AUTHOR=Li Cong , Wang Cui-Cui , Meng Yan , Fan Jia-Yu , Zhang Jie , Wang Li-Juan 

TITLE=Ultrasonic optic nerve sheath diameter could improve the prognosis of acute ischemic stroke in the intensive care unit

JOURNAL=Frontiers in Pharmacology

VOLUME=13

YEAR=2022

URL=https://www.frontiersin.org/journals/pharmacology/articles/10.3389/fphar.2022.1077131

DOI=10.3389/fphar.2022.1077131

ISSN=1663-9812

ABSTRACT=<p><bold>Objectives:</bold> Stroke patients with high intracranial pressure (ICP) may have poor prognosis. Non-invasive ultrasonic optic nerve sheath diameter (ONSD) could evaluate increased ICP. To investigate whether ONSD is valuable for prognosis of patients with acute ischemic stroke (AIS).</p><p><bold>Methods:</bold> AIS receiving intensive care were recruited with the Glasgow Coma Scale (GCS) score. Patients in group A underwent ultrasonic ONSD to assess ICP voluntarily, whereas group B without ONSD. Patients were followed up at discharge and once a week for 3 months with Glasgow Outcome Scale (GOS) score (four to five scores indicated good prognosis and one to three scores indicated poor prognosis).</p><p><bold>Results:</bold> Forty-nine patients were included. GCS scores did not differ significantly between groups A (26 patients) and B (8 ± 3 vs. 7 ± 3, <italic>p</italic> &lt; 0.05). In group A, ONSD was 5.01 ± 0.48 mm, which correlated with GCS score (<italic>p</italic> &lt; 0.05). At discharge, the GOS score was higher in group A than in group B (3.35 ± 1.35 vs. 2.57 ± 1.121, <italic>p</italic> = 0.034). The proportion of patients with a good prognosis was higher in group A than in group B (46.2% vs. 13.0%, <italic>p</italic> = 0.006). At discharge and after 3 months of follow-up, ONSD at admission was correlated with the GOS score in group A (r = -0.648 [<italic>p</italic> &lt; 0.05] and -0.731 [<italic>p</italic> &lt; 0.05], respectively). After 3 months of follow-up, the GOS score was higher in group A than group B (3.00 ± 1.673 vs. 2.04 ± 1.430, <italic>p</italic> &lt; 0.05). The proportion of patients with a good prognosis was higher in group A than in group B (46.2% vs. 21.2%, <italic>p</italic> = 0.039). The Kaplan-Meier curve showed a higher rate of good prognosis in group A than in group B. ONSD (<italic>p</italic> &lt; 0.05) was an independent predictor of poor prognosis.</p><p><bold>Conclusion:</bold> Non-invasive ultrasonic ONSD could be useful in improving the prognosis of patients with AIS receiving intensive care.</p>