no. of patients |
575 |
100 |
|
|
initial CSF shunt placement |
|
|
|
|
age |
|
|
0.37 |
|
≤30 days |
197 (34.3) |
36 (36.0) |
|
1–6 mos |
168 (29.2) |
32 (32.0) |
|
6–48 mos |
136 (23.7) |
16 (16.0) |
|
≥48 mos |
74 (12.9) |
16 (16.0) |
|
|
sex |
|
|
0.94 |
|
male |
308 (53.6) |
54 (54.0) |
|
female |
267 (46.4) |
46 (46.0) |
|
|
race/ethnicity |
|
|
0.78 |
|
non-Latino white |
274 (50.4) |
47 (49.5) |
|
non-Latino black |
136 (25.0) |
24 (25.3) |
|
Latino |
64 (11.8) |
14 (14.7) |
|
Asian |
12 (2.2) |
3 (3.2) |
|
other |
58 (10.7) |
7 (7.4) |
|
|
payer |
|
|
0.64 |
|
public |
294 (51.1) |
55 (55.0) |
|
private |
164 (28.5) |
24 (24.0) |
|
other |
117 (20.3) |
21 (21.0) |
|
|
indication for shunt placement |
|
|
|
|
IVH |
66 (11.5) |
11 (11.0) |
0.89 |
myelomeningocele |
66 (11.5) |
6 (6.0) |
0.10 |
CNS tumor |
50 (8.7) |
10 (10.0) |
0.67 |
meningitis |
14 (2.4) |
4 (4.0) |
0.37 |
trauma |
10 (1.7) |
0 (0.0) |
0.18 |
|
comorbidities |
|
|
0.63 |
|
none |
392 (68.2) |
67 (67.0) |
|
1 |
151 (26.3) |
25 (25.0) |
|
≥2 |
35 (5.6) |
8 (8.0) |
|
|
distal shunt location |
|
|
0.96 |
|
VP |
563 (97.9) |
98 (98.0) |
|
other |
12 (2.1) |
2 (2.0) |
|
|
initial CSF shunt infection |
|
|
|
|
age |
|
|
0.67 |
|
≤30 days |
19 (3.3) |
4 (4.0) |
|
1–6 mos |
200 (34.3) |
40 (40.0) |
|
6–48 mos |
241 (41.9) |
40 (40.0) |
|
≥48 mos |
115 (20.0) |
16 (16.0) |
|
interval CSF shunt revisions |
1 (1, 2) |
1 (1, 2) |
0.43 |
interval time from initial shunt placement (days) |
79 (28–360) |
50 (22–229) |
0.06 |
interval time from last op (days) |
34 (17–100) |
23 (14–50) |
0.03 |
|
hospital vol |
|
|
0.77 |
|
1–20 |
28 (4.9) |
7(7.0) |
|
21–40 |
155 (27.0) |
31 (31.0) |
|
41–60 |
292 (50.8) |
46 (46.0) |
|
≥61 |
100 (17.4) |
16 (16.0) |
|
|
surgeon vol |
|
|
0.50 |
|
≤10 |
181 (31.5) |
32 (32.0) |
|
11–20 |
223 (38.8) |
42 (42.0) |
|
21–30 |
97 (16.9) |
11 (11.0) |
|
>30 |
74 (12.9) |
15 (15.0) |
|
|
op approach to initial shunt infection (483 patients) |
|
|
|
|
shunt removal/new shunt placement |
242 (58.7) |
44 (62.0) |
0.61 |
externalization |
47 (11.4) |
12 (16.9) |
0.19 |
nonop management |
49 (11.9) |
15 (21.1) |
0.03 |
complete shunt removal |
74 (18.0) |
0 (0.0) |
<0.001 |
duration of intravenous antibiotic use (days) |
9 (0–16) |
7.5 (0–17) |
0.98 |