Bir Pilot Çalışma: Kritik Hasta Yönetimi İçin Ölçülen Sonografik Optik Sinir Kılıfı Kalınlığına COVID-19'un Etkisi

Öz

Amaç: Bu çalışmanın amacı, Coronavirüs hastalığı 2019’un merkezi sinir sistemi üzerindeki etkileri ile ilişkili olarak; sonografik optik sinir kılıf çapı ölçümünün güvenilirliğini değerlendirmek ve böylece klinik pratikte olası yanıltıcı sonuçları önlemektir. Gereç ve Yöntem: Her gönüllü öncelikle karotis sistemi renkli Doppler ultrasonografi kullanılarak değerlendirildi. PCR ile doğrulanmış Coronavirüs hastalığı 2019 enfeksiyonu öyküsü olan hastalar grup 1, Coronavirüs hastalığı 2019 enfeksiyonu öyküsü olmayan hastalar ise grup 2 olarak sınıflandırılarak her iki grubun sonografik optik sinir kılıfı çapı değerleri analiz edildi. Bulgular: Çalışmaya dahil edilen 123 hastanın 70’i (%56,9) kadın, 58’i (%43,1) erkekti. Çalışmaya dahil edilen hastaların 83’ü (%67,5) grup 1’de, 40’ı (%32,5) grup 2’de yer aldı. Grupların ortalama sonografik optik sinir kılıfı çapı değerleri sırasıyla 3,53 mm ve 3,46 mm idi. Gruplar için iki göz arasındaki sonografik optik sinir kılıf çapı farkları 0,203±0,139 mm ve 0,282±0,2 mm olarak belirlendi. Sonuç: Severe Acute Respiratory Syndrome Coronavirus-2’nin değişken etkileri nedeniyle, kritik hasta yönetimi için mevcut standartlarda sonografik optik sinir kılıf çapı ölçümünün kullanılması yanlış pozitif veya yanlış negatif sonuçlara yol açabilir.

Anahtar Kelimeler

• COVID-19
• Kritik hasta
• Optik sinir
• Pandemi
• Ultrasonografi

A Pilot Study: The Effect of COVID-19 on Sonographic Optic Nerve Sheath Diameter Measured for Critical Patient Management

Öz

Objective: The aim of this study is to evaluate the effects of the Coronavirus disease 2019 on sonographic optic nerve sheath diameter measurement and thus avoid possible misleading results in clinical practice. Material and Method: Each volunteer was first evaluated using carotid system color Doppler ultrasonography. Patients with a history of PCR-confirmed Coronavirus disease 2019 infection were classified as group 1 and patients without a history of Coronavirus disease 2019 infection were classified as group 2, and sonographic optic nerve sheath diameter values of both groups were analyzed. Results: Of the 123 patients included in the study, 70 (56.9%) were female and 58 (43.1%) were male. 83 (67.5%) of the patients included in the study were in group 1 and 40 (32.5%) were in group 2. The mean sonographic optic nerve sheath diameter values for the groups were 3.53 mm and 3.46 mm, respectively. The sonographic optic nerve sheath diameter differences between the two eyes for the groups were determined to be 0.203±0.139 mm and 0.282±0.2 mm. Conclusion: Due to the variable effects of Severe Acute Respiratory Syndrome Coronavirus-2, the use of sonographic optic nerve sheath diameter measurement in current standards for critical patient management may lead to false-positive or false-negative results.

Anahtar Kelimeler

• COVID-19
• pandemic
• optic nerve
• ultrasonography
• critical patient

Teşekkür

We thank Dr. Erdal KOMUT for his editing of the manuscript.

Kaynakça

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