Zbinden Chantal, Strickler Moritz, Sariyar Murat, Bürkle Thomas, Seidel Kathleen
Bern University of Applied Sciences, Bern, Switzerland.
Department of Neurosurgery, Inselspital, University Hospital, Bern, Switzerland.
Stud Health Technol Inform. 2020 Jun 26;272:318-321. doi: 10.3233/SHTI200559.
In neurosurgery, intraoperative neurophysiological monitoring (IOM) with continuous measurements of neural electrical activity may reduce the risk of postoperative deficits. During an IOM, surgical information as well as neurophysiological, surgical and anesthesia events have to be recorded. So far, there is no common standard for this task available. In this paper, such a standardization with the aim of facilitating the data input and making the protocols data available for different sorts of analyses is described. We developed a protocol entry catalog with 200 standard expressions, which were divided into four categories: IOM, surgical procedure, anesthesia and others. An empirical assessment of the catalog by the IOM team showed the need for subcategories. In the final version of the catalog, the standard terms were grouped into 25 subcategories. The catalog is a first step to support systematic research into the occurrence of clinical events during the IOM and their association with postoperative neurological deficits that could enable improved surgical procedures in the future.
在神经外科手术中，通过持续测量神经电活动进行术中神经生理监测（IOM）可降低术后神经功能缺损的风险。在IOM过程中，必须记录手术信息以及神经生理、手术和麻醉相关事件。到目前为止，尚无适用于此任务的通用标准。本文描述了一种标准化方法，旨在便于数据输入，并使协议数据可用于不同类型的分析。我们开发了一个包含200个标准表达式的协议条目目录，这些表达式分为四类：IOM、手术过程、麻醉和其他。IOM团队对该目录进行的实证评估表明需要设置子类别。在目录的最终版本中，标准术语被分组为25个子类别。该目录是支持对IOM期间临床事件的发生及其与术后神经功能缺损的关联进行系统研究的第一步，这可能会在未来改进手术操作。
