AI Article Synopsis
- The study aimed to compare outcomes between non-operative treatment and surgical intraventricular drainage for patients with posttraumatic hydrocephalus, focusing on complications, mortality, and favorable outcomes.
- In the non-operative group, 89.74% had favorable outcomes, with only 2.56% mortality, while in the surgical group, 71.05% had favorable outcomes and 13.16% mortality (P<0.05).
- The findings suggest that non-operative treatment might be more effective than surgical intraventricular drainage for this patient population.
Article Abstract
Objective: To compare the outcome of non-operative treatment with the outcome of surgical intraventricular drainage for patients with posttraumatic hydrocephalus including complications, mortality and favorable outcome.
Methods: Thirty-nine patients were assigned to a nonoperative treatment group and 38 patents to a surgical intraventricular drainage group. Each patient's outcome was evaluated 3 years after treatment by using Glasgow Outcome Scale.
Results: In the nonoperative treatment group the rate of favor able outcome (good recovery or mild disability) was 89.74% (35 of 39 patients) and the mortality was 2.56% (1 of 39 patients). In the surgical intraventricular drainage group the rate of favorable outcome was 71.05% (27 of 38 patients) and the mortality was 13.16% (5 of 38 patients; P<0.05). Mortality was not significantly different between the two groups.
Conclusions: Nonoperative treatment may be better than surgical intraventricular drainage for patients with posttraumatic hydrocephalus.
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