Optic nerve sheath diameter measurement for predicting raised intracranial pressure in adult patients with severe traumatic brain injury: A meta-analysis
- 주제(키워드) Crain computed tomography , Critical care , Head trauma , Intracranial pressure , Ocular ultrasound
- 등재 SCIE, SCOPUS
- 발행기관 W.B. Saunders
- 발행년도 2020
- 총서유형 Journal
- URI http://www.dcollection.net/handler/ewha/000000166024
- 본문언어 영어
- Published As http://dx.doi.org/10.1016/j.jcrc.2020.01.006
- PubMed https://pubmed.ncbi.nlm.nih.gov/31945584
- 저작권 이화여자대학교 논문은 저작권에 의해 보호받습니다.
초록/요약
Objective: To evaluate and compare the diagnostic feasibility of measuring the optic nerve sheath diameter (ONSD), via brain computed tomography (CT) and ocular ultrasonography (US) for prediction of raised intracranial pressure (ICP) in severe traumatic brain injury (TBI) patients. Methods: The PubMed and EMBASE databases were searched for studies assessing the diagnostic accuracy of brain CT or ocular US for predicting raised ICP. Bivariate and hierarchical summary receiver operating characteristic modeling were performed to evaluate and compare the diagnostic feasibility of measuring the ONSD in adult patients with severe TBI according to modality (ocular US vs. brain CT). Results: Five studies (four with ocular US and one with brain CT) were included. The ONSD had a pooled sensitivity of 0.91, pooled specificity of 0.77, and area under the HSROC curve of 0.92 for predicting raised ICP. More importantly, studies using ocular US found an almost equal sensitivity (0.91 vs. 0.90; p =.35) and higher specificity (0.82 vs. 0.58; p =.01) than those using brain CT. Conclusions: Measurement of the ONSD may be a useful method for predicting raised ICP in adult patients with severe TBI. © 2020 Elsevier Inc.
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