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%) |