Evidence map›Paper›PMID 38476068›Full record

ArticleAcute and critical care2024

Bedside ultrasonographic evaluation of optic nerve sheath diameter for monitoring of intracranial pressure in traumatic brain injury patients: a cross sectional study in level II trauma care center in India.

Sujit J Kshirsagar, Anandkumar H Pande, Sanyogita V Naik, Alok Yadav, Ruchira M Sakhala, Sangharsh M Salve, Aysath Nuhaimah, Priyanka Desai

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Acute and critical care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
4.1field-weighted citation impact, top 6% 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

10 citing papers in PubMed, 11 citations in OpenAlex.

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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

8 authors at 1 institution in 1 country.

Sujit J KshirsagarDepartment of Anesthesiology and Critical Care, B. J. Government Medical College and Sassoon General Hospital, Pune, India.
Anandkumar H PandeDepartment of Anesthesiology and Critical Care, B. J. Government Medical College and Sassoon General Hospital, Pune, India.
Sanyogita V NaikDepartment of Anesthesiology and Critical Care, B. J. Government Medical College and Sassoon General Hospital, Pune, India.
Alok YadavDepartment of Anesthesiology and Critical Care, B. J. Government Medical College and Sassoon General Hospital, Pune, India.
Ruchira M SakhalaDepartment of Anesthesiology and Critical Care, B. J. Government Medical College and Sassoon General Hospital, Pune, India.
Sangharsh M SalveDepartment of Anesthesiology and Critical Care, B. J. Government Medical College and Sassoon General Hospital, Pune, India.
Aysath NuhaimahDepartment of Anesthesiology and Critical Care, B. J. Government Medical College and Sassoon General Hospital, Pune, India.
Priyanka DesaiDepartment of Anesthesiology and Critical Care, B. J. Government Medical College and Sassoon General Hospital, Pune, India.
B. J. Medical College & Sassoon Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOptic nerve sheath diameter (ONSD) is an emerging non-invasive, easily accessible, and possibly useful measurement for evaluating changes in intracranial pressure (ICP). The utilization of bedside ultrasonography (USG) to measure ONSD has garnered increased attention due to its portability, real-time capability, and lack of ionizing radiation. The primary aim of the study was to assess whether bedside USG-guided ONSD measurement can reliably predict increased ICP in traumatic brain injury (TBI) patients.

methodsA total of 95 patients admitted to the trauma intensive care unit was included in this cross sectional study. Patient brain computed tomography (CT) scans and Glasgow Coma Scale (GCS) scores were assessed at the time of admission. Bedside USG-guided binocular ONSD was measured and the mean ONSD was noted. Microsoft Excel was used for statistical analysis.

resultsPatients with low GCS had higher mean ONSD values (6.4±1.0 mm). A highly significant association was found among the GCS, CT results, and ONSD measurements (P<0.001). Compared to CT scans, the bedside USG ONSD had 86.42% sensitivity and 64.29% specificity for detecting elevated ICP. The positive predictive value of ONSD to identify elevated ICP was 93.33%, and its negative predictive value was 45.00%. ONSD measurement accuracy was 83.16%.

conclusionsIncreased ICP can be accurately predicted by bedside USG measurement of ONSD and can be a valuable adjunctive tool in the management of TBI patients.

Indexed as

intracranial pressure monitoringoptic nerve sheath diametertraumatic brain injury

Identifiers

PMID38476068
PMCPMC11002624
OpenAlexW4392109827

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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.