Shunt infusion studies: impact on patient outcome, including health economics.

ABSTRACT:

Objectives

The diagnosis of shunt malfunction is often not straightforward. We have explored, in symptomatic shunted patients with hydrocephalus or pseudotumour cerebri syndrome (PTCS), the accuracy of CSF infusion tests in differentiating a functioning shunt from one with possible problems, and the health economic consequences.

Methods

Participants: hydrocephalus/PTCS patients with infusion tests performed from January 2013 until December 2015. We followed patients up after 6 and 12 months from the test to determine whether they had improved, had persisting symptoms or had required urgent revision. We calculated the total cost savings of revision versus infusion tests and standard protocol of revision and ICP monitoring versus infusion tests.

Results

Three hundred si

SUBMITTER: Lalou AD 

PROVIDER: S-EPMC7156359 | biostudies-literature | 2020 May

REPOSITORIES: biostudies-literature