Original research evaluation of risk factors in patients with cerebral Haemorrhage requiring ventriculoperitoneal shunt after initial external ventricular drain implantation in Golestan hospital of ahvaz in 2019-2020

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Background: A significant number of studies have explored the risk factors in patients requiring a cerebrospinal fluid (CSF) shunt following presentation with hydrocephalus, secondary to various types of cerebral haemorrhage, other brain disorders and complications. In this study, we intend to explore the risk factors in patients with Spontaneous cerebral haemorrhage that require ventriculoperitoneal shunt following initial implantation of an external ventricular drain. Methods: This study was based at the neurosurgery ward of Golestan Hospital in Ahvaz. We looked at all patients between the ages of 17 and 80 years who were admitted between 2019 and 2020 with spontaneous cerebral haemorrhage and were treated with an external ventricular drain (EVD). After the group was filtered for inclusion & exclusion criteria discussed later, their risk factors for dependence on long-term CSF drainage by ventriculoperitoneal shunt were evaluated. Data analysis, both descriptive and statistical were performed by SPSS software version 25. Results: It was observed that old age, brain surgery (except for EVD implantation), presence of underlying comorbidities including hypertension and Diabetes mellitus, duration of intubation categorised into three classes, <7 days, 7-14 days and >14 days, daily EVD quantity, EVD duration, distance from burr hole entry to the EVD exit site.

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