ArticleJournal of neurosurgery. Pediatrics2012
Association of intraventricular hemorrhage secondary to prematurity with cerebrospinal fluid shunt surgery in the first year following initial shunt placement.
Article in Journal of neurosurgery. Pediatrics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed, 45 citations in OpenAlex.
- Neuroendoscopic lavage: a single-center retrospective cohort in the USA.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025Article
- Safety and efficacy of neuroendoscopic lavage for the management of neonatal intraventricular haemorrhage.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025Article
- Liver Cirrhosis as a Predictor of Infection Risk in Patients Undergoing Ventriculoperitoneal Shunt Surgery: A Retrospective Cohort Analysis from the Taiwan National Health Insurance Research Database (NHIRD).Medical science monitor : international medical journal of experimental and clinical research · 2024Article
- Ventricular catheter tissue obstruction and shunt malfunction in 9 hydrocephalus etiologies.Journal of neurosurgery. Pediatrics · 2024Article
- Antibiotic impregnated catheters and intrathecal antibiotics for CSF shunt infection prevention in children undergoing low-risk CSF shunt surgery.BMC pediatrics · 2024Observational
- A search for bacteria identified from cerebrospinal fluid shunt infections in previous surgical events.PloS one · 2024Article
- Retrospective comparison of long-term functionality and revision rate of two different shunt valves in pediatric and adult patients.Acta neurochirurgica · 2023Article
- The incidence of VP shunt infection in a middle-income nation: a retrospective analysis of a pediatric population.Frontiers in surgery · 2023Article
- Neuroendoscopic lavage for the management of neonatal post-haemorrhagic hydrocephalus: a retrospective series.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2022Article
- Post-haemorrhagic hydrocephalus is associated with poorer surgical and neurodevelopmental sequelae than other causes of infant hydrocephalus.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021Review
- Risk factors for pediatric surgical site infection following neurosurgical procedures for hydrocephalus: a retrospective single-center cohort study.BMC anesthesiology · 2021Article
- Relationship of causative organism and time to infection among children with cerebrospinal fluid shunt infection.Journal of neurosurgery. Pediatrics · 2019Article
- Patient and Treatment Characteristics by Infecting Organism in Cerebrospinal Fluid Shunt Infection.Journal of the Pediatric Infectious Diseases Society · 2019Article
- Cerebrospinal Fluid Shunt Infection: Emerging Paradigms in Pathogenesis that Affect Prevention and Treatment.The Journal of pediatrics · 2019Article
- Predictors of mortality for preterm infants with intraventricular hemorrhage: a population-based study.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2018Article
- Shunt infections: a review and analysis of a personal series.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2018Review
- Reinfection after treatment of first cerebrospinal fluid shunt infection: a prospective observational cohort study.Journal of neurosurgery. Pediatrics · 2018Observational
- Variability in Management of First Cerebrospinal Fluid Shunt Infection: A Prospective Multi-Institutional Observational Cohort Study.The Journal of pediatrics · 2016Observational
- IL-10 plays an important role in the control of inflammation but not in the bacterial burden in S. epidermidis CNS catheter infection.Journal of neuroinflammation · 2016Article
- Shunt revision requirements after posthemorrhagic hydrocephalus of prematurity: insight into the time course of shunt dependency.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2015Article
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
Abstract
objectThe neurosurgical literature has conflicting findings regarding the association between indications for CSF shunt placement and subsequent shunt surgery. The object of this study was to identify baseline factors at the time of initial CSF shunt placement that are independently associated with subsequent surgery.
methodsThis was a retrospective cohort study of children ages 0-18 years who underwent initial CSF shunt placement between January 1, 1997, and October 12, 2006, at a tertiary care children's hospital. The outcome of interest was CSF shunt surgery (either for revision or infection) within 12 months after initial placement. Associations between subsequent CSF shunt surgery and indication for the initial shunt, adjusting for patient age and surgeon factors at the time of initial placement, were estimated using multivariate logistic regression. Medical and surgical decisions, which varied according to surgeon, were examined separately in a univariate analysis.
resultsOf the 554 children in the study cohort, 233 (42%) underwent subsequent CSF shunt surgery, either for revision (167 patients [30%]) or infection (66 patients [12%]). In multivariate logistic regression modeling, significant risk factors for subsequent CSF shunt surgery included (compared with aqueductal stenosis) intraventricular hemorrhage (IVH) secondary to prematurity (adjusted odds ratio [AOR] 2.2, 95% CI 1.1-4.5) and other unusual indications (AOR 3.7, 95% CI 1.0-13.6). The patient's age at initial CSF shunt placement was not significantly associated with increased odds of subsequent surgery after adjusting for other associated factors.
conclusionsThe occurrence of IVH is associated with increased odds of subsequent CSF shunt surgery within 12 months after shunt placement. Families of and care providers for children with IVH should be attuned to their increased risk of shunt failure.
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