International e-Delphi survey to define best practice in the reporting of intracranial pressure monitoring recording data

• Published in: Brain & spine 2024-01, Vol.4, p.102860, Article 102860
• Main Authors: Kommer, Maya, Hawthorne, Christopher, Moss, Laura, Piper, Ian, O'Kane, Roddy, Czosnyka, Marek, Enblad, Per, Hemphill, J Claude, Spiegelberg, Andreas, Riddell, John S., Shaw, Martin
• Format: Article
• Language: English
• Subjects: Hydrocephalus; Intracranial pressure monitoring; Traumatic brain injury
• ISSN: 2772-5294; 2772-5294
• DOI: 10.1016/j.bas.2024.102860

Intracranial pressure (ICP) monitoring is a very commonly performed neurosurgical procedure but there is a wide variation in how it is reported, hindering analysis of it. The current study sought to generate consensus on the reporting of ICP monitoring recording data. “What should be included in an ICP monitoring report?” The exercise was completed via a modified eDelphi survey. An expert panel discussion was held from which themes were identified and used to produce a code to annotate the transcript of the discussion. Statements were generated for a further two rounds of electronic questionnaires distributed via the REDcap platform. A Likert scale was used to grade agreement with each statement in the survey. A statement was accepted if more than 70% agreement was achieved between respondents. Data was collated using Microsoft Excel and analysed using R. 149 relevant statements were identified from the transcript and categorised into recording parameters, waveform characteristics or reporting. A total of 22 statements were generated for the first round of the survey which was answered by 39 respondents. Following the electronic round of surveys consensus was achieved for all but one statement regarding the acceptability of automating ICP reporting. This was put forward to a second round after which 79% agreement was reached. The themes and statements from this eDelphi can be used as a framework to allow the standardisation of the reporting of intracranial pressure monitoring data. •This paper describes the outcome of an international eDelphi survey to standardise of the reporting of intracranial pressure(ICP) monitoring.•The process of the method is described along with the results and accompanying justifications for each consensus statement.•This research adds a framework by which researchers and clinicians in the field of ICP can generate reports and analysis.