Risk Factors for Malfunction of Ventriculoperitoneal Shunts Performed by Medical Residents in Children: an Exploratory Study

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dc.contributor.authorTeixeira de Oliveira, Italo Cardoso [UNESP]
dc.contributor.authorCardoso da Silva, Douglas Inomata [UNESP]
dc.contributor.authorMatilde, Jamille Duran [UNESP]
dc.contributor.authorBotta, Fabio Pires [UNESP]
dc.contributor.authorHamamoto, Juliana Fattori [UNESP]
dc.contributor.authorGarcia de Avila, Marla Andreia [UNESP]
dc.contributor.authorSuppo de Souza Rugolo, Ligia Maria [UNESP]
dc.contributor.authorZanini, Marco Antonio [UNESP]
dc.contributor.authorHamamoto Filho, Pedro Tadao [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)
dc.date.accessioned2023-07-29T11:57:04Z
dc.date.available2023-07-29T11:57:04Z
dc.date.issued2022-09-01
dc.description.abstractIntroduction Ventriculoperitoneal shunts (VPSs) are common neurosurgical procedures, and in educational centers, they are often performed by residents. However, shunts have high rates of malfunction due to obstruction and infection, especially in pediatric patients. Monitoring the outcomes of shunts performed by trainee neurosurgeons is important to incorporate optimal practices and avoid complications. Methods In the present study, we analyzed the malfunction rates of VPSs performed in children by residents as well as the risk factors for shunt malfunction. Results The study included 37 patients aged between 0 and 1.93 years old at the time of surgery. Congenital hydrocephalus was observed in 70.3% of the patients, while 29.7% showed acquired hydrocephalus. The malfunction rate was 54.1%, and the median time to dysfunction was 28 days. Infections occurred in 16.2% of the cases. Cerebrospinal fluid leukocyte number and glucose content sampled at the time of shunt insertion were significantly different between the groups (p = 0.013 and p = 0.007, respectively), but did not have a predictive value for shunt malfunction. In a multivariate analysis, the etiology of hydrocephalus (acquired) and the academic semester (1st) in which the surgery was performed were independently associated with lower shunt survival (p = 0.009 and p = 0.026, respectively). Conclusion Ventriculoperitoneal shunts performed in children by medical residents were at a higher risk of malfunction depending on the etiology of hydrocephalus and the academic semester in which the surgery was performed.en
dc.description.affiliationUniv Estadual Paulista, Fac Med Botucatu, Dept Neurol Psychol & Psychiat, Botucatu, SP, Brazil
dc.description.affiliationUniv Estadual Paulista, Fac Med Botucatu, Dept Nursing, Botucatu, SP, Brazil
dc.description.affiliationUniv Estadual Paulista, Fac Med Botucatu, Dept Pediat, Botucatu, SP, Brazil
dc.description.affiliationUnespUniv Estadual Paulista, Fac Med Botucatu, Dept Neurol Psychol & Psychiat, Botucatu, SP, Brazil
dc.description.affiliationUnespUniv Estadual Paulista, Fac Med Botucatu, Dept Nursing, Botucatu, SP, Brazil
dc.description.affiliationUnespUniv Estadual Paulista, Fac Med Botucatu, Dept Pediat, Botucatu, SP, Brazil
dc.format.extent239-244
dc.identifierhttp://dx.doi.org/10.1055/s-0042-1743557
dc.identifier.citationBrazilian Neurosurgery-arquivos Brasileiros de Neurocirurgia. Stuttgart: Georg Thieme Verlag Kg, v. 41, n. 3, p. 239-244, 2022.
dc.identifier.doi10.1055/s-0042-1743557
dc.identifier.issn0103-5355
dc.identifier.urihttp://hdl.handle.net/11449/245512
dc.identifier.wosWOS:000888770100003
dc.language.isoeng
dc.publisherGeorg Thieme Verlag Kg
dc.relation.ispartofBrazilian Neurosurgery-arquivos Brasileiros De Neurocirurgia
dc.sourceWeb of Science
dc.subjectventriculoperitoneal shunts
dc.subjecthydrocephalus
dc.subjectshunt malfunction
dc.subjectmedical resident
dc.subjectteaching hospital
dc.subjectventriculostomy
dc.titleRisk Factors for Malfunction of Ventriculoperitoneal Shunts Performed by Medical Residents in Children: an Exploratory Studyen
dc.typeArtigo
dcterms.rightsHolderGeorg Thieme Verlag Kg
unesp.author.orcid0000-0003-4774-0463[2]
unesp.author.orcid0000-0002-5712-9783[8]
unesp.author.orcid0000-0001-6436-9307[9]

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Artigos - Neurologia, Psicologia e Psiquiatria - FMB
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