Gastrointestinal transit time and heart rate variability in patients with mild acquired brain injury

PeerJ

Henning Andersen¹  Johannes Enevoldsen¹  Per Borghammer²  Karoline Knudsen²  Jørgen F. Nielsen³  Klaus Krogh⁴  Simon T. Vistisen⁵ 

[1] Department of Neurology, Aarhus University Hospital, Aarhus, Denmark;Department of Nuclear Medicine & PET-Centre, Aarhus University Hospital, Aarhus, Denmark;Hammel Neurocenter and University Clinic, Aarhus University, Aarhus, Denmark;Neurogastroenterology Unit, Department of Hepatology and Gastroenterology, Aarhus Univeristy Hospital, Aarhus, Denmark;Research Centre for Emergency Medicine, Aarhus University, Aarhus, Denmark;

关键词: Gastrointestinal transit;    Constipation;    Autonomic function;    Brain injury;    Heart rate variability;    Rehabilitation;   

DOI  :  10.7717/peerj.4912

来源: DOAJ

【 摘 要 】

Background Constipation is suspected to occur frequently after acquired brain injury (ABI). In patients with ABI, heart rate variability (HRV) is reduced suggesting autonomic dysfunction. Autonomic dysfunction may be associated with prolonged gastrointestinal transit time (GITT). The primary aim of this study was to investigate if GITT is prolonged in patients with ABI. Secondarily, HRV and its correlation with GITT was investigated. Methods We included 25 patients with ABI (18 men, median age: 61.3 years, range [30.7–74.5]). GITT was assessed using radio-opaque markers and HRV was calculated from 24-hour electrocardiograms. Medical records were reviewed for important covariates, including primary diagnosis, time since injury, functional independence measure, and use of medication. The GITT assessed in patients was compared to a control group of 25 healthy subjects (18 men, median age: 61.5 years, range [34.0–70.9]). Results In ABI patients, the mean GITT was significantly longer than in healthy controls (2.68 days, 95% CI [2.16–3.19] versus (1.92 days, 95% CI [1.62–2.22], p = 0.011)). No correlation was found between HRV and GITT. Conclusion Patients with mild to moderate ABI have prolonged GITT unrelated to the HRV.

【 授权许可】

Unknown