Influencing factors for posttraumatic hydrocephalus in patients suffering from severe traumatic brain injuries.
- Author:
Qing-fang JIAO
1
;
Zhan LIU
;
Song LI
;
Liang-xue ZHOU
;
San-zhong LI
;
Wei TIAN
;
Chao YOU
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Age Factors; Brain Injuries; complications; Cerebrospinal Fluid; Craniotomy; Drainage; Factor Analysis, Statistical; Female; Humans; Hydrocephalus; etiology; Male; Regression Analysis; Retrospective Studies; Risk Factors; Subarachnoid Hemorrhage; complications
- From: Chinese Journal of Traumatology 2007;10(3):159-162
- CountryChina
- Language:English
-
Abstract:
OBJECTIVETo detect the influencing factors for posttraumatic hydrocephalus in patients with severe traumatic brain injuries and provide theoretical reference for clinical treatment.
METHODSRetrospective study was made on 139 patients with severe traumatic brain injuries in our hospital. The patients were divided into two groups: hydrocephalus group and non-hydrocephalus group. Single factor analysis and multiple factor analysis were used to determine the related factors and hydrocephalus. Multiple factor analysis was conducted with logistic regression.
RESULTSPosttraumatic hydrocephalus was found in 19.42% of patients. Age(OR equal to 1.050, 95%CI: 1.012-1.090), decompressive craniectomy (OR equal to 4.312, 95%CI: 1.127-16.503), subarachnoid hemorrhage(OR equal to 43.421, 95%CI: 7.835-240.652) and continuous lumbar drainage of cerebrospinal fluid (OR equal to 0.045, 95%CI: 0.011-0.175) were screened out from nine factors as the influencing factors for posttraumatic hydrocephalus.
CONCLUSIONSRisk factors for PTH are as follows: age, decompressive craniectomy and subarachnoid hemorrhage (SAH). Continuous lumbar drainage of cerebrospinal fluid can greatly reduce posttraumatic hydrocephalus.
