&Luo, Zhe.(2022).INFRARED THERMOGRAPHY-BASED BODY-SURFACE THERMAL INHOMOGENEITY MONITORING TO ASSESS THE SEVERITY OF HYPOPERFUSION IN CRITICALLY ILL PATIENTS.SHOCK,58(5). |
MLA | Luo, Jing-chao,et al."INFRARED THERMOGRAPHY-BASED BODY-SURFACE THERMAL INHOMOGENEITY MONITORING TO ASSESS THE SEVERITY OF HYPOPERFUSION IN CRITICALLY ILL PATIENTS".SHOCK 58.5(2022). |
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