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Risk Factors for External Ventricular Drainage–Related Infection

Jialei Zhou, Yi Zhong, Xiang Li, Hang Li, Jiahe Wang, Siyuan Yang, Gang Chen

2023Neurology Clinical Practice20 citationsDOIOpen Access PDF

Abstract

Background and Objectives: External ventricular drainage (EVD) is one of the most commonly performed neurosurgical procedures, but EVD-related infection constitutes a significant health concern. Yet, little consensus identifies the risk factors for the development of EVD-related infection. Therefore, we performed a meta-analysis to systematically summarize existing evidence on the incidence and risk factors for EVD-related infection. Methods: PubMed, Embase, and the Cochrane Library databases from database inception to February 28, 2022, were searched for all studies investigating the incidence and risk factors for EVD-related infection. Data were assessed by R-4.2.0 software. The meta-analysis was used to calculate pooled odds ratios (OR) and 95% confidence intervals (CI). Results: = 0.308). Discussion: The meta-analysis of various relevant factors in the onset of EVD-related infection in patients submitted to EVD enabled us to establish a more probable profile of the patients who are more likely to develop it during the treatment.

Topics & Concepts

MedicineExternal ventricular drainOdds ratioIncidence (geometry)Confidence intervalIntraventricular hemorrhageVentriculitisSubarachnoid hemorrhageInternal medicineMeta-analysisCochrane LibraryRisk factorSurgeryCerebrospinal fluidGestational agePregnancyOpticsPhysicsBiologyGeneticsCerebrospinal fluid and hydrocephalusSpinal Dysraphism and MalformationsBacterial Infections and Vaccines