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Table 6 Characteristics of first EVD catheters in patients with and without EVDRI

From: External ventriculostomy-associated infection reduction after updating a care bundle

  

Case No.

No EVDRI

EVDRI

Bivariate

Logistic regression

First catheter

 

198

181

17

  

Operator

Residents

128

119/181(66%)

9/17 (53%)

NS

 

Neurosurgeon

57

50/181(28%)

7/17 (41%)

Missing

13

12/181 (6%)

1/17 (6%)

Place of insertion

Critical care units

106

97/180 (54%)

9/17 (53%)

NS

 

Ward

6

5/180 (3%)

1/17 (6%)

Operating room/theater

61

57/180 (32%)

4/17 (23%)

Emergency box

21

18/180 (10%)

3/17 (18%)

Missing

3

3/180 (1%)

0/17 (0%)

EVD catheter type

Conventional

189

173/179 (97%)

16/17 (94%)

NS

 

Antimicrobial-impregnated catheter

3

3/179 (1.5%)

0/17 (0%)

Silver catheter

4

3/179 (1.5%)

1/17 (6%)

Tunneled

 

160

148/180 (82%)

12/17 (71%)

NS

NS

ICP monitoring

 

157

141/181 (78%)

16/17 (94%)

NS

 

Prophylaxis

 

189

172/181 (95%)

17/17 (100%)

NS

 

Complications during insertion

Misplacement or hematoma

37

31/180 (17%)

6/17 (35%)

0.009

NS

Days of EVD

  

10 (5–15)

14 (8–21)

NS

 

Reason for catheter removal

No necessary

89

87/181(4%)

2/17 (12%)

0.005

NS

Ventriculoperitoneal shunt insertion

26

24/181 (13%)

2/17 (12%)

Misplacement, obstruction, dysfunction, surgery, or accidental removal

57

46/181 (25%)

11/17 (65%)

Death or withdrawal of care

26

24/181 (13%)

2/17 (12%)

  1. EVD External ventricular drain, EVDRI EVD-related infection, ICP intracranial pressure, NS Not significant