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Cerebrospinal Fluid Output as a Risk Factor of Chronic Hydrocephalus After Aneurysmal Subarachnoid Hemorrhage

التفاصيل البيبلوغرافية
العنوان: Cerebrospinal Fluid Output as a Risk Factor of Chronic Hydrocephalus After Aneurysmal Subarachnoid Hemorrhage
المؤلفون: Jordi Rimbau Muñoz, Juan Francisco Julian, Ferran Brugada, Lucia Muñoz-Narbona, Belen Menendez, Ana Cristina Perez-Balaguero, Maite Misis, Carlos J. Domínguez, Roser Garcia-Armengol, Paloma Puyalto, Ana Rodríguez-Hernández
المصدر: World Neurosurgery
r-IGTP. Repositorio Institucional de Producción Científica del Instituto de Investigación Germans Trias i Pujol
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بيانات النشر: Elsevier BV, 2021.
سنة النشر: 2021
مصطلحات موضوعية: Male, Cerebrospinal fluid (CSF) output, medicine.medical_specialty, Subarachnoid hemorrhage, Aneurysmal subarachnoid hemorrhage, Sensitivity and Specificity, Cerebrospinal fluid, Risk Factors, Aneurysm treatment, Internal medicine, medicine, Humans, Prospective Studies, Risk factor, Aged, Univariate analysis, business.industry, External ventricular drainage, Middle Aged, Subarachnoid Hemorrhage, medicine.disease, Chronic hydrocephalus, Cerebrospinal Fluid Shunts, nervous system diseases, Hydrocephalus, Cardiology, Female, Surgery, Neurology (clinical), Complication, business
الوصف: BACKGROUND: Chronic shunt-dependent hydrocephalus is a well-known complication of subarachnoid hemorrhage. Although the risk factors have been extensively investigated, most fail to predict permanent shunt dependency. It is unknown whether the volume of cerebrospinal fluid (CSF) from external ventricular drainage and the daily volume of drainage during the acute hydrocephalus phase (first 72 hours) can predict shunt dependency. We aimed to determine whether CSF output during the acute hydrocephalus phase is a risk factor for shunt dependency. -METHODS: Patients with aneurysmal subarachnoid hemorrhage and hydrocephalus treated with external ventricular drainage were prospectively registered in our database between January 2017 and March 2020. Factors evaluated for predicting shunt dependency included age; sex; Hunt and Hess grade; World Federation of Neurological Surgeons grade; acute hydrocephalus; modified Fisher grade; aneurysm treatment modality; hospital length of stay; modified Rankin score; average daily overall CSF production; average CSF output for the first 24, 48, and 72 hours; external ventricular drainage days; the number of wean/clamp failures; and ventriculoperitoneal shunting. -RESULTS: Univariate analysis identified Hunt and Hess grade; acute hydrocephalus at onset; external ventricular drainage; overall CSF output; average CSF output for the first 24, 48, and 72 hours; and CSF output until the first clamp as significant risk factors for shunt dependency (P < 0.001). In a multivariate logistic regression analysis, overall CSF output and average CSF output for the first 72 hours were significant risk factors for shunt dependency. -CONCLUSIONS: Overall CSF output, especially during the acute hydrocephalus phase (first 72 hours), predicts the development of chronic hydrocephalus.
تدمد: 1878-8750
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::0f03d398bfeb9de9b58056e563533eb6
https://fundanet.igtp.cat/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=1840
حقوق: OPEN
رقم الأكسشن: edsair.doi.dedup.....0f03d398bfeb9de9b58056e563533eb6
قاعدة البيانات: OpenAIRE
الوصف
تدمد:18788750