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From Shunt to Recovery: A Multidisciplinary Approach to Hydrocephalus Treatment in Severe Acquired Brain Injury Rehabilitation

1
Montecatone Rehabilitation Institute, Imola, 40026 Bologna, Italy
2
Department of Neuroscience, Reproductive and Odontostomatological Sciences, Division of Neurosurgery, Università degli Studi di Napoli “Federico II”, 80138 Naples, Italy
3
Department of Biomedical and Neuromotor Sciences, Alma Mater Studiorum University of Bologna, 40126 Bologna, Italy
4
Department of Neurosurgery, Institute of Neurological Sciences of Bologna IRCCS, Bellaria Hospital, 40139 Bologna, Italy
*
Author to whom correspondence should be addressed.
Academic Editors: Brian D. Greenwald and Nada Andelic
Brain Sci. 2022, 12(1), 3; https://doi.org/10.3390/brainsci12010003
Received: 28 October 2021 / Revised: 7 December 2021 / Accepted: 17 December 2021 / Published: 21 December 2021
(This article belongs to the Section Neurorehabilitation)
Background: Hydrocephalus among Severe Acquired Brain Injury (SABI) patients remains overlooked during rehabilitation. Methods: A retrospective cohort study was carried out of traumatic and non-traumatic SABI patients with hydrocephalus, consecutively admitted over 9 years in a tertiary referral specialized rehabilitation hospital. Patients were treated with ventriculoperitoneal shunt before or during inpatient rehabilitation and assessed using the Level of Cognitive Functioning Scale and Disability Rating Scale. Logistic regression models were used to identify predictors of post-surgical complications. Linear regression models were used to investigate predictors of hospital length of stay (LOS), disability, and cognitive function. Results: Of the 82 patients, 15 had post-surgical complications and 16 underwent cranioplasty. Shunt placement complication risk was higher when fixed vs. when programmable pressure valves were used. A total of 56.3% achieved functional improvement at discharge and 88.7% improved in cognitive function; of the 82 patients, 56% were discharged home. In multiple regression analyses, higher disability at discharge was related to cranioplasty and longer LOS, while poorer cognitive function was associated with cranioplasty. Increase in LOS was associated with increasing time to shunt and decreasing age. Conclusions: A significant improvement in cognitive and functional outcomes can be achieved. Cranioplasty increased LOS, and fixed pressure valves were related to poorer outcomes. View Full-Text
Keywords: rehabilitation outcome; brain injuries; hydrocephalus; ventriculoperitoneal shunt; cerebrospinal fluid rehabilitation outcome; brain injuries; hydrocephalus; ventriculoperitoneal shunt; cerebrospinal fluid
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MDPI and ACS Style

Castellani, G.B.; Miccoli, G.; Cava, F.C.; Salucci, P.; Colombo, V.; Maietti, E.; Palandri, G. From Shunt to Recovery: A Multidisciplinary Approach to Hydrocephalus Treatment in Severe Acquired Brain Injury Rehabilitation. Brain Sci. 2022, 12, 3. https://doi.org/10.3390/brainsci12010003

AMA Style

Castellani GB, Miccoli G, Cava FC, Salucci P, Colombo V, Maietti E, Palandri G. From Shunt to Recovery: A Multidisciplinary Approach to Hydrocephalus Treatment in Severe Acquired Brain Injury Rehabilitation. Brain Sciences. 2022; 12(1):3. https://doi.org/10.3390/brainsci12010003

Chicago/Turabian Style

Castellani, Giovanna B., Giovanni Miccoli, Francesca C. Cava, Pamela Salucci, Valentina Colombo, Elisa Maietti, and Giorgio Palandri. 2022. "From Shunt to Recovery: A Multidisciplinary Approach to Hydrocephalus Treatment in Severe Acquired Brain Injury Rehabilitation" Brain Sciences 12, no. 1: 3. https://doi.org/10.3390/brainsci12010003

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