Dilated optic nerve sheath by ultrasound predicts mortality among patients with acute intracerebral hemorrhage Article Swipe
Francisco Antunes Dias
,
Maria Clara Zanon Zotin
,
Frederico Fernandes Alessio-Alves
,
Rui Martins
,
Clara Barreira
,
Otavio Costa Vincenzi
,
Paula Muñoz Venturelli
,
Grégoire Boulouis
,
Joshua N. Goldstein
,
Octávio Marques Pontes‐Neto
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1055/s-0043-1775885
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1055/s-0043-1775885
Background Intracerebral hemorrhage (ICH) is a deadly disease and increased intracranial pressure (ICP) is associated with worse outcomes in this context. Objective We evaluated whether dilated optic nerve sheath diameter (ONSD) depicted by optic nerve ultrasound (ONUS) at hospital admission has prognostic value as a predictor of mortality at 90 days. Methods Prospective multicenter study of acute supratentorial primary ICH patients consecutively recruited from two tertiary stroke centers. Optic nerve ultrasound and cranial computed tomography (CT) scans were performed at hospital admission and blindly reviewed. The primary outcome was mortality at 90-days. Multivariate logistic regression, ROC curve, and C-statistics were used to identify independent predictors of mortality. Results Between July 2014 and July 2016, 57 patients were evaluated. Among those, 13 were excluded and 44 were recruited into the trial. Their mean age was 62.3 ± 13.1 years and 12 (27.3%) were female. On univariate analysis, ICH volume on cranial CT scan, ICH ipsilateral ONSD, Glasgow coma scale, National Institute of Health Stroke Scale (NIHSS) and glucose on admission, and also diabetes mellitus and current nonsmoking were predictors of mortality. After multivariate analysis, ipsilateral ONSD (odds ratio [OR]: 6.24; 95% confidence interval [CI]: 1.18–33.01; p = 0.03) was an independent predictor of mortality, even after adjustment for other relevant prognostic factors. The best ipsilateral ONSD cutoff was 5.6mm (sensitivity 72% and specificity 83%) with an AUC of 0.71 (p = 0.02) for predicting mortality at 90 days. Conclusion Optic nerve ultrasound is a noninvasive, bedside, low-cost technique that can be used to identify increased ICP in acute supratentorial primary ICH patients. Among these patients, dilated ONSD is an independent predictor of mortality at 90 days.
Related Topics
Concepts
Medicine
Glasgow Coma Scale
Intracerebral hemorrhage
Odds ratio
Receiver operating characteristic
Context (archaeology)
Confidence interval
Stroke (engine)
Logistic regression
Univariate analysis
Prospective cohort study
Area under the curve
Multivariate analysis
Internal medicine
Surgery
Mechanical engineering
Biology
Engineering
Paleontology
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1055/s-0043-1775885
- http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0043-1775885.pdf
- OA Status
- gold
- Cited By
- 3
- References
- 22
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4388502284
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4388502284Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1055/s-0043-1775885Digital Object Identifier
- Title
-
Dilated optic nerve sheath by ultrasound predicts mortality among patients with acute intracerebral hemorrhageWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-10-01Full publication date if available
- Authors
-
Francisco Antunes Dias, Maria Clara Zanon Zotin, Frederico Fernandes Alessio-Alves, Rui Martins, Clara Barreira, Otavio Costa Vincenzi, Paula Muñoz Venturelli, Grégoire Boulouis, Joshua N. Goldstein, Octávio Marques Pontes‐NetoList of authors in order
- Landing page
-
https://doi.org/10.1055/s-0043-1775885Publisher landing page
- PDF URL
-
https://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0043-1775885.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0043-1775885.pdfDirect OA link when available
- Concepts
-
Medicine, Glasgow Coma Scale, Intracerebral hemorrhage, Odds ratio, Receiver operating characteristic, Context (archaeology), Confidence interval, Stroke (engine), Logistic regression, Univariate analysis, Prospective cohort study, Area under the curve, Multivariate analysis, Internal medicine, Surgery, Mechanical engineering, Biology, Engineering, PaleontologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
3Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 3Per-year citation counts (last 5 years)
- References (count)
-
22Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.ICH | 60, 147, 153, 260 |
| abstract_inverted_index.ICP | 255 |
| abstract_inverted_index.ROC | 96 |
| abstract_inverted_index.The | 86, 212 |
| abstract_inverted_index.age | 133 |
| abstract_inverted_index.and | 9, 72, 83, 98, 112, 124, 139, 166, 170, 174, 221 |
| abstract_inverted_index.can | 249 |
| abstract_inverted_index.for | 207, 232 |
| abstract_inverted_index.has | 41 |
| abstract_inverted_index.the | 129 |
| abstract_inverted_index.two | 65 |
| abstract_inverted_index.was | 89, 134, 198, 217 |
| abstract_inverted_index.(CT) | 76 |
| abstract_inverted_index.0.71 | 228 |
| abstract_inverted_index.13.1 | 137 |
| abstract_inverted_index.2014 | 111 |
| abstract_inverted_index.62.3 | 135 |
| abstract_inverted_index.83%) | 223 |
| abstract_inverted_index.July | 110, 113 |
| abstract_inverted_index.ONSD | 185, 215, 266 |
| abstract_inverted_index.also | 171 |
| abstract_inverted_index.best | 213 |
| abstract_inverted_index.coma | 157 |
| abstract_inverted_index.even | 204 |
| abstract_inverted_index.from | 64 |
| abstract_inverted_index.into | 128 |
| abstract_inverted_index.mean | 132 |
| abstract_inverted_index.that | 248 |
| abstract_inverted_index.this | 20 |
| abstract_inverted_index.used | 101, 251 |
| abstract_inverted_index.were | 78, 100, 117, 122, 126, 142, 177 |
| abstract_inverted_index.with | 16, 224 |
| abstract_inverted_index.(ICH) | 4 |
| abstract_inverted_index.(ICP) | 13 |
| abstract_inverted_index.(odds | 186 |
| abstract_inverted_index.0.02) | 231 |
| abstract_inverted_index.0.03) | 197 |
| abstract_inverted_index.2016, | 114 |
| abstract_inverted_index.5.6mm | 218 |
| abstract_inverted_index.6.24; | 189 |
| abstract_inverted_index.After | 181 |
| abstract_inverted_index.Among | 119, 262 |
| abstract_inverted_index.ONSD, | 155 |
| abstract_inverted_index.Optic | 69, 239 |
| abstract_inverted_index.Scale | 164 |
| abstract_inverted_index.Their | 131 |
| abstract_inverted_index.[CI]: | 193 |
| abstract_inverted_index.[OR]: | 188 |
| abstract_inverted_index.acute | 57, 257 |
| abstract_inverted_index.after | 205 |
| abstract_inverted_index.days. | 51, 237, 275 |
| abstract_inverted_index.nerve | 28, 35, 70, 240 |
| abstract_inverted_index.optic | 27, 34 |
| abstract_inverted_index.other | 208 |
| abstract_inverted_index.ratio | 187 |
| abstract_inverted_index.scan, | 152 |
| abstract_inverted_index.scans | 77 |
| abstract_inverted_index.study | 55 |
| abstract_inverted_index.these | 263 |
| abstract_inverted_index.value | 43 |
| abstract_inverted_index.worse | 17 |
| abstract_inverted_index.years | 138 |
| abstract_inverted_index.(ONSD) | 31 |
| abstract_inverted_index.(ONUS) | 37 |
| abstract_inverted_index.Health | 162 |
| abstract_inverted_index.Stroke | 163 |
| abstract_inverted_index.curve, | 97 |
| abstract_inverted_index.cutoff | 216 |
| abstract_inverted_index.deadly | 7 |
| abstract_inverted_index.scale, | 158 |
| abstract_inverted_index.sheath | 29 |
| abstract_inverted_index.stroke | 67 |
| abstract_inverted_index.those, | 120 |
| abstract_inverted_index.trial. | 130 |
| abstract_inverted_index.volume | 148 |
| abstract_inverted_index.(27.3%) | 141 |
| abstract_inverted_index.(NIHSS) | 165 |
| abstract_inverted_index.Between | 109 |
| abstract_inverted_index.Glasgow | 156 |
| abstract_inverted_index.Methods | 52 |
| abstract_inverted_index.Results | 108 |
| abstract_inverted_index.blindly | 84 |
| abstract_inverted_index.cranial | 73, 150 |
| abstract_inverted_index.current | 175 |
| abstract_inverted_index.dilated | 26, 265 |
| abstract_inverted_index.disease | 8 |
| abstract_inverted_index.female. | 143 |
| abstract_inverted_index.glucose | 167 |
| abstract_inverted_index.outcome | 88 |
| abstract_inverted_index.primary | 59, 87, 259 |
| abstract_inverted_index.whether | 25 |
| abstract_inverted_index.90-days. | 92 |
| abstract_inverted_index.Abstract | 0 |
| abstract_inverted_index.National | 159 |
| abstract_inverted_index.bedside, | 245 |
| abstract_inverted_index.centers. | 68 |
| abstract_inverted_index.computed | 74 |
| abstract_inverted_index.context. | 21 |
| abstract_inverted_index.depicted | 32 |
| abstract_inverted_index.diabetes | 172 |
| abstract_inverted_index.diameter | 30 |
| abstract_inverted_index.excluded | 123 |
| abstract_inverted_index.factors. | 211 |
| abstract_inverted_index.hospital | 39, 81 |
| abstract_inverted_index.identify | 103, 253 |
| abstract_inverted_index.interval | 192 |
| abstract_inverted_index.logistic | 94 |
| abstract_inverted_index.low-cost | 246 |
| abstract_inverted_index.mellitus | 173 |
| abstract_inverted_index.outcomes | 18 |
| abstract_inverted_index.patients | 61, 116 |
| abstract_inverted_index.pressure | 12 |
| abstract_inverted_index.relevant | 209 |
| abstract_inverted_index.tertiary | 66 |
| abstract_inverted_index.Institute | 160 |
| abstract_inverted_index.Objective | 22 |
| abstract_inverted_index.admission | 40, 82 |
| abstract_inverted_index.analysis, | 146, 183 |
| abstract_inverted_index.evaluated | 24 |
| abstract_inverted_index.increased | 10, 254 |
| abstract_inverted_index.mortality | 48, 90, 234, 272 |
| abstract_inverted_index.patients, | 264 |
| abstract_inverted_index.patients. | 261 |
| abstract_inverted_index.performed | 79 |
| abstract_inverted_index.predictor | 46, 201, 270 |
| abstract_inverted_index.recruited | 63, 127 |
| abstract_inverted_index.reviewed. | 85 |
| abstract_inverted_index.technique | 247 |
| abstract_inverted_index.Background | 1 |
| abstract_inverted_index.Conclusion | 238 |
| abstract_inverted_index.adjustment | 206 |
| abstract_inverted_index.admission, | 169 |
| abstract_inverted_index.associated | 15 |
| abstract_inverted_index.confidence | 191 |
| abstract_inverted_index.evaluated. | 118 |
| abstract_inverted_index.hemorrhage | 3 |
| abstract_inverted_index.mortality, | 203 |
| abstract_inverted_index.mortality. | 107, 180 |
| abstract_inverted_index.nonsmoking | 176 |
| abstract_inverted_index.predicting | 233 |
| abstract_inverted_index.predictors | 105, 178 |
| abstract_inverted_index.prognostic | 42, 210 |
| abstract_inverted_index.tomography | 75 |
| abstract_inverted_index.ultrasound | 36, 71, 241 |
| abstract_inverted_index.univariate | 145 |
| abstract_inverted_index.Prospective | 53 |
| abstract_inverted_index.independent | 104, 200, 269 |
| abstract_inverted_index.ipsilateral | 154, 184, 214 |
| abstract_inverted_index.multicenter | 54 |
| abstract_inverted_index.regression, | 95 |
| abstract_inverted_index.specificity | 222 |
| abstract_inverted_index.(sensitivity | 219 |
| abstract_inverted_index.C-statistics | 99 |
| abstract_inverted_index.Multivariate | 93 |
| abstract_inverted_index.intracranial | 11 |
| abstract_inverted_index.multivariate | 182 |
| abstract_inverted_index.noninvasive, | 244 |
| abstract_inverted_index.1.18–33.01; | 194 |
| abstract_inverted_index.Intracerebral | 2 |
| abstract_inverted_index.consecutively | 62 |
| abstract_inverted_index.supratentorial | 58, 258 |
| cited_by_percentile_year.max | 97 |
| cited_by_percentile_year.min | 96 |
| countries_distinct_count | 3 |
| institutions_distinct_count | 10 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8999999761581421 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.73888819 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |