Literature DB >> 21164410

Complexity modeling: identify instability early.

Michael R Pinsky1.   

Abstract

Biological systems are innately complex, display nonlinear behavior, and respond to both disease and its treatment in similar complex ways. Complex systems display self-organization and predictive behavior along a range of possible states, often referred to as chaotic behavior, and can be both characterized and quantified in terms of this chaotic behavior, which defined strange attractors (ρ) and variability. In this context, disease can be characterized as a difference in a disease state ρ and a healthy ρ. Furthermore, effectiveness of treatment can be defined as a minimization problem to decrease the phase-state difference between disease and health ρ values, such that effective treatment is defined as the ability to restore the healthy ρ. Importantly, this approach will be effective without anything being known about the physiologic processes that define health or disease. The implication is that this approach is a powerful tool to define the determinants of instability as compared with normal variability, to answer why disease is not healthy, and to identify all potentially effective treatment options independent of known pharmacology and physiology.

Mesh:

Year:  2010        PMID: 21164410     DOI: 10.1097/CCM.0b013e3181f24484

Source DB:  PubMed          Journal:  Crit Care Med        ISSN: 0090-3493            Impact factor:   7.598


  14 in total

1.  Gleaning knowledge from data in the intensive care unit.

Authors:  Michael R Pinsky; Artur Dubrawski
Journal:  Am J Respir Crit Care Med       Date:  2014-09-15       Impact factor: 21.405

2.  Evaluating performance of early warning indices to predict physiological instabilities.

Authors:  Christopher G Scully; Chathuri Daluwatte
Journal:  J Biomed Inform       Date:  2017-09-20       Impact factor: 6.317

Review 3.  Using what you get: dynamic physiologic signatures of critical illness.

Authors:  Andre L Holder; Gilles Clermont
Journal:  Crit Care Clin       Date:  2015-01       Impact factor: 3.598

Review 4.  Predicting adverse hemodynamic events in critically ill patients.

Authors:  Joo H Yoon; Michael R Pinsky
Journal:  Curr Opin Crit Care       Date:  2018-06       Impact factor: 3.687

5.  Systems modeling and simulation applications for critical care medicine.

Authors:  Yue Dong; Nicolas W Chbat; Ashish Gupta; Mirsad Hadzikadic; Ognjen Gajic
Journal:  Ann Intensive Care       Date:  2012-06-15       Impact factor: 6.925

6.  Visualizing the indefinable: three-dimensional complexity of 'infectious diseases'.

Authors:  Gabriel Leitner; Shlomo E Blum; Ariel L Rivas
Journal:  PLoS One       Date:  2015-04-14       Impact factor: 3.240

7.  Multi-complexity measures of heart rate variability and the effect of vasopressor titration: a prospective cohort study of patients with septic shock.

Authors:  Samuel M Brown; Jeffrey Sorensen; Michael J Lanspa; Matthew T Rondina; Colin K Grissom; Sajid Shahul; V J Mathews
Journal:  BMC Infect Dis       Date:  2016-10-10       Impact factor: 3.090

Review 8.  Personalized physiological medicine.

Authors:  Can Ince
Journal:  Crit Care       Date:  2017-12-28       Impact factor: 9.097

9.  Detecting the Hidden Properties of Immunological Data and Predicting the Mortality Risks of Infectious Syndromes.

Authors:  S Chatzipanagiotou; A Ioannidis; E Trikka-Graphakos; N Charalampaki; C Sereti; R Piccinini; A M Higgins; T Buranda; R Durvasula; A L Hoogesteijn; G P Tegos; Ariel L Rivas
Journal:  Front Immunol       Date:  2016-06-10       Impact factor: 7.561

10.  Hemodynamic monitoring in the era of digital health.

Authors:  Frederic Michard
Journal:  Ann Intensive Care       Date:  2016-02-17       Impact factor: 6.925

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