Evidence map›Paper›PMID 36124942›Full record

ArticleThe Journal of international medical research2022

Prediction of intracranial lesions in patients with consciousness disturbance by ultrasonography in the intensive care unit.

Yuji Shono, Satomi Mezuki, Tomohiko Akahoshi, Masaaki Nishihara, Noriyuki Kaku, Jun Maki, Kentaro Tokuda, Takanari Kitazono

Open access · goldAbstract read
In one paragraph

Article in The Journal of international medical research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 82% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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

8 authors at 2 institutions in 1 country.

Yuji ShonoEmergency and Critical Care Center, Kyushu University Hospital, Japan.ORCID 0000-0002-0547-0277
Satomi MezukiEmergency and Critical Care Center, Kyushu University Hospital, Japan.
Tomohiko AkahoshiEmergency and Critical Care Center, Kyushu University Hospital, Japan.
Masaaki NishiharaEmergency and Critical Care Center, Kyushu University Hospital, Japan.
Noriyuki KakuEmergency and Critical Care Center, Kyushu University Hospital, Japan.
Jun MakiEmergency and Critical Care Center, Kyushu University Hospital, Japan.
Kentaro TokudaEmergency and Critical Care Center, Kyushu University Hospital, Japan.
Takanari KitazonoEmergency and Critical Care Center, Kyushu University Hospital, Japan.
Kyushu University · JPKyushu University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study was performed to evaluate the correlation between parameters measured by bedside ultrasonography and detection of intracranial organic lesions in patients with impaired consciousness in an intensive care unit (ICU) setting.

methodsWe retrospectively reviewed the medical records of patients who were admitted to our ICU from April 2017 to July 2019. Patients who underwent computed tomography or magnetic resonance imaging examination and measurement of the flow velocity of the carotid and intracranial arteries and the optic nerve sheath diameter by ultrasonography were selected for analysis.

resultsIn total, 64 patients were analyzed in this study. Of these, intracranial lesions were detected by computed tomography or magnetic resonance imaging in 17 (27%) patients. The left:right ratio of the end-diastolic velocity of the bilateral common carotid artery (CCA-ED ratio) and the pulsatility index of the middle cerebral artery (MCA-PI) were significantly higher in patients with than in those without intracranial lesions. The cut-off value of the CCA-ED ratio was 1.55 (sensitivity, 66.7%; specificity, 81.6%), and that of the MCA-PI was 1.21 (sensitivity, 57.1%; specificity, 76.7%).

conclusionBedside ultrasonography is useful for predicting intracranial lesions requiring therapeutic intervention in ICU patients with impaired consciousness.

Indexed as

ConsciousnessMiddle Cerebral ArteryHumansIntensive Care UnitsRetrospective StudiesUltrasonographyConsciousness disturbanceintensive care unitintracranial lesionneurological complicationspulsatility indexultrasonography

Identifiers

PMID36124942
PMCPMC9500273
OpenAlexW4296400820

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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.