دورية أكاديمية
أعرض في EDS

Incidence and Risk Model of Post-Traumatic Hydrocephalus in Patients with Traumatic Brain Injury.

التفاصيل البيبلوغرافية
العنوان: Incidence and Risk Model of Post-Traumatic Hydrocephalus in Patients with Traumatic Brain Injury.
المؤلفون: Pan J; Department of Neurological Surgery, University of Washington School of Medicine, Seattle, Washington, USA. Electronic address: jamespan@uw.edu., Feroze AH; Department of Neurological Surgery, University of Washington School of Medicine, Seattle, Washington, USA; Department of Neurological Surgery, University of Louisville School of Medicine, Louisville, Kentucky, USA., McGrath M; Department of Neurological Surgery, University of Washington School of Medicine, Seattle, Washington, USA., Eaton J; Department of Neurological Surgery, University of Washington School of Medicine, Seattle, Washington, USA., Abecassis IJ; Department of Neurological Surgery, University of Washington School of Medicine, Seattle, Washington, USA; Harborview Injury Prevention Research Center, University of Washington School of Medicine, Seattle, Washington, USA., Temkin N; Department of Neurological Surgery, University of Washington School of Medicine, Seattle, Washington, USA., Chesnut RM; Department of Neurological Surgery, University of Washington School of Medicine, Seattle, Washington, USA., Bonow RH; Department of Neurological Surgery, University of Washington School of Medicine, Seattle, Washington, USA; Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
المصدر: World neurosurgery [World Neurosurg] 2024 May; Vol. 185, pp. e491-e499. Date of Electronic Publication: 2024 Feb 16.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: United States NLM ID: 101528275 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1878-8769 (Electronic) Linking ISSN: 18788750 NLM ISO Abbreviation: World Neurosurg Subsets: MEDLINE
أسماء مطبوعة: Original Publication: New York : Elsevier
مواضيع طبية MeSH: Brain Injuries, Traumatic*/complications , Brain Injuries, Traumatic*/epidemiology , Brain Injuries, Traumatic*/surgery , Hydrocephalus*/etiology , Hydrocephalus*/surgery , Hydrocephalus*/epidemiology, Humans ; Male ; Female ; Incidence ; Adult ; Retrospective Studies ; Middle Aged ; Risk Factors ; Young Adult ; Adolescent ; Child ; Aged ; Child, Preschool ; Cohort Studies ; Glasgow Coma Scale ; Infant
مستخلص: Objective: Post-traumatic hydrocephalus (PTH) is a complication following traumatic brain injury (TBI). Early diagnosis and treatment are essential to improving outcomes. We report the incidence and risk factors of PTH in a large TBI population while considering death as a competing risk.
Methods: We conducted a retrospective cohort study on consecutive TBI patients with radiographic intracranial abnormalities admitted to our academic medical center from 2009 to 2015. We assessed patient demographics, perioperative data, and in-hospital data as risk factors for PTH using survival analysis with death as a competing risk.
Results: Among 7,473 patients, the overall incidence of PTH requiring shunt surgery was 0.94%. The adjusted cumulative incidence was 0.99%. The all-cause cumulative hazard for death was 32.6%, which was considered a competing risk during analysis. Craniectomy (HR 11.53, P < 0.001, 95% CI 5.57-223.85), venous sinus injury (HR 4.13, P = 0.01, 95% CI 1.53-11.16), and age ≤5 (P < 0.001) were significant risk factors for PTH. Glasgow Coma Score (GCS) > 13 was protective against shunt placement (HR 0.50, P = 0.04, 95% CI 0.26-0.97). Shunt surgery occurred after hospital discharge in 60% of patients.
Conclusions: We describe the incidence and risk factors for PTH in a large traumatic brain injury (TBI) population. Most cases of PTH were diagnosed after hospital discharge, suggesting that close follow-up and multidisciplinary diagnostic vigilance for PTH are needed to prevent morbidity and disability.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: Hydrocephalus; Trauma; Ventriculoperitoneal shunt
تواريخ الأحداث: Date Created: 20240218 Date Completed: 20240514 Latest Revision: 20240626
رمز التحديث: 20240627
DOI: 10.1016/j.wneu.2024.02.060
PMID: 38369109
قاعدة البيانات: MEDLINE
الوصف
تدمد:1878-8769
DOI:10.1016/j.wneu.2024.02.060