Intracranial pressure and brain monitoring XIII : mechanisms and treatment

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A total of 14 studies including 24, patients were analyzed. However, 7 of the studies including 12, patients were published after January to October , and they revealed that ICP monitoring was significantly associated with a greater decrease in mortality than no ICP monitoring pooled OR 0.

Fluid therapy of brain edema and intracranial hypertension in children

In addition, 7 of the studies conducted in North America showed no evidence that ICP monitoring decreased the risk of death, similar to the studies conducted in other regions. In this systematic review and meta-analysis of ICP monitoring studies, the authors found that the current clinical evidence does not indicate that ICP monitoring overall is significantly superior to no ICP monitoring in terms of the mortality of TBI patients.

However, studies published after indicated a lower mortality in patients who underwent ICP monitoring.


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Identification process for eligible studies. Of the studies initially identified from our electronic search, 14 met the inclusion criteria and were included in this meta-analysis. Figure is available in color online only.

Funnel plot for all studies included in the meta-analysis. Funnel plot for the studies including only severe TBI patients. J Neurotrauma 30 : — Crit Care Med 40 : — BMJ : Intracranial pressure thresholds.

J Neurotrauma 24 : Suppl 1 S55 — S58 Erratum in J Neurotrauma — Crit Care Med 30 : — Editor's commentary. J Neurotrauma 24 Suppl 1 : vii — viii N Engl J Med : — J Neurosurg : — World Neurosurg 80 : — Lancet : — Can J Neurol Sci 37 : 43 — 48 Anaesth Intensive Care 39 : — Evid Based Med 14 : 67 BMJ : — J Clin Neurosci 14 : — NeuroRehabilitation 22 : — J Neurosurg 92 : 1 — 6 Can J Surg 43 : — Wien Klin Wochenschr : 46 — 55 Intensive Care Med 34 : — J Neurotrauma 24 : — Nat Rev Neurol 9 : — Ropper AH : Brain in a box.

Sahjpaul R Girotti M : Intracranial pressure monitoring in severe traumatic brain injury—results of a Canadian survey.


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Can J Neurol Sci 27 : — J Trauma 64 : — Acta Neurochir Wien : — Crit Care Med 36 : — Zeng J Tong W Zheng P : Decreased risk of acute kidney injury with intracranial pressure monitoring in patients with moderate or severe brain injury. User Account Sign in to save searches and organize your favorite content.

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Impact of intracranial pressure monitoring on mortality in patients with traumatic brain injury: a systematic review and meta-analysis. No customer reviews. Share your thoughts with other customers. Write a customer review.

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