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Optic nerve sheath diameter sonography for the diagnosis of increased intracranial pressure: a systematic review and meta-analysis protocol

INTRODUCTION: Increased intracranial pressure (ICP) is a significant neurological issue that may lead to permanent neurological sequelae. When evaluating patients with traumatic brain injury, it is crucial to identify those with high ICP in order to expedite ICP lowering measures and maintain adequa...

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Autores principales: Koziarz, Alex, Sne, Niv, Kegel, Fraser, Alhazzani, Waleed, Nath, Siddharth, Badhiwala, Jetan H, Rice, Timothy, Engels, Paul, Samir, Faidi, Healey, Andrew, Kahnamoui, Kamyar, Banfield, Laura, Sharma, Sunjay, Reddy, Kesava, Hawryluk, Gregory W J, Kirkpatrick, Andrew W, Almenawer, Saleh A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5629711/
https://www.ncbi.nlm.nih.gov/pubmed/28801417
http://dx.doi.org/10.1136/bmjopen-2017-016194
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author Koziarz, Alex
Sne, Niv
Kegel, Fraser
Alhazzani, Waleed
Nath, Siddharth
Badhiwala, Jetan H
Rice, Timothy
Engels, Paul
Samir, Faidi
Healey, Andrew
Kahnamoui, Kamyar
Banfield, Laura
Sharma, Sunjay
Reddy, Kesava
Hawryluk, Gregory W J
Kirkpatrick, Andrew W
Almenawer, Saleh A
author_facet Koziarz, Alex
Sne, Niv
Kegel, Fraser
Alhazzani, Waleed
Nath, Siddharth
Badhiwala, Jetan H
Rice, Timothy
Engels, Paul
Samir, Faidi
Healey, Andrew
Kahnamoui, Kamyar
Banfield, Laura
Sharma, Sunjay
Reddy, Kesava
Hawryluk, Gregory W J
Kirkpatrick, Andrew W
Almenawer, Saleh A
author_sort Koziarz, Alex
collection PubMed
description INTRODUCTION: Increased intracranial pressure (ICP) is a significant neurological issue that may lead to permanent neurological sequelae. When evaluating patients with traumatic brain injury, it is crucial to identify those with high ICP in order to expedite ICP lowering measures and maintain adequate cerebral perfusion. Several measures are used to recognise patients with increased ICP including CT scan, MRI, ICP monitor, and lumbar puncture (LP). However, these tests can be invasive, associated with radiation exposure, contraindicated, or not readily available. Ultrasonography measurement of the optic nerve sheath diameter (ONSD) is proposed as a non-invasive and quick measure to identify high ICP. The aim of this systematic review and meta-analysis will be to examine the accuracy of ONSD sonography for increased ICP diagnosis. METHODS AND ANALYSES: We will include published and unpublished randomised controlled trials, observational studies, and abstracts, with no publication type or language restrictions. Search strategies will be designed to peruse the MEDLINE, Embase, Web of Science, WHO Clinical Trials, ClinicalTrials.gov, CINAHL, and the Cochrane Library databases. We will also implement strategies to search grey literature. Two reviewers will independently complete data abstraction and conduct quality assessment. Included studies will be assessed using the Quality Assessment of Diagnostic Accuracy Studies-2 (QUADAS-2) tool. We will construct the hierarchical summary receiver operating characteristic curve for included studies and pool sensitivity and specificity using the bivariate model. We also plan to conduct prespecified subgroup analyses to explore heterogeneity. The overall quality of evidence will be rated using Grading of Recommendations, Assessment, Development and Evaluations (GRADE). ETHICS AND DISSEMINATION: Research ethics board approval is not required for this study as it draws from published data and raises no concerns related to patient privacy. This review will provide a comprehensive assessment of the evidence on ONSD sonography diagnostic accuracy and is directed to a wide audience. Results from the review will be disseminated extensively through conferences and submitted to a peer-reviewed journal for publication. PROSPERO REGISTRATION NUMBER: CRD42017055485. CLINICAL TRIAL NUMBER: Trial registration number is NCT00783809.
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spelling pubmed-56297112017-10-11 Optic nerve sheath diameter sonography for the diagnosis of increased intracranial pressure: a systematic review and meta-analysis protocol Koziarz, Alex Sne, Niv Kegel, Fraser Alhazzani, Waleed Nath, Siddharth Badhiwala, Jetan H Rice, Timothy Engels, Paul Samir, Faidi Healey, Andrew Kahnamoui, Kamyar Banfield, Laura Sharma, Sunjay Reddy, Kesava Hawryluk, Gregory W J Kirkpatrick, Andrew W Almenawer, Saleh A BMJ Open Diagnostics INTRODUCTION: Increased intracranial pressure (ICP) is a significant neurological issue that may lead to permanent neurological sequelae. When evaluating patients with traumatic brain injury, it is crucial to identify those with high ICP in order to expedite ICP lowering measures and maintain adequate cerebral perfusion. Several measures are used to recognise patients with increased ICP including CT scan, MRI, ICP monitor, and lumbar puncture (LP). However, these tests can be invasive, associated with radiation exposure, contraindicated, or not readily available. Ultrasonography measurement of the optic nerve sheath diameter (ONSD) is proposed as a non-invasive and quick measure to identify high ICP. The aim of this systematic review and meta-analysis will be to examine the accuracy of ONSD sonography for increased ICP diagnosis. METHODS AND ANALYSES: We will include published and unpublished randomised controlled trials, observational studies, and abstracts, with no publication type or language restrictions. Search strategies will be designed to peruse the MEDLINE, Embase, Web of Science, WHO Clinical Trials, ClinicalTrials.gov, CINAHL, and the Cochrane Library databases. We will also implement strategies to search grey literature. Two reviewers will independently complete data abstraction and conduct quality assessment. Included studies will be assessed using the Quality Assessment of Diagnostic Accuracy Studies-2 (QUADAS-2) tool. We will construct the hierarchical summary receiver operating characteristic curve for included studies and pool sensitivity and specificity using the bivariate model. We also plan to conduct prespecified subgroup analyses to explore heterogeneity. The overall quality of evidence will be rated using Grading of Recommendations, Assessment, Development and Evaluations (GRADE). ETHICS AND DISSEMINATION: Research ethics board approval is not required for this study as it draws from published data and raises no concerns related to patient privacy. This review will provide a comprehensive assessment of the evidence on ONSD sonography diagnostic accuracy and is directed to a wide audience. Results from the review will be disseminated extensively through conferences and submitted to a peer-reviewed journal for publication. PROSPERO REGISTRATION NUMBER: CRD42017055485. CLINICAL TRIAL NUMBER: Trial registration number is NCT00783809. BMJ Publishing Group 2017-08-11 /pmc/articles/PMC5629711/ /pubmed/28801417 http://dx.doi.org/10.1136/bmjopen-2017-016194 Text en © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Diagnostics
Koziarz, Alex
Sne, Niv
Kegel, Fraser
Alhazzani, Waleed
Nath, Siddharth
Badhiwala, Jetan H
Rice, Timothy
Engels, Paul
Samir, Faidi
Healey, Andrew
Kahnamoui, Kamyar
Banfield, Laura
Sharma, Sunjay
Reddy, Kesava
Hawryluk, Gregory W J
Kirkpatrick, Andrew W
Almenawer, Saleh A
Optic nerve sheath diameter sonography for the diagnosis of increased intracranial pressure: a systematic review and meta-analysis protocol
title Optic nerve sheath diameter sonography for the diagnosis of increased intracranial pressure: a systematic review and meta-analysis protocol
title_full Optic nerve sheath diameter sonography for the diagnosis of increased intracranial pressure: a systematic review and meta-analysis protocol
title_fullStr Optic nerve sheath diameter sonography for the diagnosis of increased intracranial pressure: a systematic review and meta-analysis protocol
title_full_unstemmed Optic nerve sheath diameter sonography for the diagnosis of increased intracranial pressure: a systematic review and meta-analysis protocol
title_short Optic nerve sheath diameter sonography for the diagnosis of increased intracranial pressure: a systematic review and meta-analysis protocol
title_sort optic nerve sheath diameter sonography for the diagnosis of increased intracranial pressure: a systematic review and meta-analysis protocol
topic Diagnostics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5629711/
https://www.ncbi.nlm.nih.gov/pubmed/28801417
http://dx.doi.org/10.1136/bmjopen-2017-016194
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