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Table 1 Characteristics of the patients included in our cohort, according to underlying brain diseases

From: Multimodal non-invasive assessment of intracranial hypertension: an observational study

 

ALL (n = 100)

TBI (n = 30)

SAH (n = 47)

ICH (n = 23)

Demographics

Age, years

52 [44–62]

48 [31–62]

53 [46–59]

55 [44–65]a

Male,n(%)

55 (55)

20 (67)

22 (47)

11 (57)

ICU length of stay (days)

16 [11–23]

16 [12–23]

16 [12–23]

17 [11–23]

GCS on admission

8 [5–12]

7 [4–10]

9 [5–13]

9 [7–13]

Days from admission to ICP assessment

2 [2–3]

2 [2–3]

2 [2–3]

2 [2–3]

Comorbidities

Chronic heart failure,n(%)

2 (2)

1 (3)

–

1 (4)

Diabetes,n(%)

8 (8)

–

4 (9)

4 (17)

COPD/asthma,n(%)

6 (6)

1 (3)

4 (9)

1 (4)

Chronic hemodialysis,n(%)

–

–

–

–

Liver cirrhosis,n(%)

4 (10)

2 (7)

2 (4)

–

HIV,n(%)

2 (2)

–

1 (2)

1 (4)

Cancer,n(%)

1 (1)

1 (3)

–

–

Alcohol

16 (16)

6 (20)

9 (19)

1 (4)

On the day of ICP assessment

Sedatives,n(%)

39 (39)

17 (57)

19 (40)

3 (13)a,b

Opioids,n(%)

55 (55)

21 (70)

24 (51)

10 (43)

Barbiturates,n(%)

7 (7)

3 (10)

3 (6)

1 (4)

Vasopressors,n(%)

60 (60)

22 (73)

33 (70)

5 (22)a,b

NMBAs,n(%)

11 (11)

4 (13)

6 (13)

1 (4)

Surgical procedures,n(%)

43 (43)

19 (63)

13 (28)a

11 (48)

Decompressive craniectomy,n(%)

4 (4)

4 (13)

–

–

Posterior fossa impairment,n(%)

10 (10)

4 (13)

3 (6)

3 (13)

GCS

7 [3–10]

6 [3–8]

7 [3–11]

9 [3–12] a

Invasive and non-invasive ICP assessment

Intracranial pressure, mmHg

17 [12–25]

20 [13–26]

14 [12–23]

15 [12–23]

Intracranial hypertension,n(%)

37 (37)

15 (50)

15 (32)

7 (30)

Cerebral perfusion pressure, mmHg

77 [68–88]

75 [67–86]

78 [70–90]

82 [66–91]

Mean ONSD, mm

5.2 [4.8–5.8]

5.2 [4.8–5.7]

5.2 [4.9–5.9]

4.8 [4.5–5.6]

Mean CBFDV, cm/s

44 [34–56]

43 [38–52]

51 [36–60]

42 [32–50]

Mean PI

0.93 [0.83–1.16]

1.01 [0.90–1.15]

0.89 [0.81–1.14]

0.91 [0.83–1.11]

eICP, mmHg

18 [13–24]

19 [15–24]

16 [12–21]

18 [13–24]

Mean NPI

4.2 [3.8–4.6]

4.1 [3.6–4.3]

4.2 [3.6–4.6]

4.5 [4.0–4.7]

Morbidity and outcomes

MV during ICU stay,n(%)

81 (81)

23 (77)

39 (83)

19 (83)

Osmotic therapy during ICU stay,n(%)

63 (63)

22 (73)

27 (57)

14 (61)

Hypothermia during ICU stay,n(%)

10 (10)

1 (3)

9 (19) a

–

ICU mortality,n(%)

30 (30)

11 (37)

12 (26)

7 (30)

GOS at hospital discharge

3 [1–4]

4 [1–4]

4 [2–5]

3 [1–4]

  1. ICU intensive care unit, GCS Glasgow Coma Scale, COPD chronic obstructive pulmonary disease, HIV human immunodeficiency virus, NMBA neuromuscular blocking agents, ONSD optic nerve sheath diameter, CBFDV cerebral blood flow diastolic velocity, PI pulsatility index, ICP intracranial pressure, eICP estimated intracranial pressure, NPI neurological pupil index, MV mechanical ventilation, GOS Glasgow Outcome Scale
  2. ap < 0.05 vs. TBI
  3. bp < 0.05 vs. SAH