Noninvasive intracranial pressure waveforms for estimation of intracranial hypertension and outcome prediction in acute brain-injured patients

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorBRASIL, Sergio
dc.contributor.authorFRIGIERI, Gustavo
dc.contributor.authorTACCONE, Fabio Silvio
dc.contributor.authorROBBA, Chiara
dc.contributor.authorSOLLA, Davi Jorge Fontoura
dc.contributor.authorNOGUEIRA, Ricardo de Carvalho
dc.contributor.authorYOSHIKAWA, Marcia Harumy
dc.contributor.authorTEIXEIRA, Manoel Jacobsen
dc.contributor.authorMALBOUISSON, Luiz Marcelo Sa
dc.contributor.authorPAIVA, Wellingson Silva
dc.date.accessioned2024-02-15T14:48:17Z
dc.date.available2024-02-15T14:48:17Z
dc.date.issued2023
dc.description.abstractAnalysis of intracranial pressure waveforms (ICPW) provides information on intracranial compliance. We aimed to assess the correlation between noninvasive ICPW (NICPW) and invasively measured intracranial pressure (ICP) and to assess the NICPW prognostic value in this population. In this cohort, acute brain-injured (ABI) patients were included within 5 days from admission in six Intensive Care Units. Mean ICP (mICP) values and the P2/P1 ratio derived from NICPW were analyzed and correlated with outcome, which was defined as: (a) early death (ED); survivors on spontaneous breathing (SB) or survivors on mechanical ventilation (MV) at 7 days from inclusion. Intracranial hypertension (IHT) was defined by ICP > 20 mmHg. A total of 72 patients were included (mean age 39, 68% TBI). mICP and P2/P1 values were significantly correlated (r = 0.49, p < 0.001). P2/P1 ratio was significantly higher in patients with IHT and had an area under the receiving operator curve (AUROC) to predict IHT of 0.88 (95% CI 0.78-0.98). mICP and P2/P1 ratio was also significantly higher for ED group (n = 10) than the other groups. The AUROC of P2/P1 to predict ED was 0.71 [95% CI 0.53-0.87], and the threshold P2/P1 > 1.2 showed a sensitivity of 60% [95% CI 31-83%] and a specificity of 69% [95% CI 57-79%]. Similar results were observed when decompressive craniectomy patients were excluded. In this study, P2/P1 derived from noninvasive ICPW assessment was well correlated with IHT. This information seems to be as associated with ABI patients outcomes as ICP.eng
dc.description.indexMEDLINE
dc.description.indexPubMed
dc.description.indexWoS
dc.description.indexScopus
dc.identifier.citationJOURNAL OF CLINICAL MONITORING AND COMPUTING, v.37, n.3, p.753-760, 2023
dc.identifier.doi10.1007/s10877-022-00941-y
dc.identifier.eissn1573-2614
dc.identifier.issn1387-1307
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/57961
dc.language.isoeng
dc.publisherSPRINGER HEIDELBERGeng
dc.relation.ispartofJournal of Clinical Monitoring and Computing
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright SPRINGER HEIDELBERGeng
dc.subjectIntracranial complianceeng
dc.subjectIntracranial pressure waveformeng
dc.subjectIntracranial hypertensioneng
dc.subjectAcute brain injuryeng
dc.subjectNeuromonitoringeng
dc.subject.wosAnesthesiologyeng
dc.titleNoninvasive intracranial pressure waveforms for estimation of intracranial hypertension and outcome prediction in acute brain-injured patientseng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.affiliation.countryItália
hcfmusp.affiliation.countryBélgica
hcfmusp.affiliation.countryisobe
hcfmusp.affiliation.countryisoit
hcfmusp.author.externalTACCONE, Fabio Silvio:Univ Libre Bruxelles, Dept Intens Care, Erasme Hop, Brussels, Belgium
hcfmusp.author.externalROBBA, Chiara:Univ Genoa, Dept Intens Care, Genoa, Italy
hcfmusp.citation.scopus18
hcfmusp.contributor.author-fmusphcSERGIO PAULO BRASIL LIMA
hcfmusp.contributor.author-fmusphcGUSTAVO HENRIQUE FRIGIERI VILELA
hcfmusp.contributor.author-fmusphcDAVI JORGE FONTOURA SOLLA
hcfmusp.contributor.author-fmusphcRICARDO DE CARVALHO NOGUEIRA
hcfmusp.contributor.author-fmusphcMARCIA HARUMY YOSHIKAWA
hcfmusp.contributor.author-fmusphcMANOEL JACOBSEN TEIXEIRA
hcfmusp.contributor.author-fmusphcLUIZ MARCELO SA MALBOUISSON
hcfmusp.contributor.author-fmusphcWELLINGSON SILVA PAIVA
hcfmusp.description.beginpage753
hcfmusp.description.endpage760
hcfmusp.description.issue3
hcfmusp.description.volume37
hcfmusp.origemWOS
hcfmusp.origem.pubmed36399214
hcfmusp.origem.scopus2-s2.0-85142048229
hcfmusp.origem.wosWOS:000886126500003
hcfmusp.publisher.cityHEIDELBERGeng
hcfmusp.publisher.countryGERMANYeng
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hcfmusp.scopus.lastupdate2024-05-17
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