Risk Factors of Chang et al for Shunt Dependence after Aneurysmal Subarachnoid Hemorrhage (aSAH)

Description

Chang et al reported risk factors for shunt dependence after aneurysmal subarachnoid hemorrhage (aSAH). These can help to identify a patient who may benefit from more aggressive management. The authors are from the National Yang-Ming University in Taipei, Taiwan.

Patient selection: aneurysmal subarachnoid hemorrhage

Outcome: shunt-dependent hydrocephalus

Predictors of shunt-dependence:

(1) poor Hunt & Hess grade (III, IV or V)

(2) initial placement of an external ventriculostomy

(3) leukocytosis in the Emergency Department (WBC count > 14,500 per microliter

Early placement of a ventricular-peritoneal shunt after aSAH was associated with a shorter stay in the ICU and in the hospital.

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