Risk factors for delayed intracranial hemorrhage secondary to ventriculoperitoneal shunt: A retrospective study.
World J Clin Cases
; 10(21): 7302-7313, 2022 Jul 26.
Article
em En
| MEDLINE
| ID: mdl-36158027
ABSTRACT
BACKGROUND:
Delayed intracranial hemorrhage (DICH), a potential complication of ventriculoperitoneal (VP) shunts, has been associated with high mortality, but its risk factors are still unclear.AIM:
To investigate the risk factors of DICH after VP shunts.METHODS:
We compared the demographic and clinical characteristics of DICH and non-DICH adult patients with VP shunts between January 2016 and December 2020.RESULTS:
The 159 adult VP shunt patients were divided into 2 groups according to the development of DICH the DICH group (n = 26) and the non-DICH group (n = 133). No statistically significant difference was found in age, sex, laboratory examination characteristics or preoperative modified Rankin Scale (mRS) score between the DICH and non-DICH groups (P > 0.05); however, a history of an external ventricular drain (EVD) [P = 0.045; odds ratio (OR) 2.814; 95%CI 1.024-7.730] and postoperative brain edema around the catheter (P < 0.01; OR 8.397; 95%CI 3.043-23.171) were associated with a high risk of DICH. A comparison of preoperative mRS scores between the DICH group and the non-DICH group showed no significant difference (P = 0.553), while a significant difference was found in the postoperative mRS scores at the 3-mo follow-up visit (P = 0.024).CONCLUSION:
A history of EVD and postoperative brain edema around the catheter are independent risk factors for DICH in VP shunt patients. DICH patients with a high mRS score are vulnerable to poor clinical outcomes.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article