Prognostic value of measuring optic nerve sheath diameter at different times for assessment of neurological prognosis in cardiac arrest patients
10.3969/j.issn.1673-9701.2025.05.013
- VernacularTitle:不同时间测量视神经鞘直径评估心搏骤停患者神经功能预后的价值
- Author:
Jian ZHENG
1
;
Zhen TAO
1
;
Kun YANG
1
;
Zhongyu LIN
1
;
Shi CHEN
1
Author Information
1. 温州市中西医结合医院重症医学科,浙江温州 325000
- Publication Type:Journal Article
- Keywords:
Cardiac arrest;
Optic nerve sheath diameter;
Prognostic;
Ultrasonography
- From:
China Modern Doctor
2025;63(5):45-48
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the value of measuring optic nerve sheath diameter(ONSD)at different times after the return of spontaneous circulation(ROSC)in evaluating the neurological function prognosis of patients with cardiac arrest(CA).Methods A total of 48 patients who successfully resuscitated from CA and transferred to the ICU in Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine from March 2021 to June 2024 were selected as subjects.ONSD was measured initially,12 to 24h,day 2 and day 3 after ROSC.According to the brain function score of 3 months after treatment cerebral performance categories(CPC),the patients were divided into poor neurological group(CPC 3-5 points,n=24)and neurological good group(CPC 1-2 points,n=24).The predictive value of ONSD measurements at each time for neurological outcome in CA patients was analyzed using receiver operating characteristic curves.Results There were significant difference in ONSD from 12 to 24 h,days 2 and 3 between two groups(P＜0.001),and the area under the curve were 0.785,0.837 and 0.841,respectively.Conclusion Measuring the ONSD by ultrasonography at 12-24 hours,day 2,and day 3 after ROSC in post-CA patients have good value in predicting neurologic prognosis.Measurement of ONSD on day 2 may be the optimal time to evaluate the neurological prognosis of patients after CA.
