Associations between Features of External Ventricular Drain Management, Disposition, and Shunt Dependence

Journal Article (Journal Article)

Background In the United States, nearly 25,000 patients annually undergo percutaneous ventriculostomy for the management of increased intracranial pressure with little consensus on extraventricular drain management. To characterize relationships between external ventricular drain management, permanent ventriculoperitoneal shunt placement, and hospital disposition, we hypothesized that patients requiring extended drainage would have greater association with ventriculoperitoneal shunt placement and unfavorable disposition. Methods Adult patients admitted to the Duke University Hospital Neuroscience Intensive Care Unit between 2008 and 2010 with extraventricular drains were analyzed. A total of 115 patient encounters were assessed to determine relative impact of age, sex, days of extraventricular placement, weaning attempts, cerebrospinal fluid drainage volumes, Glasgow Coma Scale, and physician's experience on disposition at discharge and ventriculoperitoneal shunt placement. Univariate logistic regression was first used to test the effect of each variable on the outcome, followed by backward selection to determine a final multivariable logistic regression. Variables in the final model meeting p < 0.05 were declared as significant factors for the outcome. Results Increased extraventricular drain duration (odds ratio [OR] = 1.17, confidence interval [CI] = 1.05-1.30, p = 0.0049) was associated with ventriculoperitoneal shunt placement, while older age (OR = 1.05, CI = 1.02-1.08, p = 0.0027) and less physician extraventricular drain management experience (OR = 4.04, CI = 1.67-9.79, p = 0.0020) were associated with unfavorable disposition. Conclusion In a small cohort, exploratory analyses demonstrate potentially modifiable factors are associated with important clinical outcomes. These findings warrant further study to refine how such factors affect patient outcomes.

Full Text

Duke Authors

Cited Authors

  • Engel, C; Faulkner, AL; Van Wyck, DW; Zomorodi, AR; King, NKK; Williamson Taylor, RA; Hailey, CE; Umeano, OA; McDonagh, DL; Li, YJ; James, ML

Published Date

  • March 1, 2021

Published In

Volume / Issue

  • 8 / 1

Start / End Page

  • 28 - 33

Electronic International Standard Serial Number (EISSN)

  • 2348-0548

Digital Object Identifier (DOI)

  • 10.1055/s-0040-1710410

Citation Source

  • Scopus