Applications of Ocular Point-of-Care Ultrasound for Optic Nerve Sheath Assessment in the Emergency Setting: A Systematic Review.

IF 1.9 Q2 EMERGENCY MEDICINE Clinical and Experimental Emergency Medicine Pub Date : 2024-09-06 DOI:10.15441/ceem.24.249
Christopher D Yang, Christine K Kim, Melissa M Chang, Pooya Khosravi, Ajeet Pal Bayo Bhatia, Amanda Dos Santos, Kyle Dornhofer, Megan Guy, Edmund Hsu, Soheil Saadat, John C Fox
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Abstract

Objective: To evaluate the current body of literature pertaining to the use of ocular point-of-care ultrasound (POCUS) in the emergency department.

Methods: A comprehensive literature search was conducted on SCOPUS, Web of Science, MEDLINE, and Cochrane CENTRAL. Inclusion criteria included studies written in English only and primary clinical studies involving ocular POCUS scans in an emergency department setting. Exclusion criteria included non-primary studies (e.g. reviews or case reports), studies written in a non-English language, non-human studies, studies performed in a non-emergency setting, studies involving non-POCUS ocular ultrasound modalities, or studies published outside of the last decade. Data extraction was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendations.

Results: The initial search yielded 391 results with 153 duplicates. Of the remaining 238 studies selected for retrieval and screening, 24 met inclusion criteria. These 24 included studies encompassed 2448 patients across prospective, retrospective, cross sectional, and case series study designs. We found that a majority of included studies focus on the use of POCUS in the emergency department to measure ONSD as a proxy for papilledema and metabolic aberrations, while a minority use ocular POCUS to assist in the diagnosis of orbital fractures or posterior segment pathology.

Conclusion: The vast majority of articles investigating the use of ocular POCUS in recent years emphasize its utility in measuring ONSD and fluctuations in intracranial pressure, though additional outcomes of interest include posterior segment, orbit, and globe pathology.

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眼科护理点超声波在急诊视神经鞘评估中的应用:系统回顾。
目的评估目前与急诊科使用眼科护理点超声波(POCUS)相关的文献:方法:在 SCOPUS、Web of Science、MEDLINE 和 Cochrane CENTRAL 上进行了全面的文献检索。纳入标准包括仅以英语撰写的研究以及涉及急诊科眼科 POCUS 扫描的主要临床研究。排除标准包括非主要研究(如综述或病例报告)、用非英语撰写的研究、非人类研究、在非急诊环境下进行的研究、涉及非 POCUS 眼科超声模式的研究或过去十年以外发表的研究。数据提取以系统综述和荟萃分析首选报告项目(PRISMA)建议为指导:最初的搜索结果有 391 项,其中 153 项重复。在其余 238 项被选中进行检索和筛选的研究中,有 24 项符合纳入标准。这 24 项纳入研究涵盖了 2448 名患者,研究设计包括前瞻性、回顾性、横断面和病例系列研究。我们发现,大部分纳入的研究侧重于在急诊科使用 POCUS 测量 ONSD 作为乳头水肿和代谢畸变的替代指标,而少数研究则使用眼部 POCUS 协助诊断眼眶骨折或眼后节病变:结论:近年来,绝大多数研究眼科 POCUS 应用的文章都强调了其在测量 ONSD 和颅内压波动方面的实用性,但其他值得关注的结果还包括后段、眼眶和眼球病变。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
2.80
自引率
10.50%
发文量
59
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