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The goal of this observational study is to investigate several means of measuring intracranial pressure (ICP) non-invasively in patients who had head trauma and received implantation of invasive ICP monitor device. The main questions it aims to answer are:
What are the diagnostic efficacies of Transcranial Color-Coded Doppler Ultrasound (TCCD), Optic Nerve Sheath Diameter (ONSD) and Optic Disc Height (ODH) (the 3 non-invasive way of measuring ICP) compared with invasive ICP monitor? Participants will receive simultaneous non-invasive measurements of TCCD, ONSD and ODH along with during the days of invasive ICP monitoring. The data will be compared among the techniques to study the diagnostic efficacy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients with traumatic brain injury and invasive ICP monitoring | Patients with traumatic brain injury and invasive ICP monitoring. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TCCD | Diagnostic Test | Patients receive non-invasive assessments of TCCD using bedside ultrasound. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Sensitivity and specificity of TCCD | Sensitivity and specificity of diagnosing intracranial hypertension using TCCD | Day 0 (when invasive ICP probe is implanted) to day 10 |
| Sensitivity and specificity of ONSD | Sensitivity and specificity of diagnosing intracranial hypertension using ONSD | Day 0 (when invasive ICP probe is implanted) to day 10 |
| Sensitivity and specificity of ODH | Sensitivity and specificity of diagnosing intracranial hypertension using ODH | Day 0 (when invasive ICP probe is implanted) to day 10 |
| Measure | Description | Time Frame |
|---|---|---|
| Pearson correlation coefficient between ultrasound metrics and invasive ICP | Pearson correlation coefficient between metrics from bedside ultrasound and invasive ICP | Day 0 (when invasive ICP probe is implanted) to day 10 |
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Inclusion Criteria:
Exclusion Criteria:
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The study selects patients admitted to the neurosurgical intensive care unit of Central South University Xiangya Hospital.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ziyuan Liu, M.D. | Contact | 86-151-1137-3960 | ethmery@yeah.net |
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Data cannot be shared publicly because of patient privacy protection. Data are available from the Xiangya Hospital Institutional Data Access / Ethics Committee for researchers who meet the criteria for access to confidential data.
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| ID | Term |
|---|---|
| D000070642 | Brain Injuries, Traumatic |
| D006259 | Craniocerebral Trauma |
| ID | Term |
|---|---|
| D001930 | Brain Injuries |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| ONSD | Diagnostic Test | Patients receive non-invasive assessments of ONSD using bedside ultrasound. |
|
| ODH | Diagnostic Test | Patients receive non-invasive assessments of ODH using bedside ultrasound. |
|
| Invasive ICP | Diagnostic Test | Patients receive invasive assessments of ICP. |
|
| D020196 |
| Trauma, Nervous System |
| D014947 | Wounds and Injuries |