Neuroanesthesia & neurocritical care

Characterizing drivers of change in intraoperative cerebral saturation using supervised machine learning

J Clin Monit ComputPublished Post-hoc analysis with supervised machine learning

Authors' conclusion

CO2 is a significant mediator of changes in rSO2 in an intraoperative setting, through its established effects on cerebral blood flow.

Study context

Population
Patients undergoing high risk surgery
Participants
146 patients
Primary endpoint
Hierarchy of:
  1. Hemodynamic
  2. Ventilatory variables contributing to intraoperative changes in rSO2 (up- vs down-sloping segments, change ≥3% points over 5 min)
Methodological detailsXGBoost classifier, five-fold cross validation
  • XGBoost classifier
  • Five-fold cross validation

Primary result

As reported in the abstract

Classifier performance and feature importance

Mean accuracy (SD 8.0%)

77.1%

Mean AUC (SD 0.06)

0.86

Original publication

Characterizing drivers of change in intraoperative cerebral saturation using supervised machine learning. J Clin Monit Comput. Published 7 February 2025. doi:10.1007/s10877-025-01265-3

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