Neuroanesthesia & neurocritical care

Bayesian networks for Risk Assessment and postoperative deficit prediction in intraoperative neurophysiology for brain surgery

J Clin Monit ComputPublished Retrospective cohort study

Authors' conclusion

We have found that IONM warnings can serve to prevent neurological deficits in patients, especially when corrective surgical action is taken to attempt to revert signals changes back to baseline properties.

Study context

Population
Patients admitted for cranial neurosurgery with intraoperative neuromonitoring, January 2020 to January 2022
Participants
267 patients
Exposure
Reversible signal change vs Permanent signal change
Outcome
Postoperative neurological deficit (Bayesian network state probabilities)
Methodological detailssingle-centre, Bayesian network modelling
  • Single-centre
  • Bayesian network modelling

Main finding

As reported in the abstract

No new deficit

Transitory deficit

Permanent deficit

Observational data: associations, not effects.

Original publication

Bayesian networks for Risk Assessment and postoperative deficit prediction in intraoperative neurophysiology for brain surgery. J Clin Monit Comput. Published 9 May 2024. doi:10.1007/s10877-024-01159-w

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