Evidence map›Paper›PMID 39031230›Full record

Observational studyJournal of clinical monitoring and computing2024

Characterization of intracranial compliance in healthy subjects using a noninvasive method - results from a multicenter prospective observational study.

Gabriela Nagai Ocamoto, Lucas Normando da Silva, Camila da Silva Rocha Tomaz, Matheus Toshio Hisatugu, Gustavo Frigieri, Danilo Cardim, Roberta Lins Gonçalves, Thiago Luiz Russo, Robson Luis Oliveira de Amorim

Registry-linked trialAbstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Journal of clinical monitoring and computing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07210333 (Evaluation and Enhancement of the Effectiveness of Non-invasive Intracranial Pressure Monitoring for Screening in Neurological Emergencies Within the Brazilian Unified Health System), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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.

NCT07210333 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Evaluation and Enhancement of the Effectiveness of Non-invasive Intracranial Pressure Monitoring for Screening in Neurological Emergencies Within the Brazilian Unified Health System

Typeobservational_patient_registrySponsorBraincare USA CorpRan2025 to 2028Enrolled300ConditionsTraumatic Brain Injury (TBI) Patients, Stroke Hemorrhagic, Stroke IschemicArmsnon-invasive intracranial pressure monitoring
3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Trial
  2. Impaired Intracranial Compliance: A New Hypertension-Mediated Brain Organ Damage?High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2026
    Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
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

9 authors.

Gabriela Nagai OcamotoBraincare Desenvolvimento e Inovação Tecnológica S.A., Bruno Ruggiero Filho Avenue, 971, São Carlos, São Paulo, 13562-420, Brazil. gabriela.ocamoto@brain4.care.ORCID 0000-0001-5496-3548
Lucas Normando da SilvaHealth Sciences Postgraduation Program, Federal University of Amazonas, General Rodrigo Octavio Jordão Ramos Avenue, 1200, Manaus, Amazonas, 69067-005, Brazil.ORCID 0000-0003-2933-9131
Camila da Silva Rocha TomazBraincare Desenvolvimento e Inovação Tecnológica S.A., Bruno Ruggiero Filho Avenue, 971, São Carlos, São Paulo, 13562-420, Brazil.ORCID 0000-0002-7419-5985
Matheus Toshio HisatuguBraincare Desenvolvimento e Inovação Tecnológica S.A., Bruno Ruggiero Filho Avenue, 971, São Carlos, São Paulo, 13562-420, Brazil.ORCID 0000-0003-2100-2454
Gustavo FrigieriBraincare Desenvolvimento e Inovação Tecnológica S.A., Bruno Ruggiero Filho Avenue, 971, São Carlos, São Paulo, 13562-420, Brazil.ORCID 0000-0002-4288-468X
Danilo CardimBraincare Desenvolvimento e Inovação Tecnológica S.A., Bruno Ruggiero Filho Avenue, 971, São Carlos, São Paulo, 13562-420, Brazil.ORCID 0000-0002-9261-1321
Roberta Lins GonçalvesHealth Sciences Postgraduation Program, Federal University of Amazonas, General Rodrigo Octavio Jordão Ramos Avenue, 1200, Manaus, Amazonas, 69067-005, Brazil.ORCID 0000-0003-4976-0716
Thiago Luiz RussoDepartment of Physical Therapy, Federal University of São Carlos, Washington Luís Road, km 235, São Carlos, São Paulo, 13565-905, Brazil.ORCID 0000-0002-5483-3097
Robson Luis Oliveira de AmorimHealth Sciences Postgraduation Program, Federal University of Amazonas, General Rodrigo Octavio Jordão Ramos Avenue, 1200, Manaus, Amazonas, 69067-005, Brazil.ORCID 0000-0003-2391-7519

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAn FDA-approved non-invasive intracranial pressure (ICP) monitoring system enables the assessment of ICP waveforms by revealing and analyzing their morphological variations and parameters associated with intracranial compliance, such as the P2/P1 ratio and time-to-peak (TTP). The aim of this study is to characterize intracranial compliance in healthy volunteers across different age groups.

methodsHealthy participants, both sexes, aged from 9 to 74 years old were monitored for 5 min in the supine position at 0º. Age was stratified into 4 groups: children (≤ 7 years); young adults (18 ≤ age ≤ 44 years); middle-aged adults (45 ≤ age ≤ 64 years); older adults (≥ 65 years). The data obtained was the non-invasive ICP waveform, P2/P1 ratio and TTP.

resultsFrom December 2020 to February 2023, 188 volunteers were assessed, of whom 104 were male, with a median (interquartile range) age of 41 (29-51), and a median (interquartile range) body mass index of 25.09 (22.57-28.04). Men exhibited lower values compared to women for both the P2/P1 ratio and TTP (p < 0.001). There was a relative rise in both P2/P1 and TTP as age increased (p < 0.001).

conclusionsThe study revealed that the P2/P1 ratio and TTP are influenced by age and sex in healthy individuals, with men displaying lower values than women, and both ratios increasing with age. These findings suggest potential avenues for further research with larger and more diverse samples to establish reference values for comparison in various health conditions.

trial registrationBrazilian Registry of Clinical Trials (RBR-9nv2h42), retrospectively registered 05/24/2022. UTN: U1111-1266-8006.

Indexed as

Healthy VolunteersIntracranial PressureAdolescentAdultAgedAge FactorsChildComplianceFemaleHumansMaleMiddle AgedMonitoring, PhysiologicProspective StudiesReference ValuesSupine PositionAdultsChildrenElderlyIntracranial complianceIntracranial pressureNoninvasive monitoring

Identifiers

PMID39031230
PMCPMC11604689

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Registered trials

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.