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  1. Article ; Online: The predictive value and clinical use of the neurological pupillary index - Authors' reply.

    Galimberti, Stefania / Petrosino, Matteo / Rebora, Paola / Oddo, Mauro / Taccone, Fabio S / Citerio, Giuseppe

    The Lancet. Neurology

    2024  Volume 23, Issue 3, Page(s) 229–230

    Language English
    Publishing date 2024-02-15
    Publishing country England
    Document type Letter
    ZDB-ID 2081241-3
    ISSN 1474-4465 ; 1474-4422
    ISSN (online) 1474-4465
    ISSN 1474-4422
    DOI 10.1016/S1474-4422(23)00504-5
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  2. Article ; Online: The Janus face of oxygen in traumatic brain injury.

    Rezoagli, Emanuele / Petrosino, Matteo / Menon, David K / Citerio, Giuseppe

    Intensive care medicine

    2022  Volume 49, Issue 1, Page(s) 125–126

    MeSH term(s) Humans ; Oxygen ; Brain Injuries, Traumatic/therapy ; Brain Injuries ; Brain
    Chemical Substances Oxygen (S88TT14065)
    Language English
    Publishing date 2022-12-07
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 80387-x
    ISSN 1432-1238 ; 0340-0964 ; 0342-4642 ; 0935-1701
    ISSN (online) 1432-1238
    ISSN 0340-0964 ; 0342-4642 ; 0935-1701
    DOI 10.1007/s00134-022-06939-z
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  3. Article ; Online: Correction: High arterial oxygen levels and supplemental oxygen administration in traumatic brain injury: insights from CENTER-TBI and OzENTER-TBI.

    Rezoagli, Emanuele / Petrosino, Matteo / Rebora, Paola / Menon, David K / Mondello, Stefania / Cooper, D James / Maas, Andrew I R / Wiegers, Eveline J A / Galimberti, Stefania / Citerio, Giuseppe

    Intensive care medicine

    2023  Volume 49, Issue 2, Page(s) 269–272

    Language English
    Publishing date 2023-02-13
    Publishing country United States
    Document type Published Erratum
    ZDB-ID 80387-x
    ISSN 1432-1238 ; 0340-0964 ; 0342-4642 ; 0935-1701
    ISSN (online) 1432-1238
    ISSN 0340-0964 ; 0342-4642 ; 0935-1701
    DOI 10.1007/s00134-022-06924-6
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  4. Article ; Online: Development and validation of the Facial Expression Recognition Test (FERT).

    Passarelli, Marcello / Masini, Michele / Bracco, Fabrizio / Petrosino, Matteo / Chiorri, Carlo

    Psychological assessment

    2018  Volume 30, Issue 11, Page(s) 1479–1490

    Abstract: Detecting the emotional state of others from facial expressions is a key ability in emotional competence and several instruments have been developed to assess it. Typical emotion recognition tests are assumed to be unidimensional, use pictures or videos ... ...

    Abstract Detecting the emotional state of others from facial expressions is a key ability in emotional competence and several instruments have been developed to assess it. Typical emotion recognition tests are assumed to be unidimensional, use pictures or videos of emotional portrayals as stimuli, and ask the participant which emotion is depicted in each stimulus. However, using actor portrayals adds a layer of difficulty in developing such a test: the portrayals may fail to be convincing and may convey a different emotion than intended. For this reason, evaluating and selecting stimuli is of crucial importance. Existing tests typically base item evaluation on consensus or expert judgment, but these methods could favor items with high agreement over items that better differentiate ability levels and they could not formally test the item pool for unidimensionality. To address these issues, the authors propose a new test, named Facial Expression Recognition Test (FERT), developed using an item response theory two-parameter logistic model. Data from 1,002 online participants were analyzed using both a unidimensional and a bifactor model, and showed that the item pool could be considered unidimensional. The selection was based on the items' discrimination parameters, retaining only the most informative items to investigate the latent ability. The resulting 36-item test was reliable and quick to administer. The authors found both a gender difference in the ability to recognize emotions and a decline of such ability with age. The PsychoPy implementation of the test and the scoring script are available on a Github repository. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
    MeSH term(s) Adult ; Emotions/physiology ; Facial Expression ; Facial Recognition/physiology ; Female ; Humans ; Male ; Middle Aged ; Neuropsychological Tests/standards ; Recognition (Psychology)/physiology ; Social Perception ; Social Skills ; Young Adult
    Language English
    Publishing date 2018-07-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1000939-5
    ISSN 1939-134X ; 1040-3590
    ISSN (online) 1939-134X
    ISSN 1040-3590
    DOI 10.1037/pas0000595
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  5. Article ; Online: Management of arterial partial pressure of carbon dioxide in the first week after traumatic brain injury: results from the CENTER-TBI study.

    Citerio, Giuseppe / Robba, Chiara / Rebora, Paola / Petrosino, Matteo / Rossi, Eleonora / Malgeri, Letterio / Stocchetti, Nino / Galimberti, Stefania / Menon, David K

    Intensive care medicine

    2021  Volume 47, Issue 9, Page(s) 961–973

    Abstract: Purpose: To describe the management of arterial partial pressure of carbon dioxide (PaCO: Methods: Secondary analysis of CENTER-TBI, a multicentre, prospective, observational, cohort study. The primary aim was to describe current practice in PaCO: ... ...

    Abstract Purpose: To describe the management of arterial partial pressure of carbon dioxide (PaCO
    Methods: Secondary analysis of CENTER-TBI, a multicentre, prospective, observational, cohort study. The primary aim was to describe current practice in PaCO
    Results: We included 1100 patients, with a total of 11,791 measurements of PaCO
    Conclusions: Ventilation is manipulated differently among centers and in response to intracranial dynamics. PaCO
    MeSH term(s) Brain ; Brain Injuries, Traumatic/complications ; Brain Injuries, Traumatic/therapy ; Carbon Dioxide ; Cohort Studies ; Humans ; Intracranial Pressure ; Partial Pressure ; Prospective Studies
    Chemical Substances Carbon Dioxide (142M471B3J)
    Language English
    Publishing date 2021-07-24
    Publishing country United States
    Document type Journal Article ; Multicenter Study ; Observational Study ; Research Support, Non-U.S. Gov't
    ZDB-ID 80387-x
    ISSN 1432-1238 ; 0340-0964 ; 0342-4642 ; 0935-1701
    ISSN (online) 1432-1238
    ISSN 0340-0964 ; 0342-4642 ; 0935-1701
    DOI 10.1007/s00134-021-06470-7
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  6. Article ; Online: High arterial oxygen levels and supplemental oxygen administration in traumatic brain injury: insights from CENTER-TBI and OzENTER-TBI.

    Rezoagli, Emanuele / Petrosino, Matteo / Rebora, Paola / Menon, David K / Mondello, Stefania / Cooper, D James / Maas, Andrew I R / Wiegers, Eveline J A / Galimberti, Stefania / Citerio, Giuseppe

    Intensive care medicine

    2022  Volume 48, Issue 12, Page(s) 1709–1725

    Abstract: Purpose: The effect of high arterial oxygen levels and supplemental oxygen administration on outcomes in traumatic brain injury (TBI) is debated, and data from large cohorts of TBI patients are limited. We investigated whether exposure to high blood ... ...

    Abstract Purpose: The effect of high arterial oxygen levels and supplemental oxygen administration on outcomes in traumatic brain injury (TBI) is debated, and data from large cohorts of TBI patients are limited. We investigated whether exposure to high blood oxygen levels and high oxygen supplementation is independently associated with outcomes in TBI patients admitted to the intensive care unit (ICU) and undergoing mechanical ventilation.
    Methods: This is a secondary analysis of two multicenter, prospective, observational, cohort studies performed in Europe and Australia. In TBI patients admitted to ICU, we describe the arterial partial pressure of oxygen (PaO
    Results: The analysis included 1084 patients (11,577 measurements) in the CENTER-TBI cohort, of whom 55% had an unfavorable outcome, and 26% died at a 6-month follow-up. Median PaO
    Conclusions: In two large prospective multicenter cohorts of critically ill patients with TBI, levels of PaO
    MeSH term(s) Humans ; Oxygen ; Prospective Studies ; Oxygen Inhalation Therapy/adverse effects ; Brain Injuries, Traumatic/therapy ; Brain Injuries/therapy
    Chemical Substances Oxygen (S88TT14065)
    Language English
    Publishing date 2022-10-20
    Publishing country United States
    Document type Observational Study ; Multicenter Study ; Journal Article ; Comment
    ZDB-ID 80387-x
    ISSN 1432-1238 ; 0340-0964 ; 0342-4642 ; 0935-1701
    ISSN (online) 1432-1238
    ISSN 0340-0964 ; 0342-4642 ; 0935-1701
    DOI 10.1007/s00134-022-06884-x
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  7. Article ; Online: The Neurological Pupil index for outcome prognostication in people with acute brain injury (ORANGE): a prospective, observational, multicentre cohort study.

    Oddo, Mauro / Taccone, Fabio S / Petrosino, Matteo / Badenes, Rafael / Blandino-Ortiz, Aaron / Bouzat, Pierre / Caricato, Anselmo / Chesnut, Randall M / Feyling, Anders C / Ben-Hamouda, Nawfel / Hemphill, J Claude / Koehn, Julia / Rasulo, Frank / Suarez, Jose I / Elli, Francesca / Vargiolu, Alessia / Rebora, Paola / Galimberti, Stefania / Citerio, Giuseppe

    The Lancet. Neurology

    2023  Volume 22, Issue 10, Page(s) 925–933

    Abstract: Background: Improving the prognostication of acute brain injury is a key element of critical care. Standard assessment includes pupillary light reactivity testing with a hand-held light source, but findings are interpreted subjectively; automated ... ...

    Abstract Background: Improving the prognostication of acute brain injury is a key element of critical care. Standard assessment includes pupillary light reactivity testing with a hand-held light source, but findings are interpreted subjectively; automated pupillometry might be more precise and reproducible. We aimed to assess the association of the Neurological Pupil index (NPi)-a quantitative measure of pupillary reactivity computed by automated pupillometry-with outcomes of patients with severe non-anoxic acute brain injury.
    Methods: ORANGE is a multicentre, prospective, observational cohort study at 13 hospitals in eight countries in Europe and North America. Patients admitted to the intensive care unit after traumatic brain injury, aneurysmal subarachnoid haemorrhage, or intracerebral haemorrhage were eligible for the study. Patients underwent automated infrared pupillometry assessment every 4 h during the first 7 days after admission to compute NPi, with values ranging from 0 to 5 (with abnormal NPi being <3). The co-primary outcomes of the study were neurological outcome (assessed with the extended Glasgow Outcome Scale [GOSE]) and mortality at 6 months. We used logistic regression to model the association between NPi and poor neurological outcome (GOSE ≤4) at 6 months and Cox regression to model the relation of NPi with 6-month mortality. This study is registered with ClinicalTrials.gov, NCT04490005.
    Findings: Between Nov 1, 2020, and May 3, 2022, 514 patients (224 with traumatic brain injury, 139 with aneurysmal subarachnoid haemorrhage, and 151 with intracerebral haemorrhage) were enrolled. The median age of patients was 61 years (IQR 46-71), and the median Glasgow Coma Scale score on admission was 8 (5-11). 40 071 NPi measurements were taken (median 40 per patient [20-50]). The 6-month outcome was assessed in 497 (97%) patients, of whom 160 (32%) patients died, and 241 (47%) patients had at least one recording of abnormal NPi, which was associated with poor neurological outcome (for each 10% increase in the frequency of abnormal NPi, adjusted odds ratio 1·42 [95% CI 1·27-1·64]; p<0·0001) and in-hospital mortality (adjusted hazard ratio 5·58 [95% CI 3·92-7·95]; p<0·0001).
    Interpretation: NPi has clinically and statistically significant prognostic value for neurological outcome and mortality after acute brain injury. Simple, automatic, repeat automated pupillometry assessment could improve the continuous monitoring of disease progression and the dynamics of outcome prediction at the bedside.
    Funding: NeurOptics.
    MeSH term(s) Humans ; Middle Aged ; Aged ; Pupil ; Subarachnoid Hemorrhage/diagnosis ; Prospective Studies ; Brain Injuries/diagnosis ; Brain Injuries, Traumatic/diagnosis ; Cerebral Hemorrhage
    Language English
    Publishing date 2023-08-28
    Publishing country England
    Document type Observational Study ; Multicenter Study ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2081241-3
    ISSN 1474-4465 ; 1474-4422
    ISSN (online) 1474-4465
    ISSN 1474-4422
    DOI 10.1016/S1474-4422(23)00271-5
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