About this trial
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.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Traumatic brain injury;
Received invasive ICP monitoring;
age ≥ 18 years old.
Disqualifiers
Severe eyeball / eyelid damage prevents transorbital ultrasound examination;
Allergy to ultrasound coupling agent;
Pregnant or lactating females.
Trial population
The study selects patients admitted to the neurosurgical intensive care unit of Central South University Xiangya Hospital.
Trial design
Case-only
Cross-sectional
Treatments tested in this trial
TCCD
Diagnostic testPatients receive non-invasive assessments of TCCD using bedside ultrasound.
ONSD
Diagnostic testPatients receive non-invasive assessments of ONSD using bedside ultrasound.
ODH
Diagnostic testPatients receive non-invasive assessments of ODH using bedside ultrasound.
Invasive ICP
Diagnostic testPatients receive invasive assessments of ICP.
Treatment groups
Trial outcomes
Primary outcomes
Sensitivity and specificity of TCCD
Sensitivity and specificity of diagnosing intracranial hypertension using TCCD
Sensitivity and specificity of ONSD
Sensitivity and specificity of diagnosing intracranial hypertension using ONSD
Sensitivity and specificity of ODH
Sensitivity and specificity of diagnosing intracranial hypertension using ODH
Secondary outcomes
Pearson correlation coefficient between ultrasound metrics and invasive ICP
Pearson correlation coefficient between metrics from bedside ultrasound and invasive ICP
Locations
Sponsors and contacts
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