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Table 2 Multivariate analyses associated with clinical outcomes of the 113 patients

From: Outcomes and prognostic factors of infantile acquired hydrocephalus: a single-center experience

 

Favorable outcome (n = 58) (%)

Adverse outcome (n = 55) (%)

p Value

Male

36 (62.1)

39 (70.9)

0.98

Gestational age (wk)

35.6 ± 3.9

35.4 ± 4.4

0.79

Age at presentation (d)

23.7 ± 22.8

30.0 ± 29.9

0.12

Etiologies

   

 Post hemorrhage

32 (55.2)

22 (40.0)

0.12

 Post meningitis

15 (25.9)

13 (23.6)

0.78

 Both post hemorrhage and post meningitis

8 (13.8)

9 (16.4)

0.70

 Inherited error of metabolism

1 (1.7)

10 (18.2)

 

 Tumor/cyst/mass lesions

2 (3.4)

1 (1.8)

 

Surgical intervention time (d) a

12.5 ± 9.9

33.7 ± 38.1

0.002

 Ommaya reservoir

29 (50.0)

18 (32.7)

 

 EVD

11 (18.9)

13 (23.6)

 

 Subgaleal shunt

3 (5.1)

3 (5.5)

 

 VPS

1 (1.7)

3 (5.5)

 

 Intracranial cysto-ventricular shunt

2 (3.4)

0

 

Spontaneous arrest

12 (20.7)

6 (10.9)

0.16

Convulsion at onset

17 (29.3)

19 (34.5)

0.36

Cerebrospinal fluid

   

 Glucose (mmol/L)

1.11 ± 0.71

1.15 ± 1.05

0.82

 Protein (g/L)

2.73 ± 2.51

2.75 ± 2.43

0.97

 Chloride (mmol/L)

116.4 ± 6.4

115.6 ± 7.2

0.54

Cranial ultrasonogram

   

 Papile grade (n = 54) b

32

22

0.036

  Grade 3

31 (96.9)

17 (77.3)

 

  Grade 4

1 (3.1)

5 (22.7)

 

 Left VI (cm)

2.09 ± 0.54

2.49 ± 0.76

0.002

 Right VI (cm)

1.98 ± 0.49

2.42 ± 0.91

< 0.001

 Left VH (cm)

1.73 ± 0.66

2.41 ± 1.13

< 0.001

 Right VH (cm)

1.65 ± 0.64

2.29 ± 1.17

< 0.001

 Left TOD (cm)

2.79 ± 0.84

3.26 ± 0.98

0.007

 Right TOD (cm)

2.44 ± 0.76

2.91 ± 0.95

0.001

 TVW (cm)

0.90 ± 0.62

1.11 ± 0.47

0.04

Abnormal in aEEG

18 (31.0)

23 (41.8)

0.17

Permanent shunt

   

 VP shunt

18 (31.0)

20 (36.4)

0.55

 Age at VP shunt (mo)

6.9 ± 3.3

5.5 ± 2.5

0.14

  1. Abbreviations: sLP, serial lumbar puncture; EVD, external ventricular drainage; VP shunt, Ventriculoperitoneal shunt; VI, ventricular index; VH, ventricular height; TOD, thalamo-occipital distance; TVW, third ventricular width; EEG, electroencephalogram; sNDI, Significant Neurodevelopmental Impairment; CI confidence interval
  2. Adverse outcome: death plus sNDI.
  3. a Surgical intervention time is defined as the period of time from hydrocephalus diagnosis to the date of surgical intervention at our center
  4. b 54 cases diagnosed with posthemorrhagic hydrocephalus and had the outcome data during the follow-up. P value is from Fisher exact test