Table 2 Change in ONSD by Altitude, AMS score, heart rate, and oxygen saturations
AltitudeMean ONSD* (95% CI)p Value
    0 4.67 (4.45 to 4.89)Ref
    2000 000 4.90 (4.67 to 5.13)0.12
    3700 700 4.95 (4.72 to 5.18)0.06
    5200 200 5.18 (4.96 to 5.41)<0.001
    6400 400 5.31 (5.03 to 5.60)<0.001
    Per 1000 metre0.10 (0.05 to 0.14)<0.001
AMS score
    04.75 (4.58 to 4.91)Ref
    15.12 (4.87 to 5.37)<0.01
    25.10 (4.85 to 5.35)0.02
    35.24 (4.92 to 5.57)<0.01
    4+5.29 (5.01 to 5.56)0.001
    Per unit AMS score0.12 (0.06 to 0.18)<0.001
Resting heart rate (beats/min)†
    1st quintile (56, 47 to 59)4.67 (4.43 to 4.91)Ref
    2nd quintile (65, 60 to 71)4.79 (4.56 to 5.03)0.47
    3rd quintile (77, 74 to 81)4.96 (4.72 to 5.20)0.10
    4th quintile (89, 82 to 95)5.22 (4.98 to 5.47)<0.01
    5th quintile (106, 96 to 130)5.34 (5.10 to 5.59)<0.001
    Per 20 beats/min0.29 (0.17 to 0.41)<0.001
Oxygen saturation (%)†
    1st quintile (67, 56 to 74)5.23 (4.98 to 5.48)Ref
    2nd quintile (79, 75 to 82)5.25 (5.01 to 5.50)0.90
    3rd quintile (86, 83 to 89)4.97 (4.74 to 5.21)0.13
    4th quintile (94, 90 to 95)4.88 (4.59 to 5.16)0.06
    5th quintile (97, 96 to 97)4.70 (4.51 to 4.90)0.001
    Per 10% increase−0.20 (−0.29 to −0.11)<0.001
  • AMS, acute mountain sickness; HR, heart rate; ICP, intracranial pressure; ONSD, optic nerve sheath diameter; Ref, reference value.

  • *Allowing for repeated measures in the same individual, and adjusted for age, sex, right and left eye, assessment of scan quality, whether the ocular lens was visible in the scan, and for three people who had returned to 6400 metres after an earlier climb.

  • †Numbers in parentheses in first column are mean, range.