Risk factors of chronic hydrocephalus after operation of aneurysmal subarachnoid hemorrhage

Objective To identify the independent risk factors of chronic hydrocephalus in patients after the operation of aneurysmal subarachnoid hemorrhage (aSAH). Methods The clinical data of 99 patients with aSAH treated in our hospital from December 2014 to December 2020 were collected and retrospectively...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	WEN Tangmin, CHEN Caihua
Formato:	article
Lenguaje:	ZH
Publicado:	Editorial Office of Journal of Third Military Medical University 2021
Materias:	aneurysm subarachnoid hemorrhage hydrocephalus risk factors Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/b317ffefdfca46299ab365b5277ef0f8
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:b317ffefdfca46299ab365b5277ef0f8
record_format	dspace
spelling	oai:doaj.org-article:b317ffefdfca46299ab365b5277ef0f82021-11-28T11:02:31ZRisk factors of chronic hydrocephalus after operation of aneurysmal subarachnoid hemorrhage10.16016/j.1000-5404.2021051141000-5404https://doaj.org/article/b317ffefdfca46299ab365b5277ef0f82021-11-01T00:00:00Zhttp://aammt.tmmu.edu.cn/Upload/rhtml/202105114.htmhttps://doaj.org/toc/1000-5404Objective To identify the independent risk factors of chronic hydrocephalus in patients after the operation of aneurysmal subarachnoid hemorrhage (aSAH). Methods The clinical data of 99 patients with aSAH treated in our hospital from December 2014 to December 2020 were collected and retrospectively analyzed, including age, gender, history of smoking and drinking, hypertension, intraventricular hemorrhage or not, complicated with intracerebral hematoma or not, lumbar cistern drainage, ventricular drainage, intracranial infection or not, location of aneurysm, frequency of hemorrhage, and results of Fisher Grading Scale and Hunt-Hess Classification of SAH. Among the 99 cases of aSAH, 30 patients developed postoperative chronic hydrocephalus. Univariate and multivariate logistic regression analysis were performed to screen the risk factors of chronic hydrocephalus. Results The results of one-way ANOVA indicated that older age, higher Fisher grade and Hunt-Hess grade, and more bleeding times significantly increased the incidence of postoperative chronic hydrocephalus (P < 0.05); meanwhile, Chi-square test showed that intraventricular hemorrhage, intracerebral hematoma, lumbar cistern drainage, ventricular drainage, intracranial infection also resulted in elevated incidence of postoperative chronic hydrocephalus (P < 0.05). Multiple logistic regression analysis presented that intraventricular hemorrhage (P=0.003), intracerebral hematoma (P=0.005), higher Hunt-Hess grade (P=0.006), higher Fisher grade (P=0.011), ventricular drainage (P=0.005), lumbar cistern drainage (P=0.008) and intracranial infection (P=0.039) were independent risk factors of chronic hydrocephalus after aSAH operation. Conclusion Intraventricular hemorrhage, intracerebral hematoma, higher Hunt-Hess grade and Fisher grade, lumbar cistern drainage, ventricular drainage, and intracranial infection are independent risk factors of postoperative chronic hydrocephalus in patients with aSAH.WEN TangminCHEN CaihuaEditorial Office of Journal of Third Military Medical Universityarticleaneurysmsubarachnoid hemorrhagehydrocephalusrisk factorsMedicine (General)R5-920ZHDi-san junyi daxue xuebao, Vol 43, Iss 22, Pp 2474-2479 (2021)
institution	DOAJ
collection	DOAJ
language	ZH
topic	aneurysm subarachnoid hemorrhage hydrocephalus risk factors Medicine (General) R5-920
spellingShingle	aneurysm subarachnoid hemorrhage hydrocephalus risk factors Medicine (General) R5-920 WEN Tangmin CHEN Caihua Risk factors of chronic hydrocephalus after operation of aneurysmal subarachnoid hemorrhage
description	Objective To identify the independent risk factors of chronic hydrocephalus in patients after the operation of aneurysmal subarachnoid hemorrhage (aSAH). Methods The clinical data of 99 patients with aSAH treated in our hospital from December 2014 to December 2020 were collected and retrospectively analyzed, including age, gender, history of smoking and drinking, hypertension, intraventricular hemorrhage or not, complicated with intracerebral hematoma or not, lumbar cistern drainage, ventricular drainage, intracranial infection or not, location of aneurysm, frequency of hemorrhage, and results of Fisher Grading Scale and Hunt-Hess Classification of SAH. Among the 99 cases of aSAH, 30 patients developed postoperative chronic hydrocephalus. Univariate and multivariate logistic regression analysis were performed to screen the risk factors of chronic hydrocephalus. Results The results of one-way ANOVA indicated that older age, higher Fisher grade and Hunt-Hess grade, and more bleeding times significantly increased the incidence of postoperative chronic hydrocephalus (P < 0.05); meanwhile, Chi-square test showed that intraventricular hemorrhage, intracerebral hematoma, lumbar cistern drainage, ventricular drainage, intracranial infection also resulted in elevated incidence of postoperative chronic hydrocephalus (P < 0.05). Multiple logistic regression analysis presented that intraventricular hemorrhage (P=0.003), intracerebral hematoma (P=0.005), higher Hunt-Hess grade (P=0.006), higher Fisher grade (P=0.011), ventricular drainage (P=0.005), lumbar cistern drainage (P=0.008) and intracranial infection (P=0.039) were independent risk factors of chronic hydrocephalus after aSAH operation. Conclusion Intraventricular hemorrhage, intracerebral hematoma, higher Hunt-Hess grade and Fisher grade, lumbar cistern drainage, ventricular drainage, and intracranial infection are independent risk factors of postoperative chronic hydrocephalus in patients with aSAH.
format	article
author	WEN Tangmin CHEN Caihua
author_facet	WEN Tangmin CHEN Caihua
author_sort	WEN Tangmin
title	Risk factors of chronic hydrocephalus after operation of aneurysmal subarachnoid hemorrhage
title_short	Risk factors of chronic hydrocephalus after operation of aneurysmal subarachnoid hemorrhage
title_full	Risk factors of chronic hydrocephalus after operation of aneurysmal subarachnoid hemorrhage
title_fullStr	Risk factors of chronic hydrocephalus after operation of aneurysmal subarachnoid hemorrhage
title_full_unstemmed	Risk factors of chronic hydrocephalus after operation of aneurysmal subarachnoid hemorrhage
title_sort	risk factors of chronic hydrocephalus after operation of aneurysmal subarachnoid hemorrhage
publisher	Editorial Office of Journal of Third Military Medical University
publishDate	2021
url	https://doaj.org/article/b317ffefdfca46299ab365b5277ef0f8
work_keys_str_mv	AT wentangmin riskfactorsofchronichydrocephalusafteroperationofaneurysmalsubarachnoidhemorrhage AT chencaihua riskfactorsofchronichydrocephalusafteroperationofaneurysmalsubarachnoidhemorrhage
_version_	1718408279408771072

Risk factors of chronic hydrocephalus after operation of aneurysmal subarachnoid hemorrhage

Ejemplares similares