ArticleAsian journal of neurosurgery
Ventriculoperitoneal Shunt Complication in Pediatric Hydrocephalus: Risk Factor Analysis from a Single Institution in Nepal.
Article in Asian journal of neurosurgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Ultrasound-guided versus stereotactically navigated ventriculoperitoneal shunt placement: a randomized clinical trial.Fluids and barriers of the CNS · 2026Trial
- Survival outcomes and risk factors for ventriculo-peritoneal shunt failure in pediatric hydrocephalus: a multi-center cohort study in Vietnam.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026Article
- Minimally invasive abdominal catheter placement in ventriculoperitoneal shunt patients is associated with lower abdominal catheter complications: a single center experience.Langenbeck's archives of surgery · 2026Article
- Targeting modulation of the choroid plexus blood-CSF barrier and CSF hypersecretion via lipid nanoparticle-mediated co-delivery of siRNA and resveratrol.Nature communications · 2025Article
- Systematic follow-ups were not associated with reduced acute ventriculoperitoneal shunt dysfunction in infancy.Acta paediatrica (Oslo, Norway : 1992) · 2025Article
- Management of Recurrent Ventriculoperitoneal Shunt Infections in Adult Patients.Antibiotics (Basel, Switzerland) · 2025Article
- Pediatric shunt failure in a resource limited Lower-Middle Income Country (LMIC) institution in La Paz, Bolivia.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024Article
- Paediatric ventriculoperitoneal shunt failures: 12-year experience from a Singapore children's hospital.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023Article
- Article
- A case of primary infertility and a patient with ventriculoperitoneal shunt.Journal of surgical case reports · 2022Article
- Article
- Global trends in the evaluation and management of cerebrospinal fluid shunt infection: a cooperative ISPN survey.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2020Article
- Ventriculoperitoneal shunt presenting as umbilical CSF fistula.Journal of family medicine and primary care · 2020Article
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Authors and funding
4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
objectiveVentriculoperitoneal (VP) shunt surgery is one of the commonly performed neurosurgical procedures. Complications due to shunt failure are associated with high morbidity and mortality. We report an analysis of risk factors for shunt failure in pediatric patients from a single institution in Nepal. MATERIALS AND
methodsA retrospective analytical study with prospective data was designed. All children younger than 15 years, with first time VP shunting, at a tertiary government hospital in Kathmandu during 2014-2017 were followed up. Association of independent variables with the primary outcome variable (complication of VP shunt) was analyzed using Chi-square test. Bivariate logistic regression was performed to identify unadjusted odds ratio (OR) with 95% confidence interval (CI). Multivariate logistic regression model was designed to calculate adjusted OR with 95% CI.
resultsOf 120 patients, more than half (55.8%) of the patients were male. Mean age was 62.97 months. Maximum duration of follow-up was 30 months. Most common cause of hydrocephalus was congenital aqueductal stenosis (40.8%) followed by tumors (29.2%). Overall shunt complication was found in 26.7% (95% CI 19.0%-35.5%). Shunt infection was seen in 5% while malfunction without infection was found in 21.7%. Bivariate logistic regression showed duration of surgery more than 1 h (OR 2.67, 95% CI 1.11-6.42,
conclusionLonger duration of surgery, less experience of the surgeon, and the priority of the case (emergency) were independent risk factors for shunt complications.
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