Published online Jul 26, 2022. doi: 10.12998/wjcc.v10.i21.7302
Peer-review started: November 13, 2021
First decision: April 7, 2022
Revised: April 17, 2022
Accepted: May 26, 2022
Article in press: May 26, 2022
Published online: July 26, 2022
Processing time: 239 Days and 20.5 Hours
Delayed intracranial hemorrhage (DICH), one of the high mortality complications in ventriculoperitoneal (VP) shunt patients, has not been fully recognized.
To explore the risk factors of delay intracranial hemorrhage and reduce the incidence of this complication in VP shunt patients.
To explore the potential risk factors and mechanisms of delay intracranial hemorrhage in VP shunt patients.
We collected the demographic and clinical characteristics data of VP shunt patients between January 2016 and December 2020. DICH group and Non-DICH group were compared in a retrospective study.
A history of an external ventricular drain and postoperative brain edema around the catheter were related to a high risk for DICH statistically. There was a significant difference in the postoperative modified Rankin Scale scores at the 3-mo follow-up in these two groups.
A history of an EVD and postoperative brain edema around the catheter were risk factors of DICH VP shunt patients. DICH patients are vulnerable to poor clinical outcomes with a high mRS score.
More samples from different populations and centers should be included in future studies. The follow-up evaluation needs to be replaced by a more objective method to verify the prognosis.