التفاصيل البيبلوغرافية
| العنوان: |
External ventricular drain management in subarachnoid haemorrhage: a systematic review and meta-analysis. |
| المؤلفون: |
Palasz, Joanna1 (AUTHOR) jopalasz@gmail.com, D'Antona, Linda1,2 (AUTHOR), Farrell, Sarah1,3 (AUTHOR), Elborady, Mohamed A.1 (AUTHOR), Watkins, Laurence D.1,2 (AUTHOR), Toma, Ahmed K.1,2 (AUTHOR) |
| المصدر: |
Neurosurgical Review. Feb2022, Vol. 45 Issue 1, p365-373. 9p. |
| مصطلحات موضوعية: |
*SUBARACHNOID hemorrhage, *LENGTH of stay in hospitals, *CEREBROSPINAL fluid shunts, *CEREBROSPINAL fluid leak, *HEART assist devices |
| مستخلص: |
External ventricular drainage (EVD) is one of the most commonly performed neurosurgical procedures. Despite this, the optimal drainage and weaning strategies are still unknown. This PRISMA-compliant systematic review and meta-analysis analysed the outcomes of patients undergoing EVD procedures, comparing continuous versus intermittent drainage and rapid versus gradual weaning. Four databases were searched from inception to 01/10/2020. Articles reporting at least 10 patients treated for hydrocephalus secondary to subarachnoid haemorrhage were included. Other inclusion criteria were the description of the EVD drainage and weaning strategies used and a comparison of continuous versus intermittent drainage or rapid versus gradual weaning within the study. Random effect meta-analyses were used to compare functional outcomes, incidence of complications and hospital length of stay. Intermittent external CSF drainage was associated with lower incidence of EVD-related infections (RR = 0.20, 95% CI 0.05–0.72, I-squared = 0%) and EVD blockages compared to continuous CSF drainage (RR = 0.45, 95% CI 0.27–0.74, I-squared = 0%). There was no clear advantage in using gradual EVD weaning strategies compared to rapid EVD weaning; however, patients who underwent rapid EVD weaning had a shorter hospital length of stay (SMD = 0.34, 95% CI 0.22–0.47, I-squared = 0%). Intermittent external CSF drainage after SAH is associated with lower incidence of EVD-related infections and EVD blockages compared to continuous CSF drainage. Patients who underwent rapid EVD weaning had a shorter hospital length of stay and there was no clear clinical advantage in using gradual weaning. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
Academic Search Index |
