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Adult patients suffering from acquired brain damage run the risk of developing PSH. This group of patients is admitted to our unit, the Neurointensive Stepdown Unit, at Silkeborg Regional Hospital for intensive care and early neurorehabilitation. After weaning from intensive carethey are transferred to Hammel NeuroCentre.
Aim is to assess whether HRV-derived variables in the frequency domain mirror therapeutic and/or nursing and/or pharmacologic interventions. To the extent clinically available BRS and metabolism are included in the assessment.
See report:
Honore H, Eggertsen K, Sondergaard S: A study into the feasibility of using HRV variables to guide treatment in patients with paroxystic sympathetic hyperactivity in a neurointensive step-down unit. NeuroRehabilitation 2019, 44(1):141-155.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Physio-/occupational therapy | Other | Physio-/occupational therapy, ADL |
|
| Measure | Description | Time Frame |
|---|---|---|
| Difference before vs after intervention in frequency domain parameters of HRV | HRV parameters: low frequency (LF, 0.04-0.15 Hz), high frequency (HF, 0.15-0.4 Hz) in terms of peak frequency (Hz), absolute power (ms2, natural logarithm transformed values of absolute powers of VLF, LF, and HF bands), relative power (absolute power/total power), normalized power (%, normalized units, n.u.), total power given by VLF + HF + LF (ms2) and LF/HF ratio. | immediate |
| Qualitative description expressed as goal attainment scaling (GAS) of therapeutic interventions | Two independent ratings on a 5-point scale, -2 to +2 | immediate |
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Inclusion Criteria:
Symptoms of PSH according to Baguley scoring table
Exclusion Criteria:
No symptoms of PSH
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Patients admitted to NISU from tertiary health care facilities for intensive care in combination with early neurorehabilitation
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| Name | Affiliation | Role |
|---|---|---|
| Jørgen Feldbæk, Professor | Hammel Neuro- and Research Centre | Study Chair |
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