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Brossier D, Flechelles O, Sauthier M, Engert C, Chahir Y, Emeriaud G, Cheriet F, Jouvet P, de Montigny S. Evaluation of the SIMULRESP: A simulation software of child and teenager cardiorespiratory physiology. Pediatr Pulmonol 2023; 58:2832-2840. [PMID: 37530484 DOI: 10.1002/ppul.26595] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Revised: 12/16/2022] [Accepted: 06/30/2023] [Indexed: 08/03/2023]
Abstract
BACKGROUND Mathematical models based on the physiology when programmed as a software can be used to teach cardiorespiratory physiology and to forecast the effect of various ventilatory support strategies. We developed a cardiorespiratory simulator for children called "SimulResp." The purpose of this study was to evaluate the quality of SimulResp. METHODS SimulResp quality was evaluated on accuracy, robustness, repeatability, and reproducibility. Blood gas values (pH, PaCO2 , PaO2, and SaO2 ) were simulated for several subjects with different characteristics and in different situations and compared to expected values available as reference. The correlation between reference and simulated data was evaluated by the coefficient of determination and Intraclass correlation coefficient. The agreement was evaluated with the Bland & Altman analysis. RESULTS SimulResp produced healthy child physiological values within normal range (pH 7.40 ± 0.5; PaCO2 40 ± 5 mmHg; PaO2 90 ± 10 mmHg; SaO2 97 ± 3%) starting from a weight of 25-35 kg, regardless of ventilator support. SimulResp failed to simulate accurate values for subjects under 25 kg and/or affected with pulmonary disease and mechanically ventilated. Based on the repeatability was considered as excellent and the reproducibility as mild to good. SimulResp's prediction remains stable within time. CONCLUSIONS The cardiorespiratory simulator SimulResp requires further development before future integration into a clinical decision support system.
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Affiliation(s)
- David Brossier
- CHU Sainte Justine Research Center, Université de Montreal, Montreal, Canada
- Pediatric Intensive Care Unit, CHU de Caen, Caen, France
- School of Medicine, Université Caen Normandie, Caen, France
- Université de Lille, ULR 2694-METRICS: Évaluation des technologies de santé et des pratiques médicales, Lille, France
- Université Caen Normandie, GREYC, Caen, France
| | - Olivier Flechelles
- Pediatric and Neonatal Intensive Care Unit, CHU de Martinique, Fort de France, France
| | - Michael Sauthier
- CHU Sainte Justine Research Center, Université de Montreal, Montreal, Canada
- Pediatric Intensive Care Unit, CHU Sainte Justine, Montreal, Canada
| | - Catherine Engert
- CHU Sainte Justine Research Center, Université de Montreal, Montreal, Canada
| | | | - Guillaume Emeriaud
- CHU Sainte Justine Research Center, Université de Montreal, Montreal, Canada
- Pediatric Intensive Care Unit, CHU Sainte Justine, Montreal, Canada
| | - Farida Cheriet
- CHU Sainte Justine Research Center, Université de Montreal, Montreal, Canada
- École Polytechnique de Montréal, Montréal, Canada
| | - Philippe Jouvet
- CHU Sainte Justine Research Center, Université de Montreal, Montreal, Canada
- Pediatric Intensive Care Unit, CHU Sainte Justine, Montreal, Canada
| | - Simon de Montigny
- CHU Sainte Justine Research Center, Université de Montreal, Montreal, Canada
- École de santé publique, Université de Montréal, Montréal, Canada
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Affiliation(s)
- M. Kuefner
- Department of Radiology, Dornbirn Hospital, Austria
| | - M. Brand
- Department of Radiology, University Hospital of Erlangen, Germany
| | - C. Engert
- Department of Radiology, University Hospital of Erlangen, Germany
| | | | - M. Uder
- Department of Radiology, University Hospital of Erlangen, Germany
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Brand M, Sommer M, Ellmann S, Engert C, Eller A, May M, Wüst W, Küfner M, Lell M, Uder M. Einfluss verschiedener Antioxidantien auf strahleninduzierte DNA-Doppelstrangbrüche. ROFO-FORTSCHR RONTG 2015. [DOI: 10.1055/s-0035-1550862] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Brand M, Vogt S, Engert C, Uder M, Küfner MA. Auswirkungen von verschiedenen Antioxidantien auf strahleninduzierte DNA-Doppelstrangbrüche. ROFO-FORTSCHR RONTG 2013. [DOI: 10.1055/s-0033-1346436] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Brand M, Sommer M, Engert C, Uder M, Küfner MA. Effekt eines Linsenschutzes und der risikoorganbasierten Roehrenstrommodulation auf strahleninduzierte DNA-Doppelstrangbrüche in einem biologischen Phantommodel. ROFO-FORTSCHR RONTG 2013. [DOI: 10.1055/s-0033-1346437] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Küfner MA, Brand M, Engert C, Sommer M, Glöckler M, Uder M. Strahleninduzierte DNA-Doppelstrangbrüche nach Flachdetektor-CT bei einem kinderkardiologischen Patientenkollektiv. ROFO-FORTSCHR RONTG 2012. [DOI: 10.1055/s-0032-1311202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Brand M, Engert C, Sommer M, Uder M, Küfner MA. Effekt von N-Acetylcystein auf strahleninduzierte DNA-Doppelstrangbrüche. ROFO-FORTSCHR RONTG 2012. [DOI: 10.1055/s-0032-1311203] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Brand M, Sommer M, Engert C, Schmidt B, Uder M, Küfner MA. Einfluss risikoorganbasierter Röhrenstrommodulation auf strahleninduzierte DNA-Doppelstrangbrüche in der CT. ROFO-FORTSCHR RONTG 2011. [DOI: 10.1055/s-0031-1279291] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Küfner MA, May M, Brand M, Sommer M, Engert C, Löwe T, Kahl U, Uder M. Induktion und Reparatur von DNA-Doppelstrangbrüchen bei PET-CT-Untersuchungen. ROFO-FORTSCHR RONTG 2011. [DOI: 10.1055/s-0031-1279360] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Küfner MA, Brand M, Engert C, Sommer M, Anders K, Achenbach S, Uder M. Strahleninduzierte DNA-Doppelstrangbrüche in der Herz-CT. ROFO-FORTSCHR RONTG 2011. [DOI: 10.1055/s-0031-1279485] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Sommer M, Engert C, Brand M, Löbrich M, Uder M, Küfner MA. Etablierung eines semibiologischen Phantommodells zur Untersuchung des Effekts dosisreduzierender Maßnahmen auf strahleninduzierte DNA-Doppelstrangbrüche in der CT. ROFO-FORTSCHR RONTG 2010. [DOI: 10.1055/s-0030-1268334] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Küfner MA, Brand M, Sommer M, Engert C, Anders K, Löbrich M, Achenbach S, Uder M. Strahleninduzierte DNA-Doppelstrangbrüche bei der koronaren CT-Angiografie: Einfluss der Untersuchungsprotokolle. ROFO-FORTSCHR RONTG 2010. [DOI: 10.1055/s-0030-1268332] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Brand M, Sommer M, Engert C, May M, Löwe T, Löbrich M, Uder M, Küfner MA. Strahleninduzierte DNA-Doppelstrangbrüche nach PET-CT-Untersuchungen. ROFO-FORTSCHR RONTG 2010. [DOI: 10.1055/s-0030-1268331] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Anders K, Engert C, Achenbach S, Uder M, Küfner MA. Effekt der Scanprotkolle auf die Strahlenexposition bei der koronaren CT-Angiographie. ROFO-FORTSCHR RONTG 2010. [DOI: 10.1055/s-0030-1252570] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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