Use of non-invasive intracranial pressure pulse waveform to monitor patients with End-Stage Renal Disease (ESRD).

End-stage renal disease (ESRD) is treated mainly by hemodialysis, however, hemodialysis is associated with frequent complications, some of them involve the increased intracranial pressure. In this context, monitoring the intracranial pressure of these patients may lead to a better understanding of h...

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Autores principales:	Cristiane Rickli, Lais Daiene Cosmoski, Fábio André Dos Santos, Gustavo Henrique Frigieri, Nicollas Nunes Rabelo, Adriana Menegat Schuinski, Sérgio Mascarenhas, José Carlos Rebuglio Vellosa
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/20b51d88ba32407299a84834e162841b
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spelling	oai:doaj.org-article:20b51d88ba32407299a84834e162841b2021-12-02T20:04:58ZUse of non-invasive intracranial pressure pulse waveform to monitor patients with End-Stage Renal Disease (ESRD).1932-620310.1371/journal.pone.0240570https://doaj.org/article/20b51d88ba32407299a84834e162841b2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0240570https://doaj.org/toc/1932-6203End-stage renal disease (ESRD) is treated mainly by hemodialysis, however, hemodialysis is associated with frequent complications, some of them involve the increased intracranial pressure. In this context, monitoring the intracranial pressure of these patients may lead to a better understanding of how intracranial pressure morphology varies with hemodialysis. This study aimed to follow-up patients with ESRD by monitoring intracranial pressure before and after hemodialysis sessions using a noninvasive method. We followed-up 42 patients with ESRD in hemodialysis, for six months. Noninvasive intracranial pressure monitoring data were obtained through analysis of intracranial pressure waveform morphology, this information was uploaded to Brain4care® cloud algorithm for analysis. The cloud automatically sends a report containing intracranial pressure parameters. In total, 4881 data points were collected during the six months of follow-up. The intracranial pressure parameters (time to peak and P2/P1 ratio) were significantly higher in predialysis when compared to postdialysis for the three weekly sessions and throughout the follow-up period (p<0.01) data showed general improvement in brain compliance after the hemodialysis session. Furthermore, intracranial pressure parameters were significantly higher in the first weekly hemodialysis session (p<0.05). In conclusion, there were significant differences between pre and postdialysis intracranial pressure in patients with ESRD on hemodialysis. Additionally, the pattern of the intracranial pressure alterations was consistent over time suggesting that hemodialysis can improve time to peak and P2/P1 ratio which may reflect in brain compliance.Cristiane RickliLais Daiene CosmoskiFábio André Dos SantosGustavo Henrique FrigieriNicollas Nunes RabeloAdriana Menegat SchuinskiSérgio MascarenhasJosé Carlos Rebuglio VellosaPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0240570 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Cristiane Rickli Lais Daiene Cosmoski Fábio André Dos Santos Gustavo Henrique Frigieri Nicollas Nunes Rabelo Adriana Menegat Schuinski Sérgio Mascarenhas José Carlos Rebuglio Vellosa Use of non-invasive intracranial pressure pulse waveform to monitor patients with End-Stage Renal Disease (ESRD).
description	End-stage renal disease (ESRD) is treated mainly by hemodialysis, however, hemodialysis is associated with frequent complications, some of them involve the increased intracranial pressure. In this context, monitoring the intracranial pressure of these patients may lead to a better understanding of how intracranial pressure morphology varies with hemodialysis. This study aimed to follow-up patients with ESRD by monitoring intracranial pressure before and after hemodialysis sessions using a noninvasive method. We followed-up 42 patients with ESRD in hemodialysis, for six months. Noninvasive intracranial pressure monitoring data were obtained through analysis of intracranial pressure waveform morphology, this information was uploaded to Brain4care® cloud algorithm for analysis. The cloud automatically sends a report containing intracranial pressure parameters. In total, 4881 data points were collected during the six months of follow-up. The intracranial pressure parameters (time to peak and P2/P1 ratio) were significantly higher in predialysis when compared to postdialysis for the three weekly sessions and throughout the follow-up period (p<0.01) data showed general improvement in brain compliance after the hemodialysis session. Furthermore, intracranial pressure parameters were significantly higher in the first weekly hemodialysis session (p<0.05). In conclusion, there were significant differences between pre and postdialysis intracranial pressure in patients with ESRD on hemodialysis. Additionally, the pattern of the intracranial pressure alterations was consistent over time suggesting that hemodialysis can improve time to peak and P2/P1 ratio which may reflect in brain compliance.
format	article
author	Cristiane Rickli Lais Daiene Cosmoski Fábio André Dos Santos Gustavo Henrique Frigieri Nicollas Nunes Rabelo Adriana Menegat Schuinski Sérgio Mascarenhas José Carlos Rebuglio Vellosa
author_facet	Cristiane Rickli Lais Daiene Cosmoski Fábio André Dos Santos Gustavo Henrique Frigieri Nicollas Nunes Rabelo Adriana Menegat Schuinski Sérgio Mascarenhas José Carlos Rebuglio Vellosa
author_sort	Cristiane Rickli
title	Use of non-invasive intracranial pressure pulse waveform to monitor patients with End-Stage Renal Disease (ESRD).
title_short	Use of non-invasive intracranial pressure pulse waveform to monitor patients with End-Stage Renal Disease (ESRD).
title_full	Use of non-invasive intracranial pressure pulse waveform to monitor patients with End-Stage Renal Disease (ESRD).
title_fullStr	Use of non-invasive intracranial pressure pulse waveform to monitor patients with End-Stage Renal Disease (ESRD).
title_full_unstemmed	Use of non-invasive intracranial pressure pulse waveform to monitor patients with End-Stage Renal Disease (ESRD).
title_sort	use of non-invasive intracranial pressure pulse waveform to monitor patients with end-stage renal disease (esrd).
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/20b51d88ba32407299a84834e162841b
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Use of non-invasive intracranial pressure pulse waveform to monitor patients with End-Stage Renal Disease (ESRD).

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