Evidence map›Paper›PMID 28902893›Full record

Trial reportPloS one2017

Correlation of optic nerve sheath diameter with directly measured intracranial pressure in Korean adults using bedside ultrasonography.

Jin Pyeong Jeon, Si Un Lee, Sung-Eun Kim, Suk Hyung Kang, Jin Seo Yang, Hyuk Jai Choi, Yong Jun Cho, Seung Pil Ban, Hyoung Soo Byoun, Young Soo Kim

Open access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 5 pooled it
4.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 5 syntheses or guidelines pooled it, 101 citations in OpenAlex.

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  5. Intraindividual Optic Nerve Sheath Variation and Intracranial Pressure Changes: A Systematic Review and Meta-Analysis.Journal of neuroimaging : official journal of the American Society of Neuroimaging
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Jin Pyeong JeonDepartment of Neurosurgery, Hallym University College of Medicine, Chuncheon, Korea.
Si Un LeeDepartment of Neurosurgery, Seoul National University Bundang Hospital, Seongnam, Korea.
Sung-Eun KimDepartment of Emergency Medicine, Seoul Emergency Operations Center, Seoul, Korea.
Suk Hyung KangDepartment of Neurosurgery, Hallym University College of Medicine, Chuncheon, Korea.ORCID http://orcid.org/0000-0002-1130-9754
Jin Seo YangDepartment of Neurosurgery, Hallym University College of Medicine, Chuncheon, Korea.
Hyuk Jai ChoiDepartment of Neurosurgery, Hallym University College of Medicine, Chuncheon, Korea.
Yong Jun ChoDepartment of Neurosurgery, Hallym University College of Medicine, Chuncheon, Korea.
Seung Pil BanDepartment of Neurosurgery, Seoul National University Bundang Hospital, Seongnam, Korea.
Hyoung Soo ByounDepartment of Neurosurgery, Seoul National University Bundang Hospital, Seongnam, Korea.
Young Soo KimDepartment of Anesthesiology and Pain Medicine, Veterans Health Service Medical Center, Seoul, Korea.
Hallym University · KRSeoul National University Bundang Hospital · KRVeterans Health Service Medical Center · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe correlation of optic nerve sheath diameter (ONSD) as seen on ultrasonography (US) and directly measured intracranial pressure (ICP) has been well described. Nevertheless, differences in ethnicity and type of ICP monitor used are obstacles to the interpretation. Therefore, we investigated the direct correlation between ONSD and ventricular ICP and defined an optimal cut-off point for identifying increased ICP (IICP) in Korean adults with brain lesions.

methodsThis prospective study included patients who required an external ventricular drainage (EVD) catheter for ICP control. IICP was defined as an opening pressure over 20 mmHg. ONSD was measured using a 13 MHz US probe before the procedure. Linear regression analysis and receiver operator characteristic (ROC) curve were used to assess the association between ONSD and ICP. Optimal cut-off value for identifying IICP was defined.

resultsA total of 62 patients who underwent ONSD measurement with simultaneous EVD catheter placement were enrolled in this study. Thirty-two patients (51.6%) were found to have IICP. ONSD in patients with IICP (5.80 ± 0.45 mm) was significantly higher than in those without IICP (5.30 ± 0.61 mm) (P < 0.01). The IICP group showed more significant linear correlation with ONSD (r = 0.57, P < 0.01) compared to the non-IICP group (r = 0.42, P = 0.02). ONSD > 5.6 mm disclosed a sensitivity of 93.75% and a specificity of 86.67% for identifying IICP.

conclusionONSD as seen on bedside US correlated well with directly measured ICP in Korean adults with brain lesions. The optimal cut-off point of ONSD for detecting IICP was 5.6 mm.

Indexed as

Intracranial PressurePoint-of-Care TestingUltrasonographyAdultAgedAged, 80 and overFemaleHumansIntracranial HypertensionMaleMiddle AgedMonitoring, PhysiologicMyelin SheathOptic NerveOrgan SizeRepublic of Korea

Identifiers

PMID28902893
PMCPMC5597178
OpenAlexW2755277988

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.