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Shunt Failure—The First 30 Days
- Source :
- Neurosurgery. 87:123-129
- Publication Year :
- 2019
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2019.
-
Abstract
- 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
- Subjects :
- 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
Subjects
Details
- ISSN :
- 15244040 and 0148396X
- Volume :
- 87
- Database :
- OpenAIRE
- Journal :
- Neurosurgery
- Accession number :
- edsair.doi.dedup.....a9414acb7d9ed1a030355c05ed46da7f