Predicting factors for shunt-dependent hydrocephalus in patients with aneurysmal subarachnoid hemorrhage
| العنوان: | Predicting factors for shunt-dependent hydrocephalus in patients with aneurysmal subarachnoid hemorrhage |
|---|---|
| المؤلفون: | Sae Min Kwon, Dong-Won Kim, Young-Jun Lee, Kyu-Sun Choi, Hyoung-Joon Chun, Yung Ki Park, Hyeong-Joong Yi |
| المصدر: | Acta Neurochirurgica. 160:1407-1413 |
| بيانات النشر: | Springer Science and Business Media LLC, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Male, Pediatrics, medicine.medical_specialty, Subarachnoid hemorrhage, Fever, Urinary system, 03 medical and health sciences, Postoperative fever, Postoperative Complications, 0302 clinical medicine, medicine, Humans, medicine.diagnostic_test, business.industry, Intracranial Aneurysm, Interventional radiology, Middle Aged, Subarachnoid Hemorrhage, medicine.disease, Cerebrospinal Fluid Shunts, Hydrocephalus, 030220 oncology & carcinogenesis, Bacteremia, Drainage, Female, Surgery, Neurology (clinical), Neurosurgery, business, Meningitis, 030217 neurology & neurosurgery |
| الوصف: | Chronic hydrocephalus after aneurysmal subarachnoid hemorrhage (SAH) is a major complication that leads to a medical burden and poor clinical outcomes. The aim of this study was to evaluate the predictive factors of shunt-dependent hydrocephalus focusing on postoperative fever and infection. A total of 418 patients were included in this study and the patient demographic features, radiologic findings, days of fever burden, and infection were compared between the shunt (n = 72) and no shunt group (n = 346). Days of fever burden was defined as the total number of days with the highest body temperature ≥ 38.0 °C each day from day 1 to day 14. Pneumonia, urinary tract infection (UTI), meningitis, and bacteremia were recorded in all patients. The independent predictive factors for shunt-dependent hydrocephalus were older age ≥ 65, microsurgical clipping, placement of extraventricular drainage (EVD), days of fever burden, and infection. The incidence of shunt dependency was 2.4% in the no fever burden patients (n = 123), 14.9% in the 1–3 days of fever burden patients (n = 161), 27.0% in the 4–6 days of fever burden patients (n = 74), and 41.7% in the ≥ 7 days of fever burden patients with statistical significance among groups (p |
| تدمد: | 0942-0940 0001-6268 |
| DOI: | 10.1007/s00701-018-3560-6 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::83fb5aac9d7178ce5ffe12bea4ab96f1 https://doi.org/10.1007/s00701-018-3560-6 |
| Rights: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....83fb5aac9d7178ce5ffe12bea4ab96f1 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 09420940 00016268 |
|---|---|
| DOI: | 10.1007/s00701-018-3560-6 |