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Ultrasonography of optic nerve sheath diameter for detection of raised intracranial pressure: a systematic review and meta-analysis

Dubourg, Julie ; Javouhey, Etienne ; Geeraerts, Thomas ; Messerer, Mahmoud ; Kassai, Behrouz

Intensive care medicine, 2011-07, Vol.37 (7), p.1059-1068 [Periódico revisado por pares]

Berlin/Heidelberg: Springer-Verlag

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Título:
Ultrasonography of optic nerve sheath diameter for detection of raised intracranial pressure: a systematic review and meta-analysis
Autor: Dubourg, Julie ; Javouhey, Etienne ; Geeraerts, Thomas ; Messerer, Mahmoud ; Kassai, Behrouz
Assuntos: Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Anesthesiology ; Biological and medical sciences ; Conferences ; Critical Care Medicine ; Data processing ; Decision making ; Emergency and intensive respiratory care ; Emergency Medicine ; Humans ; Hypertension ; Intensive ; Intensive care medicine ; Intracranial Hypertension - diagnostic imaging ; Intracranial Hypertension - physiopathology ; Intracranial pressure ; Intracranial Pressure - physiology ; Language ; Life Sciences ; Medical research ; Medical sciences ; Medicine ; Medicine & Public Health ; Medicine, Experimental ; Myelin Sheath - diagnostic imaging ; Optic nerve ; Optic Nerve - diagnostic imaging ; Optic Nerve - physiopathology ; Other ; Pain Medicine ; Pediatrics ; Pneumology/Respiratory System ; Review ; Reviews ; Sheaths ; Ultrasonography ; Ultrasound imaging
É parte de: Intensive care medicine, 2011-07, Vol.37 (7), p.1059-1068
Notas: ObjectType-Article-2
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ObjectType-Review-4
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Descrição: Purpose To evaluate the diagnostic accuracy of ultrasonography of optic nerve sheath diameter (ONSD) for assessment of intracranial hypertension. Methods Systematic review without language restriction based on electronic databases, with manual review of literature and conference proceedings until July 2010. Studies were eligible if they compared ultrasonography of ONSD with intracranial pressure (ICP) monitoring. Data were extracted independently by three authors. Random-effects meta-analysis and meta-regression were performed. Results Six studies including 231 patients were reviewed. No significant heterogeneity was detected for sensitivity, specificity, positive and negative likelihood ratios or diagnostic odds ratio. For detection of raised intracranial pressure, pooled sensitivity was 0.90 [95% confidence interval (CI) 0.80–0.95; p for heterogeneity, p het = 0.09], pooled specificity was 0.85 (95% CI 0.73–0.93, p het = 0.13), and the pooled diagnostic odds ratio was 51 (95% CI 22–121). The area under the summary receiver-operating characteristic (SROC) curve was 0.94 (95% CI 0.91–0.96). Conclusions Ultrasonography of ONSD shows a good level of diagnostic accuracy for detecting intracranial hypertension. In clinical decision-making, this technique may help physicians decide to transfer patients to specialized centers or to place an invasive device when specific recommendations for this placement do not exist.
Editor: Berlin/Heidelberg: Springer-Verlag
Idioma: Inglês

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Ultrasonography of optic nerve sheath diameter for detection of raised intracranial pressure: a systematic review and meta-analysis

Dubourg, Julie ; Javouhey, Etienne ; Geeraerts, Thomas ; Messerer, Mahmoud ; Kassai, Behrouz

Berlin/Heidelberg: Springer-Verlag

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