Prevalence of hydrocephalus in the patients with traumatic brain injury: A systematic review and meta-analysis
BACKGROUND: The purpose of this study was determination of the prevalence of post-traumatic hydrocephalus (PTH) in patients who had traumatic brain injury (TBI) worldwide. METHODS: Four electronic databases including Scopus, PubMed, Embase, and Web of Science were searched in this meta-analysis....
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| Format: | Article |
| Language: | English |
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Vesnu Publications
2022-06-01
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| Series: | Chronic Diseases Journal |
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| Online Access: | http://cdjournal.muk.ac.ir/index.php/cdj/article/view/728 |
| _version_ | 1811175387940519936 |
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| author | Arash Fattahi Hamed Fattahi Faeze Ghasemi Seproo Azad Shokri |
| author_facet | Arash Fattahi Hamed Fattahi Faeze Ghasemi Seproo Azad Shokri |
| author_sort | Arash Fattahi |
| collection | DOAJ |
| description | BACKGROUND: The purpose of this study was determination of the prevalence of post-traumatic hydrocephalus (PTH) in patients who had traumatic brain injury (TBI) worldwide.
METHODS: Four electronic databases including Scopus, PubMed, Embase, and Web of Science were searched in this meta-analysis. The random-effects model was applied for the pooled effect size of I2 > 50%. Subgroup analysis was done to evaluate the heterogeneity, and the Egger’s test was used to test the asymmetry of the funnel plots in order to assess the publication bias.
RESULTS: A total of 48 studies with 11624 patients were evaluated. The pooled prevalence of PTH was 13% [95% confidence interval (CI): 11.0-15.0] and according to decompressive craniectomy (DC) surgery was 22.0% (95% CI: 18.0-26.0). This result among patients with severe TBI (sTBI) was 16.0% (95% CI: 13.0-19.0) and it was higher in the developed countries. The prevalence of PTH was generally higher in studies with a sample size lower than 100 (21.0%) and was generally lower in studies conducted between 1990 to1999 (4.0%). These results were not too different according to the study design.
CONCLUSION: It is recommended to design a prospective clinical study in order to explain the true dynamics and circulation of the cerebrospinal fluid (CSF) after DC. Moreover, there is a need to evaluate the cost-effectiveness of DC in reducing the intracranial pressure in comparison with other available options. In fact, performing the clinical studies with higher quality in less developed countries could provide more reliable related results to achieve a true global conclusion. |
| first_indexed | 2024-04-10T19:35:18Z |
| format | Article |
| id | doaj.art-35e582e297994ea89e8ad069eb1a2801 |
| institution | Directory Open Access Journal |
| issn | 2588-7297 2345-2226 |
| language | English |
| last_indexed | 2024-04-10T19:35:18Z |
| publishDate | 2022-06-01 |
| publisher | Vesnu Publications |
| record_format | Article |
| series | Chronic Diseases Journal |
| spelling | doaj.art-35e582e297994ea89e8ad069eb1a28012023-01-30T06:08:32ZengVesnu PublicationsChronic Diseases Journal2588-72972345-22262022-06-0110295108https://doi.org/10.22122/cdj.v10i2.728Prevalence of hydrocephalus in the patients with traumatic brain injury: A systematic review and meta-analysisArash Fattahi0https://orcid.org/0000-0002-1874-6527Hamed Fattahi1https://orcid.org/0000-0001-7011-3797Faeze Ghasemi Seproo2https://orcid.org/0000-0002-2865-428XAzad Shokri3https://orcid.org/0000-0003-2976-4488Department of Neurosurgery, School of Medicine, Iran University of Medical Sciences, Tehran, IranCenter for Primary Health Care Network Management, Deputy for Public Health, Iran Ministry of Health and Medical Education, Tehran, IranCenter for Health Human Resources Research and Studies, Ministry of Health and Medical Education, Tehran, IranSocial Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, IranBACKGROUND: The purpose of this study was determination of the prevalence of post-traumatic hydrocephalus (PTH) in patients who had traumatic brain injury (TBI) worldwide. METHODS: Four electronic databases including Scopus, PubMed, Embase, and Web of Science were searched in this meta-analysis. The random-effects model was applied for the pooled effect size of I2 > 50%. Subgroup analysis was done to evaluate the heterogeneity, and the Egger’s test was used to test the asymmetry of the funnel plots in order to assess the publication bias. RESULTS: A total of 48 studies with 11624 patients were evaluated. The pooled prevalence of PTH was 13% [95% confidence interval (CI): 11.0-15.0] and according to decompressive craniectomy (DC) surgery was 22.0% (95% CI: 18.0-26.0). This result among patients with severe TBI (sTBI) was 16.0% (95% CI: 13.0-19.0) and it was higher in the developed countries. The prevalence of PTH was generally higher in studies with a sample size lower than 100 (21.0%) and was generally lower in studies conducted between 1990 to1999 (4.0%). These results were not too different according to the study design. CONCLUSION: It is recommended to design a prospective clinical study in order to explain the true dynamics and circulation of the cerebrospinal fluid (CSF) after DC. Moreover, there is a need to evaluate the cost-effectiveness of DC in reducing the intracranial pressure in comparison with other available options. In fact, performing the clinical studies with higher quality in less developed countries could provide more reliable related results to achieve a true global conclusion.http://cdjournal.muk.ac.ir/index.php/cdj/article/view/728traumatic brain injuryhydrocephalusdecompressive craniectomymeta-analysis |
| spellingShingle | Arash Fattahi Hamed Fattahi Faeze Ghasemi Seproo Azad Shokri Prevalence of hydrocephalus in the patients with traumatic brain injury: A systematic review and meta-analysis Chronic Diseases Journal traumatic brain injury hydrocephalus decompressive craniectomy meta-analysis |
| title | Prevalence of hydrocephalus in the patients with traumatic brain injury: A systematic review and meta-analysis |
| title_full | Prevalence of hydrocephalus in the patients with traumatic brain injury: A systematic review and meta-analysis |
| title_fullStr | Prevalence of hydrocephalus in the patients with traumatic brain injury: A systematic review and meta-analysis |
| title_full_unstemmed | Prevalence of hydrocephalus in the patients with traumatic brain injury: A systematic review and meta-analysis |
| title_short | Prevalence of hydrocephalus in the patients with traumatic brain injury: A systematic review and meta-analysis |
| title_sort | prevalence of hydrocephalus in the patients with traumatic brain injury a systematic review and meta analysis |
| topic | traumatic brain injury hydrocephalus decompressive craniectomy meta-analysis |
| url | http://cdjournal.muk.ac.ir/index.php/cdj/article/view/728 |
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