Medizinische Universität Graz - Research portal
Selected Publication:
Schwarz, G; Pfurtscheller, G; Litscher, G; Grims, R; Rom, G; Rumpl, E; Seitlinger, H; Fuchs, G.
Computer controlled brain death documentation in the intensive care unit
ANAESTHESIST. 1993; 42(11): 793-799.
Web of Science
PubMed
- Leading authors Med Uni Graz
- Schwarz Gerhard
- Co-authors Med Uni Graz
- Fuchs Gottfried
- Grims Robert Hermann
- Litscher Gerhard
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- Abstract:
- An interactive, knowledge-based computer system for brain death documentation is presented. The specific exponents BRAINDEX R and G were realised by the software tool Personal Consultant Plus and the programming language Clipper, respectively. The strategies of conclusion were forward chaining for approximate evaluation of coma stages and backward chaining for analysing the brain death syndrome. BRAINDEX was developed for use with an IBM personal computer or compatible equipment. Systemic analyses were compared retrospectively with the data from clinical brain death protocols (n = 132) of 128 comatose patients (mean age 35.1 +/- 15.8 years) with a Glasgow Coma Score of 3. Identical classifications (system vs physician) were found in all patients without diagnosis of brain death (n = 35). Differences related to the findings of the physician were evaluated in lower numbers of the systemic positive diagnosis of brain death (82 vs 89) and higher numbers of impossibility of systemic evaluation (11 vs 2). These results were obtained by conclusions of the computer system drawn by restrictive systemic mechanisms to avoid false-negative diagnoses. The system therefore seems to be useful for documentation, consultation, and as a teaching instrument and data bank in brain death.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Brain Death - diagnosis
- Expert Systems - diagnosis
- Humans - diagnosis
- Intensive Care Units - diagnosis
- Middle Aged - diagnosis
- Find related publications in this database (Keywords)
- Brain Death
- Computer-Assisted Documentation
- Medical Expert System