Trauma Monthly

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Predictive Potential of Heart Rate Complexity Measurement: An Indication for Laparotomy Following Solid Organ Injury

Ali Foroutan 1 , Shahram Paydar 2 , * , Seyed Taghi Heydari 3 , Gholamhussian Erjaee 4 , Kamran Bagheri Lankarani 3 , Abbas Nowroozi 1 and Sam Moslemi 5
Authors Information
1 Department of Surgery, Shiraz University of Medical Sciences, Shiraz, IR Iran
2 Trauma Research Center, Faculty of General Surgery Ward, Shiraz University of Medical Sciences, Shiraz, IR Iran
3 Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, IR Iran
4 Mathematics Ward, Shiraz University, Shiraz, IR Iran
5 Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, IR Iran
Article information
  • Trauma Monthly: November 1, 2015, 20 (4); e17215
  • Published Online: November 23, 2015
  • Article Type: Research Article
  • Received: December 28, 2013
  • Revised: October 27, 2014
  • Accepted: November 10, 2014
  • DOI: 10.5812/traumamon.17215

To Cite: Foroutan A, Paydar S, Heydari S T, Erjaee G, Bagheri Lankarani K, et al. Predictive Potential of Heart Rate Complexity Measurement: An Indication for Laparotomy Following Solid Organ Injury, Trauma Mon. 2015 ; 20(4):e17215. doi: 10.5812/traumamon.17215.

Copyright © 2015, Trauma Monthly. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
4. Results
5. Discussion
  • 1. McIntyre LK, Schiff M, Jurkovich GJ. Failure of nonoperative management of splenic injuries: causes and consequences. Arch Surg. 2005; 140(6): 563-8[DOI][PubMed]
  • 2. Smith HE, Biffl WL, Majercik SD, Jednacz J, Lambiase R, Cioffi WG. Splenic artery embolization: Have we gone too far? J Trauma. 2006; 61(3): 541-4[DOI][PubMed]
  • 3. Ryan ML, Thorson CM, Otero CA, Vu T, Proctor KG. Clinical Applications of Heart Rate Variability in the Triage and Assessment of Traumatically Injured Patients. Anesthesiol Res Pract. 2011; 2011: 1-8[DOI]
  • 4. Vanderlei LC, Pastre CM, Hoshi RA, Carvalho TD, Godoy MF. Basic notions of heart rate variability and its clinical applicability. Rev Bras Cir Cardiovasc. 2009; 24(2): 205-17[PubMed]
  • 5. Cooke WH, Salinas J, McManus JG, Ryan KL, Rickards CA, Holcomb JB, et al. Heart period variability in trauma patients may predict mortality and allow remote triage. Aviat Space Environ Med. 2006; 77(11): 1107-12[PubMed]
  • 6. Batchinsky AI, Cancio LC, Salinas J, Kuusela T, Cooke WH, Wang JJ, et al. Prehospital loss of R-to-R interval complexity is associated with mortality in trauma patients. J Trauma. 2007; 63(3): 512-8[DOI][PubMed]
  • 7. Butler GC, Yamamoto Y, Hughson RL. Fractal nature of short-term systolic BP and HR variability during lower body negative pressure. Am J Physiol. 1994; 267(1 Pt 2)-33[PubMed]
  • 8. Goldstein B, Mickelsen D, Want A, Tipton R, Cox C, Woolf PD. Effect of N(G)-nitro-L-arginine methyl ester on autonomic modulation of heart rate variability during hypovolemic shock. Crit Care Med. 1999; 27(10): 2239-45[PubMed]
  • 9. Cooke WH, Convertino VA. Heart rate variability and spontaneous baroreflex sequences: implications for autonomic monitoring during hemorrhage. J Trauma. 2005; 58(4): 798-805[PubMed]
  • 10. Jung J, Eo E, Ahn K, Noh H, Cheon Y. Initial base deficit as predictors for mortality and transfusion requirement in the severe pediatric trauma except brain injury. Pediatr Emerg Care. 2009; 25(9): 579-81[DOI][PubMed]
  • 11. Rutherford EJ, Morris JJ, Reed GW, Hall KS. Base deficit stratifies mortality and determines therapy. J Trauma. 1992; 33(3): 417-23[PubMed]
  • 12. Bonariol L, Massani M, Caratozzolo E, Recordare A, Callegari P, Antoniutti M, et al. Selection criteria for non-surgical treatment of liver injury in adult polytraumatized patients. Chir Ital. 2002; 54(5): 621-8[PubMed]
  • 13. Goldstein B, Fiser DH, Kelly MM, Mickelsen D, Ruttimann U, Pollack MM. Decomplexification in critical illness and injury: relationship between heart rate variability, severity of illness, and outcome. Crit Care Med. 1998; 26(2): 352-7[PubMed]
  • 14. Batchinsky AI, Cooke WH, Kuusela TA, Jordan BS, Wang JJ, Cancio LC. Sympathetic nerve activity and heart rate variability during severe hemorrhagic shock in sheep. Auton Neurosci. 2007; 136(1-2): 43-51[DOI][PubMed]
  • 15. Batchinsky AI, Salinas J, Kuusela T, Necsoiu C, Jones J, Cancio LC. Rapid prediction of trauma patient survival by analysis of heart rate complexity: impact of reducing data set size. Shock. 2009; 32(6): 565-71[DOI][PubMed]
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