Shunt Failure—The First 30 Days
| العنوان: | Shunt Failure—The First 30 Days |
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| المؤلفون: | Austin Broussard, Jock C Lillard, Tamekia L. Jones, Brandy N Vaughn, Garrett T. Venable, Ryan P. Lee, Sonia Ajmera, Sebastian P Norrdahl, Pooja Dave, Mustafa Motiwala, David S. Hersh, Nickalus R. Khan, Paul Klimo, Tim Gooldy, David Wallace, Fridtjof Thomas, Camden Harrell |
| المصدر: | Neurosurgery. 87:123-129 |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Time Factors, Adolescent, Logistic regression, Ventriculoperitoneal Shunt, Cerebral Ventricles, Cohort Studies, Young Adult, medicine, Humans, Treatment Failure, Child, Retrospective Studies, business.industry, Infant, Newborn, Infant, Retrospective cohort study, medicine.disease, Cerebrospinal Fluid Shunts, Cerebral Intraventricular Hemorrhage, Surgery, Hydrocephalus, Shunt (medical), Intraventricular hemorrhage, Quartile, Child, Preschool, Cohort, Female, Neurology (clinical), business |
| الوصف: | BACKGROUND Incontrovertible predictors of shunt malfunction remain elusive. OBJECTIVE To determine predictors of shunt failure within 30 d of index surgery. METHODS This was a single-center retrospective cohort study from January 2010 through November 2016. Using a ventricular shunt surgery research database, clinical and procedural variables were procured. An "index surgery" was defined as implantation of a new shunt or revision or augmentation of an existing shunt system. The primary outcome was shunt failure of any kind within the first 30 days of index surgery. Bivariate models were created, followed by a final multivariable logistic regression model using a backward-forward selection procedure. RESULTS Our dataset contained 655 unique patients with a total of 1206 operations. The median age for the cohort at the time of first shunt surgery was 4.6 yr (range, 0-28; first and third quartile, .37 and 11.8, respectively). The 30-day failure rates were 12.4% when analyzing the first-index operation only (81/655), and 15.7% when analyzing all-index operations (189/1206). Small or slit ventricles at the time of index surgery and prior ventricular shunt operations were found to be significant covariates in both the "first-index" (P |
| تدمد: | 1524-4040 0148-396X |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a9414acb7d9ed1a030355c05ed46da7fTest https://doi.org/10.1093/neuros/nyz379Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....a9414acb7d9ed1a030355c05ed46da7f |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15244040 0148396X |
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