Clinical application of ventriculoperitoneal shunting in treating traumatic brain injury

Meng, Fanpeng; Wu, Haiyuan; Yang, Sui-Qin

doi:10.3892/etm.2019.7860

Cited by 2 publications

(3 citation statements)

References 26 publications

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“…This feature was not statistically significant in our series and had a very low total score (0.08) which is confirmed by previous clinical experience. 23,37,38 Icterus: Icterus was not an important factor for shunt infection and had the lowest total score (0.00) which marked it as the lowest weighted feature in our series.…”

Section: Low-ranked Risk Factorsmentioning

confidence: 64%

Machine Learning-Based Clinical Adjusted Selection of Predicting Risk Factors for Shunt Infection in Children

Moradi

Sabeti

Shahbazi

et al. 2021

Int Clin Neurosci J

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Background: Shunt Infection is a common complication of shunt insertion in children which can lead to bad neuro-developmental conditions and impose a considerable economic burden for the health care system. So, identifying predictive factors of shunt infection could help us in the proper improvement of this deteriorating condition. Methods: In this study, related risk factors of 68 patients with history of shunt infection and 80 matched controls without any history of shunt infection, who were all operated in a single referral hospital were assessed. Three machine learning (ML)-based measures including sparsity, correlation, and redundancy along with specialist’s score were applied to select the most important predictive risk factors for shunt infection. ML was determined by summation of sparsity, correlation and redundancy measures, and the final total score was considered as normalization (ML-based score + specialist score). Results: According to the total score, prematurity, first ventriculoperitoneal shunting (VPS) age, intraventricular hemorrhage (IVH), myelomeningocele (MMC) and low birth weight had higher weights as shunt infection risk factors. icterus, trauma, co-infection and tumor had the lowest weights and history of meningitis and number of shunt revisions were defined as intermediate risk factors. Conclusion: The "ML-based clinical adjusted" method may be used as a complementary tool to help neurosurgeons in better patient selection and more accurate follow-up of children with higher risk of shunt infection.

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Section: Low-ranked Risk Factorsmentioning

confidence: 64%

Machine Learning-Based Clinical Adjusted Selection of Predicting Risk Factors for Shunt Infection in Children

Moradi

Sabeti

Shahbazi

et al. 2021

Int Clin Neurosci J

View full text Add to dashboard Cite

show abstract

“…Brain disorders affect patient and caregiver cognition, consciousness, motor expression, and understanding, and the prognosis is unpredictable. PTH is a possible complication of TBI that can occur during treatment, and necessary shunt surgery can alleviate but not cure hydrocephalus [ 10 , 39 ]. Furthermore, shunt malfunction was intangibility and the patients with malfunction might show one or more of these, lower limbs weakness, somnolence, vomiting, or bellyache, behaviors that were common and easily overlooked [ 40 ].…”

Section: Discussionmentioning

confidence: 99%

“…Post-traumatic hydrocephalus (PTH), defined as clinically symptomatic and radiologically confirmed communicating hydrocephalus, occurs subsequently in the weeks and months following significant traumatic brain injury (TBI) [1] with approximately 50 million new TBI cases worldwide each year [2], and PTH has been an increasingly common neurosurgical problem involving all age groups with varying series, presentations, and treatments [3][4][5], however, it may be difficult to identify PTH symptoms due to heterogeneity of the clinical syndromes and significant delay in presentation [6], and the epidemiology of PTH has been reported to vary widely: the estimated incidence of post-traumatic hydrocephalus (PTH) after the acute phase ranges from 12-50% [7][8][9]. A permanent cerebrospinal fluid shunt is the main approach to save brain function and relieve hydrocephalus symptoms [10]. A shunt is the treatment of choice for PTH, diverting excess cerebrospinal fluid from the ventricles to the abdominal cavity [11], where the peritoneum absorbs the drained cerebrospinal fluid.…”

Section: Introductionmentioning

confidence: 99%

Experiences of family caregivers of patients with post-traumatic hydrocephalus from hospital to home: a qualitative study

Wang

Liu

Rosa

et al. 2022

BMC Health Serv Res

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Background Post-traumatic hydrocephalus (PTH) is a complication of traumatic brain injury (TBI) that requires treatment and postoperative care. The shunt is one of the main treatments for PTH, which presents with dysfunction and infection. Considering brain injury, hydrocephalus shunt malfunction, and infection, family caregivers need to be responsible for caring for PTH patients, recognizing shunt malfunction and infection, and managing those patients accordingly from hospital to home. Understanding the experiences and needs of caregivers is beneficial for knowing their competency and quality of health care, ameliorating and ensuring future transition care. The study aimed to explore the feelings, experiences, and needs of family caregivers when caring for patients with TBI, PTH and shunts. Methods This was exploratory research of a purposive sample of 12 family caregivers of adult patients with TBI, PTH and shunts in five neurosurgery departments at a general hospital in Zhengzhou, Henan Province, China, using a semi-structured interview method. Data were collected from October 2021 to March 2022 before being analyzed by content analysis methods. Results Caregivers required professional and social knowledge and support in the areas of TBI, PTH and shunts, caregiving interventions, psychological care needs, and health insurance, just as caregivers do, but unlike other general caregivers, care for patients with TBI, PTH, and shunt is fraught with uncertainty and the need to manage shunt setting, and caregivers often experience 'complex emotional reaction' during the transitional period, where care needs and complex emotions may lead to a lack of caregiver confidence, which in turn may affect caregiving behaviors, and experiences that affect care may be mediated through caregiving confidence. The perceived availability of resources, particularly those that are still available to them when they return home, has a significant impact on participants' emotional response and sense of confidence. Conclusions The emotional response and the impact of stressor caregivers after TBI, PTH, and shunt was important, and sometimes confidence in care appeared to be an intermediate and useful factor that needed to be considered as health professionals prepared to develop care resources on how to manage and empower patients with TBI, PTH, and shunt. Meanwhile, there may be gaps and inequities in supportive care for patients diagnosed with TBI, PTH, and shunt in China.

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Clinical application of ventriculoperitoneal shunting in treating traumatic brain injury

Cited by 2 publications

References 26 publications

Machine Learning-Based Clinical Adjusted Selection of Predicting Risk Factors for Shunt Infection in Children

Machine Learning-Based Clinical Adjusted Selection of Predicting Risk Factors for Shunt Infection in Children

Experiences of family caregivers of patients with post-traumatic hydrocephalus from hospital to home: a qualitative study

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