Heart rate variability as a marker of multiple organ dysfunction syndromes: a systematic review Article Swipe
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· 2025
· Open Access
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· DOI: https://doi.org/10.1007/s10877-025-01296-w
Multiple organ dysfunction syndrome (MODS) can be caused by many factors. Assessments of the severity of MODS are currently based on occasional measurements of several clinical variables (laboratory data, vital signs, etc.). The analysis of heart rate variability (HRV) as a guide to autonomic nervous system activity might be of value in the continuous assessment of the severity of MODS. We systematically reviewed publications on the value of HRV variables for the diagnosis of MODS in patients of any age admitted to the ICU. Two investigators independently searched the PubMed, Embase, Cochrane and Science Direct databases for articles in English or French published between 2004 and 2024. Ten studies were included and rated for endpoint bias (MODS or mortality), using the revised Quality Assessment of Diagnostic Accuracy Studies. Nine studies assessed MODS, and six assessed mortality. All the studies evidenced low HRV in patients with MODS and in non-survivors. The results of our review show that HRV indices are influenced by the severity of MODS and might serve as a tool for predicting mortality in patients with MODS. However, patient characteristics, and treatments and HRV processing methods must be taken into account when interpreting the results. In order to clarify the impact of MODS on HRV variables, methodologically rigorous studies are now needed.
Related Topics
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.1007/s10877-025-01296-w
- https://link.springer.com/content/pdf/10.1007/s10877-025-01296-w.pdf
- OA Status
- hybrid
- Cited By
- 3
- References
- 35
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4409639136
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4409639136Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1007/s10877-025-01296-wDigital Object Identifier
- Title
-
Heart rate variability as a marker of multiple organ dysfunction syndromes: a systematic reviewWork title
- Type
-
reviewOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2025Year of publication
- Publication date
-
2025-04-21Full publication date if available
- Authors
-
Anne Wojtanowski, Maxence Hureau, Mathieu Jeanne, Côme Bureau, Morgan Recher, Julien De JonckheereList of authors in order
- Landing page
-
https://doi.org/10.1007/s10877-025-01296-wPublisher landing page
- PDF URL
-
https://link.springer.com/content/pdf/10.1007/s10877-025-01296-w.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
-
https://link.springer.com/content/pdf/10.1007/s10877-025-01296-w.pdfDirect OA link when available
- Concepts
-
Heart rate variability, Medicine, Multiple organ dysfunction syndrome, Intensive care medicine, Anesthesiology, Meta-analysis, Mortality rate, Internal medicine, Emergency medicine, Heart rate, Pathology, Sepsis, Blood pressureTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
3Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 3Per-year citation counts (last 5 years)
- References (count)
-
35Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.order | 198 |
| abstract_inverted_index.organ | 2 |
| abstract_inverted_index.rated | 113 |
| abstract_inverted_index.serve | 168 |
| abstract_inverted_index.taken | 190 |
| abstract_inverted_index.using | 120 |
| abstract_inverted_index.value | 51, 67 |
| abstract_inverted_index.vital | 30 |
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| abstract_inverted_index.French | 102 |
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| abstract_inverted_index.review | 154 |
| abstract_inverted_index.signs, | 31 |
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| abstract_inverted_index.Embase, | 91 |
| abstract_inverted_index.English | 100 |
| abstract_inverted_index.PubMed, | 90 |
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| abstract_inverted_index.Science | 94 |
| abstract_inverted_index.account | 192 |
| abstract_inverted_index.between | 104 |
| abstract_inverted_index.clarify | 200 |
| abstract_inverted_index.indices | 158 |
| abstract_inverted_index.methods | 187 |
| abstract_inverted_index.needed. | 213 |
| abstract_inverted_index.nervous | 45 |
| abstract_inverted_index.patient | 180 |
| abstract_inverted_index.results | 151 |
| abstract_inverted_index.revised | 122 |
| abstract_inverted_index.several | 25 |
| abstract_inverted_index.studies | 109, 130, 139, 210 |
| abstract_inverted_index.Abstract | 0 |
| abstract_inverted_index.Accuracy | 127 |
| abstract_inverted_index.Cochrane | 92 |
| abstract_inverted_index.However, | 179 |
| abstract_inverted_index.Multiple | 1 |
| abstract_inverted_index.Studies. | 128 |
| abstract_inverted_index.activity | 47 |
| abstract_inverted_index.admitted | 81 |
| abstract_inverted_index.analysis | 34 |
| abstract_inverted_index.articles | 98 |
| abstract_inverted_index.assessed | 131, 135 |
| abstract_inverted_index.clinical | 26 |
| abstract_inverted_index.endpoint | 115 |
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| abstract_inverted_index.patients | 77, 144, 176 |
| abstract_inverted_index.results. | 196 |
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| abstract_inverted_index.rigorous | 209 |
| abstract_inverted_index.searched | 88 |
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| abstract_inverted_index.autonomic | 44 |
| abstract_inverted_index.currently | 19 |
| abstract_inverted_index.databases | 96 |
| abstract_inverted_index.diagnosis | 73 |
| abstract_inverted_index.evidenced | 140 |
| abstract_inverted_index.mortality | 174 |
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| abstract_inverted_index.Diagnostic | 126 |
| abstract_inverted_index.assessment | 55 |
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| abstract_inverted_index.influenced | 160 |
| abstract_inverted_index.mortality. | 136 |
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| abstract_inverted_index.predicting | 173 |
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| abstract_inverted_index.treatments | 183 |
| abstract_inverted_index.variables, | 207 |
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| abstract_inverted_index.Assessments | 12 |
| abstract_inverted_index.dysfunction | 3 |
| abstract_inverted_index.mortality), | 119 |
| abstract_inverted_index.variability | 38 |
| abstract_inverted_index.interpreting | 194 |
| abstract_inverted_index.measurements | 23 |
| abstract_inverted_index.publications | 64 |
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| abstract_inverted_index.investigators | 86 |
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| abstract_inverted_index.systematically | 62 |
| abstract_inverted_index.characteristics, | 181 |
| abstract_inverted_index.methodologically | 208 |
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| cited_by_percentile_year.min | 96 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 6 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
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| citation_normalized_percentile.is_in_top_10_percent | True |