Effect of nonoperative treatment on the outcome of patients with posttraumatic hydrocephalus.
- Author:
Linshan FU
1
;
Yunhai TANG
;
Shiyu WANG
Author Information
- Publication Type:Clinical Trial
- MeSH: Adult; Brain Injuries; complications; Chi-Square Distribution; Female; Humans; Hydrocephalus; etiology; mortality; therapy; Male; Treatment Outcome
- From: Chinese Journal of Traumatology 2002;5(1):7-11
- CountryChina
- Language:English
-
Abstract:
OBJECTIVETo compare the outcome of non-operative treatment with the outcome of surgical intraventricular drainage for patients with posttraumatic hydrocephalus including complications, mortality and favorable outcome.
METHODSThirty-nine patients were assigned to a nonoperative treatment group and 38 patents to a surgical intraventricular drainage group. Each patient's outcome was evaluated 3 years after treatment by using Glasgow Outcome Scale.
RESULTSIn the nonoperative treatment group the rate of favor able outcome (good recovery or mild disability) was 89.74% (35 of 39 patients) and the mortality was 2.56% (1 of 39 patients). In the surgical intraventricular drainage group the rate of favorable outcome was 71.05% (27 of 38 patients) and the mortality was 13.16% (5 of 38 patients; P<0.05). Mortality was not significantly different between the two groups.
CONCLUSIONSNonoperative treatment may be better than surgical intraventricular drainage for patients with posttraumatic hydrocephalus.
