Evidence map›Paper›PMID 39926462›Full record

ArticleSurgical neurology international2025

Risk factors for cerebrospinal fluid shunt infection in pediatrics: A meta-analysis.

Roidah Taqiyya Zahra Wathoni, Wihasto Suryaningtyas, Budi Utomo, Muhammad Arifin Parenrengi, Agus Turchan, Asra Al Fauzi

Abstract read
In one paragraph

Article in Surgical neurology international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Roidah Taqiyya Zahra WathoniDepartment of Neurosurgery, Universitas Airlangga - Faculty of Medicine, Dr. Soetomo Academic General Hospital, Surabaya, East Java, Indonesia.
Wihasto SuryaningtyasDepartment of Neurosurgery, Universitas Airlangga - Faculty of Medicine, Dr. Soetomo Academic General Hospital, Surabaya, East Java, Indonesia.
Budi UtomoDepartment of Public Health, Universitas Airlangga - Faculty of Medicine, Dr. Soetomo Academic General Hospital, Surabaya, East Java, Indonesia.
Muhammad Arifin ParenrengiDepartment of Neurosurgery, Universitas Airlangga - Faculty of Medicine, Dr. Soetomo Academic General Hospital, Surabaya, East Java, Indonesia.
Agus TurchanDepartment of Neurosurgery, Universitas Airlangga - Faculty of Medicine, Dr. Soetomo Academic General Hospital, Surabaya, East Java, Indonesia.
Asra Al FauziDepartment of Neurosurgery, Universitas Airlangga - Faculty of Medicine, Dr. Soetomo Academic General Hospital, Surabaya, East Java, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Placement of cerebrospinal fluid (CSF) shunt for diversion remains a primary treatment for patients with hydrocephalus despite its surgical complications, including shunt infection, that remain high and become a medical and social problem. The meta-analysis was conducted to investigate risk factors of shunt infection in pediatrics. Methods: Literature was searched on PubMed, Scopus, and the Cochrane Library. The methodology used for this investigation was preferred reporting items for systematic reviews and meta-analysis. Results: This meta-analysis included five publications. The only significant results were found in ages <6 months with relative risk (RR) of 33.06 (95% confidence interval [CI] 9.27-117,99; Conclusion: Younger age during the shunt placement procedure, Caucasian race, and African-American race have a significantly higher risk of CSF shunt infection. The previously reported higher risk of shunt infection in cohort studies, such as IVH of prematurity and the presence of gastrostomy, were not significant in this study. Primary studies regarding shunt infection are advocated to be performed in a more extensive population with further risk factors included in the analysis.

Indexed as

HydrocephalusPediatricsRisk factorsShunt infection

Identifiers

PMID39926462
PMCPMC11799681

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.