In silico modeling: methods and applications to trauma and sepsis

Crit Care Med. 2013 Aug;41(8):2008-14. doi: 10.1097/CCM.0b013e31829a6eb4.

Abstract

Objectives: To familiarize clinicians with advances in computational disease modeling applied to trauma and sepsis.

Data sources: PubMed search and review of relevant medical literature.

Summary: Definitions, key methods, and applications of computational modeling to trauma and sepsis are reviewed.

Conclusions: Computational modeling of inflammation and organ dysfunction at the cellular, organ, whole-organism, and population levels has suggested a positive feedback cycle of inflammation → damage → inflammation that manifests via organ-specific inflammatory switching networks. This structure may manifest as multicompartment "tipping points" that drive multiple organ dysfunction. This process may be amenable to rational inflammation reprogramming.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Review

MeSH terms

  • Computer Simulation*
  • Critical Illness
  • Humans
  • Inflammation / physiopathology*
  • Models, Biological*
  • Sepsis / physiopathology*
  • Systems Biology
  • Wounds and Injuries / physiopathology*