دورية أكاديمية
Describing Anisocoria in Neurocritically Ill Patients.
| العنوان: | Describing Anisocoria in Neurocritically Ill Patients. |
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| المؤلفون: | Saju C; Ciji Saju is an assistant nurse manager, University of Texas Southwestern Medical Center, Dallas, Texas., Barnes A; Arianna Barnes is a clinical nurse specialist at Barnes-Jewish Hospital, St Louis, Missouri., Kuramatsu JB; Joji B. Kuramatsu is a professor at University of Erlangen-Nuremberg, Erlangen, Germany., Marshall JL; Jade L. Marshall is a clinical research associate, University of Texas Southwestern Medical Center., Obinata H; Hirofumi Obinata is a research associate at Nippon Medical School, Tokyo, Japan., Puccio AM; Ava M. Puccio is an associate professor at University of Pittsburgh, Pennsylvania., Yokobori S; Shoji Yokobori is a professor at Nippon Medical School., Olson DM; DaiWai M. Olson is a professor at University of Texas Southwestern Medical Center. |
| مؤلفون مشاركون: | END-PANIC Investigators |
| المصدر: | American journal of critical care : an official publication, American Association of Critical-Care Nurses [Am J Crit Care] 2023 Nov 01; Vol. 32 (6), pp. 402-409. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: American Association Of Critical-Care Nurses (AACN) Country of Publication: United States NLM ID: 9211547 Publication Model: Print Cited Medium: Internet ISSN: 1937-710X (Electronic) Linking ISSN: 10623264 NLM ISO Abbreviation: Am J Crit Care Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Aliso Viejo Ca : American Association Of Critical-Care Nurses (AACN) |
| مواضيع طبية MeSH: | Anisocoria* , Light*, Humans ; Female ; Middle Aged ; Pupil |
| مستخلص: | Background: Anisocoria (unequal pupil size) has been defined using cut points ranging from greater than 0.3 mm to greater than 2.0 mm for absolute difference in pupil size. This study explored different pupil diameter cut points for assessing anisocoria as measured by quantitative pupillometry before and after light stimulus. Methods: An exploratory descriptive study of international registry data was performed. The first observations in patients with paired left and right quantitative pupillometry measurements were included. Measurements of pupil size before and after stimulus with a fixed light source were used to calculate anisocoria. Results: The sample included 5769 patients (mean [SD] age, 57.5 [17.6] years; female sex, 2558 patients [51.5%]; White race, 3669 patients [75.5%]). Anisocoria defined as pupil size difference of greater than 0.5 mm was present in 1624 patients (28.2%) before light stimulus; 645 of these patients (39.7%) also had anisocoria after light stimulus (P < .001). Anisocoria defined as pupil size difference of greater than 2.0 mm was present in 79 patients (1.4%) before light stimulus; 42 of these patients (53.2%) also had anisocoria after light stimulus (P < .001). Discussion: The finding of anisocoria significantly differed before and after light stimulus and according to the cut point used. At most cut points, fewer than half of the patients who had anisocoria before light stimulus also had anisocoria after light stimulus. Conclusion: The profound difference in the number of patients adjudicated as having anisocoria using different cut points reinforces the need to develop a universal definition for anisocoria. (©2023 American Association of Critical-Care Nurses.) |
| تواريخ الأحداث: | Date Created: 20231031 Date Completed: 20231102 Latest Revision: 20231117 |
| رمز التحديث: | 20231215 |
| DOI: | 10.4037/ajcc2023558 |
| PMID: | 37907374 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey | تدمد: | 1937-710X |
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| DOI: | 10.4037/ajcc2023558 |