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Table 4 Risk factors of shunt-dependent hydrocephalus in aneurysmal SAH patients without hydrocephalus upon arrival at the hospital

From: Predictors and outcomes of shunt-dependent hydrocephalus in patients with aneurysmal sub-arachnoid hemorrhage

 

Without shunt-dependent hydrocephalus N = 71

With shunt-dependent hydrocephalus N = 15

P value

OR

95% CI

Sex (male/female)

20/51

3/12

0.384

0.638

0.163-2.501

Mean age at onset

52.92 ± 11.85

57.93 ± 12.66

0.146

  

Mean blood pressure on presentation

     
 

Mean Systolic Blood pressure (mmHg)

144.59 ± 22.92

148.13 ± 24.77

0.593

  
 

Mean diastolic Blood pressure (mmHg)

81.84 ± 12.734

78.07 ± 14.67

0.312

  

Mean GCS on presentation

13.17 ± 2.82

10.87 ± 4.17

0.01

  

Mean modified Fisher SAH grade on presentation

2.44 ± 0.80

2.93 ± 0.96

0.039

  

Mean WFNS grade on presentation

2.07 ± 1.20

3.00 ± 1.60

0.012

  

Mean Hospitalization days

24.13 ± 21.50

36.46 ± 20.24

0.0.045

  

Neuroimaging findings

     
 

Rebleeding of aneurysm

4

2

0.280

2.577

0.427-15.563

 

Intraventricular hemorrhage on admission

5

6

0.003

8.8

2.223-34.842

 

Intracerebral hemorrhage on admission

12

3

0.72

1.229

0.3-5.301

Underlying diseases

     
 

Hypertension

27

6

1.0

1.086

0.348-3.393

 

Atrial fibrillation

1

0

1.0

0.824

0.746-0.909

 

Coronary artery diseases

5

1

1.0

0.943

0.102-8.708

 

Diabetes mellitus

4

3

0.098

4.188

0.83-21.12

 

End stage renal diseases

2

0

1.0

0.821

0.743-0.908

Other complications following aneurysmal SAH

     
 

Cerebral infarction

     
 

Symptomatic vasospasm

10

2

1.0

0.938

0.184-4.799

 

Seizure

9

5

0.063

3.444

0.957-12.40

 

Diabetes inspidus

0

2

0.029

0.155

0.094-0.255

 

Hyponatremia

5

2

0.60

2.031

0.355-11.62

 

Shunt infection

1

1

0.32

5.0

0.295-84.776

 

Postoperative intracerebral hemorrhage

5

5

0.013

6.6

1.617-26.945

 

Arrhythmia

1

1

0.320

5.0

0.295-84.776

Outcome

     
 

Mean Hospitalization days

24.13 ± 21.50

36.47 ± 20.24

0.0452

  
 

Mean GOS at discharge

3.86 ± 1.16

2.93 ± 1.03

0.014

  
 

Mean GOS after more than 18 months of follow-up

4.21 ± 1.19

3.33 ± 1.40

0.211

  
  1. Abbreviations: N, number of cases; OR, odds ratio; CI, confidence interval; SAH, sub-arachnoid hemorrhage; GCS, Glasgow Outcome Scale; GOS, Glasgow Outcome Scale; WFNS, World Federation of Neurosurgical Societies.