Evidence map›Paper›PMID 41331469›Full record

ArticleEuropean journal of medical research2025

Risk factor analysis of long-term outcomes in patients with large intracerebral and intraventricular hemorrhage treated primarily with combined external ventricular drainage and intraventricular thrombolysis.

Yu-Ling Chao, Szu-Yen Pan, Yu-Cheng Chou, Hsi-Kai Tsou, Ying Ju Chen, Chiung-Chyi Shen, Jason Sheehan, De-Wei Lai, Meei-Ling Sheu, Hung-Chuan Pan

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Article in European journal of medical research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Yu-Ling ChaoDepartment of Neurosurgery, Neurological Institute, Taichung Veterans General Hospital, Taichung, Taiwan.
Szu-Yen PanDepartment of Neurosurgery, Neurological Institute, Taichung Veterans General Hospital, Taichung, Taiwan.
Yu-Cheng ChouDepartment of Neurosurgery, Neurological Institute, Taichung Veterans General Hospital, Taichung, Taiwan.
Hsi-Kai TsouDepartment of Neurosurgery, Neurological Institute, Taichung Veterans General Hospital, Taichung, Taiwan.
Ying Ju ChenPhD Program in Health and Social Welfare for Indigenous Peoples, Providence University, Taichung, Taiwan.
Chiung-Chyi ShenDepartment of Neurosurgery, Neurological Institute, Taichung Veterans General Hospital, Taichung, Taiwan.
Jason SheehanDepartment of Neurosurgery, University of Virginia, Charlottesville, VA, USA.
De-Wei LaiInstitute of Biomedical Science, National Chung-Hsing University, Taichung, Taiwan.
Meei-Ling SheuInstitute of Biomedical Science, National Chung-Hsing University, Taichung, Taiwan.
Hung-Chuan PanDepartment of Neurosurgery, Neurological Institute, Taichung Veterans General Hospital, Taichung, Taiwan. hcpan2003@yahoo.com.tw.

Funding

National Science and Technology Council, Taiwan MOST 111-2314-B-075A-011-MY2Taichung Veteran General Hospital, Taiwan National Science and Technology Council, TaiwanTaichung Veteran General Hospital, Taiwan TCVGH-PU1138101
6 · The paper itself

Abstract

purposeSurgical outcomes are typically poor for patients with spontaneous large intracerebral hemorrhage (ICH) complicated by intraventricular hemorrhage (IVH). The optimal treatment strategy remained undetermined -either external ventricular drainage (EVD) alone or in combination with craniotomy. Here, we evaluated shunt-related complications of such patients treated primarily with EVD combined with intraventricular thrombolysis, aiming to provide evidence that may lead to future treatment guidelines. MATERIALS AND

methodsFrom January 2010 to December 2021, a total of 114 patients with spontaneous large ICH (> 30 mL) extending into the ventricular system treated only primarily with EVD and intraventricular thrombolysis were retrospectively enrolled. Hematoma and ventricular volumes were assessed based on imaging data. Cerebrospinal fluid (CSF) parameters-including biochemistry and cell counts-were analyzed in relation to permanent shunt dependency and one-year mortality.

resultsThe mean age of the patients was 67.6 ± 11 years, with a male-to-female ratio of 1.7:1. Their mean best Glasgow Coma Scale (GCS) motor score was 3.7 ± 1.9. Mean ICH/IVH volume was 70.9 ± 47 mL. Average daily CSF drainage was 104 ± 52.2 mL, with a mean drainage duration of 16.5 ± 9.4 days. The average number of EVD replacements was 1.9 ± 0.8. WBC/RBC counts(/mm

conclusionThe prolonged and repeated use of external ventricular drainage (EVD) in patients with large intracerebral hemorrhage (ICH) complicated by intraventricular hemorrhage (IVH) appears to be a practical and recognizable treatment approach. Early identification of imaging and CSF markers would likely help optimize management strategy for this high-risk population.

Indexed as

Cerebral HemorrhageCerebral Intraventricular HemorrhageDrainageThrombolytic TherapyAgedCerebral VentriclesCerebrospinal Fluid ShuntsFemaleHumansMaleMiddle AgedRetrospective StudiesRisk FactorsTreatment OutcomeCentral nervous system infectionExternal ventricular drainageIntracerebral haemorrhageIntraventricular haemorrhageIntraventricular thrombolysisMortalityVentricular-peritoneal shunt

Identifiers

PMID41331469
PMCPMC12673713

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LicenceCC BY-NC-ND
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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.