Optic nerve sheath diameter measurements to predict delayed neurological sequelae after carbon monoxide poisoning

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dc.authoridTEKIN, Yusuf Kenan/0000-0001-8047-4836
dc.contributor.authorTekin, Yusuf Kenan
dc.date.accessioned2024-10-26T18:03:52Z
dc.date.available2024-10-26T18:03:52Z
dc.date.issued2024
dc.departmentSivas Cumhuriyet Üniversitesi
dc.description.abstractObjectives: Delayed neurological sequelae are a major complication of carbon monoxide poisoning. However, today there is still no objective screening tool for predicting delayed neurological sequelae in patients with carbon monoxide poisoning. The present study aimed to assess the usefulness of optic nerve sheath diameter measurements in predicting delayed neurological sequelae after carbon monoxide poisoning. Methods: In this retrospective study, patients with a diagnosis of carbon monoxide poisoning in the emergency department from 2010 to 2021 were included in the study. Right and left optic nerve sheath diameters were calculated based on cranial computed tomography scans, and the presence of delayed neurological sequelae was evaluated. Results: The mean (+/- standard deviation) optic nerve sheath diameter in patients who developed delayed neurological sequelae was statistically significantly greater on both the right and left compared to patients who did not develop delayed neurological sequelae (right; 5.02 +/- 0.06 mm versus 4.89 +/- 0.07 mm, P < 0.001; left; 5.03 +/- 0.09 mm versus 4.85 +/- 0.10 mm, P < 0.001). A multivariate linear regression analysis revealed that carboxyhemoglobin and both right and left optic nerve sheath diameter were the factors associated with the delayed neurological sequelae. Discussion: The present study revealed that optic nerve sheath diameter measurements may be a useful screening tool to predict delayed neurological sequelae after carbon monoxide poisoning. The ability to predict a poor neurological prognosis in carbon monoxide poisoning is important for initiating early rehabilitation interventions and make help future trials. Limitations of this study include that normal optic nerve sheath diameters are not well established, and that not every patient underwent computed tomography. Conclusions: Optic nerve sheath diameters measurements may be a helpful screening tool for predicting delayed neurological sequelae after carbon monoxide poisoning.
dc.identifier.doi10.1080/15563650.2024.2323092
dc.identifier.endpage93
dc.identifier.issn1556-3650
dc.identifier.issn1556-9519
dc.identifier.issue2
dc.identifier.pmid38466623
dc.identifier.scopus2-s2.0-85187415405
dc.identifier.scopusqualityQ1
dc.identifier.startpage88
dc.identifier.urihttps://doi.org/10.1080/15563650.2024.2323092
dc.identifier.urihttps://hdl.handle.net/20.500.12418/28624
dc.identifier.volume62
dc.identifier.wosWOS:001183101200001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherTaylor & Francis Ltd
dc.relation.ispartofClinical Toxicology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectCarbon monoxide poisoning
dc.subjectdelayed neuropsychiatric syndrome
dc.subjectoptic nerve sheath diameter
dc.subjectcranial computed tomography
dc.subjecttoxicology
dc.titleOptic nerve sheath diameter measurements to predict delayed neurological sequelae after carbon monoxide poisoning
dc.typeArticle

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