Neuroanesthesia & neurocritical care

The value of dynamic cerebral compliance monitoring after pediatric traumatic brain injury: a STARSHIP study sub-analysis

Crit CarePublished Secondary analysis of the STARSHIP prospective observational study

Authors' conclusion

PSI enhances bedside monitoring of pediatric TBI by enabling dynamic assessment of cerebral compliance. Variations in PSI appear to precede subsequent ICP insults and are associated with their severity, thereby potentially facilitating timely interventions.

Study context

Population
Pediatric TBI patients admitted to 10 PICUs across the UK
Participants
98 patients · 10 PICUs
Methodological detailsmulticentre
  • Multicentre

Primary result

As reported in the abstract

Pulse shape index (PSI) of the ICP pulse wave

Median delay of intracranial pressure (ICP) changes after PSI changes

8 min

cross-correlation; 95% CI 7.6 to 8.5 min

Original publication

The value of dynamic cerebral compliance monitoring after pediatric traumatic brain injury: a STARSHIP study sub-analysis. Crit Care. Published 2 June 2025. doi:10.1186/s13054-025-05403-w

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