ISSN: 1859 - 2872
Ultrasound measurement of optic nerve sheath diameter as a prognostic indicator of mortality in patients with acute intracerebral hemorrhage
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Objective: Study on ultrasound measurement of optic nerve sheath diameter (ONSD) for prognostication in acute intracerebral hemorrhage (ICH) patients. Subject and method: This descriptive, longitudinal study was conducted on 60 patients with acute ICH admitted to the Stroke Department of the 108 Military Central Hospital from October 2021 to August 2024. Result: 16/60 patients (26.67%) died within one month post-onset. Non-survivors had a higher rate of diabetes mellitus, renal failure, cirrhosis, and history of prior stroke compared to survivors. There were no statistically significant differences between the two groups in terms of Glasgow Coma Scale scores, hemorrhage location, Graeb score, Fisher score, hematoma volume, or midline shift degree. The study found that an increased ONSD correlated with a higher mortality rate and when ONSD ≥ 6mm, the mortality rate reached 40%. Predictive factors for one-month mortality included red blood cell count < 4T/l (OR: 63.64, 95% CI: 3.57 - 1132, p<0.05), ONSD ≥ 6mm (OR: 30.63, 95% CI: 2.26 - 415, p<0.05), and a history of diabetes mellitus (OR: 12.74, 95% CI: 1.26-128, p<0.05). Conclusion: Ultrasound measurement of ONSD is a convenient and effective method for predicting one-month mortality outcomes in patients with acute ICH.
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