Does the Setting of External Ventricular Drain Placement Affect Morbidity? A Systematic Literature Review Comparing Intensive Care Unit versus Operating Room Procedures
| Autor: | Nurose Karim, Andrew Caras, Hanan Qaqish, Azedine Medhkour, Giana Dawod, Luke Mugge, Nicholas D. Henkel |
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| Rok vydání: | 2020 |
| Předmět: |
Operating Rooms
medicine.medical_specialty Ventriculostomy law.invention 03 medical and health sciences 0302 clinical medicine law medicine Humans Data reporting business.industry Intensive care unit Intensive Care Units Systematic review Sample size determination 030220 oncology & carcinogenesis Hemorrhagic complication Emergency medicine Drainage Surgery Neurology (clinical) Catheter placement business Complication 030217 neurology & neurosurgery External ventricular drain |
| Zdroj: | World Neurosurgery. 140:131-141 |
| ISSN: | 1878-8750 |
| Popis: | Introduction External ventricular drain (EVD) placement can be performed at the bedside in the neurosurgical intensive care unit (ICU) or in the operating room (OR). Systematic review and meta-analysis may permit stronger recommendations to improve accuracy and complication rates. Methods Systematic review of PubMed was performed (inception–December 12, 2019) following PRISMA guidelines. Results Our search yielded 356 articles, of which 37 studies underwent full-text analysis. Nine studies met inclusion criteria. Studies were segregated into OR only (n = 3; 1011 patients), ICU only (n = 3; 325 patients), and OR + ICU (n = 3; 613 patients) cohorts. Studies were in addition divided by outcome measures, including catheter placement accuracy (ICU, 4 studies, n = 280 [68.29%] vs. OR, 2 studies, n = 198 [84.25%]); iatrogenic hemorrhagic complications (ICU, 4 studies, n = 112 [18.16%] vs. OR, 2 studies, n = 35 [17.50%]); and ventriculostomy-related infection rates (ICU, 4 studies, n = 48 [7.28%] vs. OR: 5 studies, n = 92 [8.06%]). Conclusions There are likely specific patient populations who would benefit from EVD placement in the ICU versus OR setting. The literature comparing efficacy and morbidity between EVDs placed in the ICU and OR settings is overall inconclusive in both sample size and congruence of methodology. Agreement in outcome metrics and data reporting on this topic is necessary to synthesize high-quality evidence to form practice-changing recommendations for this debated topic. |
| Databáze: | OpenAIRE |
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