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Table 2 Factors Associated with the Presence of Brain Herniation Syndrome

From: Quantitative assessments of pupillary light reflexes in hospital-onset unresponsiveness

Factor

Univariable analysis

OR (95% CI)

p value

Multivariable analysis

Adjusted OR (95% CI)

p value

Age, yr

0.95 (0.93–0.97)

<  0.001

0.97 (0.94–0.99)

0.014

Male sex

1.00 (0.49–2.10)

0.987

  

Modified Rankin Scale before admission ≥4

0.32 (0.11–0.77)

0.017

  

Comorbidities

 Hypertension

0.40 (0.18–0.85)

0.021

  

 Diabetes mellitus

0.27 (0.09–0.68)

0.011

  

 Cardiac disease

0.71 (0.32–1.49)

0.384

  

 Chronic lung disease

0.47 (0.07–1.74)

0.331

  

 Chronic liver disease

2.25 (0.94–5.12)

0.058

  

 Chronic kidney disease

0.32 (0.07–0.96)

0.072

  

 Cancer

1.04 (0.49–2.13)

0.911

  

 Previous stroke

0.59 (0.16–1.63)

0.357

  

Findings on NAT activation

 Glasgow Coma Scale

0.79 (0.67–0.93)

0.005

0.83 (0.71–0.98)

0.027

 Hypotension

1.61 (0.43–4.97)

0.431

  

 Tachycardia

1.78 (0.83–4.10)

0.151

  

Quantitative measures on pupillometry

 NPi

0.54 (0.42–0.68)

<  0.001

0.57 (0.45–0.74)

<  0.001

 Max, mm

1.75 (1.32–2.37)

<  0.001

1.54 (1.14–2.09)

<  0.001

 Min, mm

1.74 (1.23–2.54)

0.002

1.51 (1.03–2.21)

0.034

 CH, %

0.96 (0.92–1.00)

0.066

  

 CV, mm/sec

0.76 (0.46–1.20)

0.273

  

 Lat, msec

1.00 (0.99–1.00)

0.227

  

 DV, mm/sec

0.42 (0.14–1.16)

0.111

  
  1. CH percentage of change (CH = 100 × [Max – Min]/Max), CI confidence interval, CV constriction velocity, DV dilation velocity, Lat latency of constriction, Max maximal pupillary diameter, Min minimal pupillary diameter, NAT Neurological Alert Team, NPi Neurological Pupil index, OR odds ratio