Show simple item record

dc.contributor.authorStuart, MJ
dc.contributor.authorAntony, J
dc.contributor.authorWithers, TK
dc.contributor.authorNg, W
dc.date.accessioned2021-11-18T02:03:24Z
dc.date.available2021-11-18T02:03:24Z
dc.date.issued2021
dc.identifier.issn0967-5868en_US
dc.identifier.doi10.1016/j.jocn.2021.10.014en_US
dc.identifier.urihttp://hdl.handle.net/10072/410215
dc.description.abstractBackground: Insertion of external ventricular drain (EVD) is one of the most common neurosurgical procedures performed worldwide. This is generally performed freehand, on the basis of anatomical landmarks. There is significant variability in the reported accuracy of freehand placement, lacking Level I evidence. We present the first meta-analysis of freehand EVD placement accuracy and technologies or techniques to enhance accuracy. Methods: We report a systematic review of the Pubmed, Embase, and Cochrane Central databases according to MOOSE (Meta-analysis Of Observational Studies) guidelines. 37 studies were included for qualitative analysis and 19 studies (2983 cases) for quantitative analysis. Results: There is substantial heterogeneity in the outcome measures used to report EVD placement accuracy. Of those nineteen studies reporting accuracy using the Kakarla grading system the mean rate of ideal ipsilateral frontal horn placement was 73% (standard deviation ±7%). The use of formal stereotaxic guidance is consistently reported to improve accuracy to >90%, although with variable outcome measures. However, the reported efficacy of other guidance devices or techniques is highly variable. The quality of studies directly comparing all existing non-stereotaxic devices with freehand EVD placement is poor and precludes any assertion of superiority to freehand insertion. Conclusions: We provide the first meta analysis of freehand placement accuracy. There is insufficient data to perform a meta-analysis of the relative efficacy of interventions to improve accuracy. Qualitative synthesis of reports of stereotaxic guidance is suggestive of higher accuracy than freehand placement.en_US
dc.description.peerreviewedYesen_US
dc.languageenen_US
dc.publisherElsevier BVen_US
dc.relation.ispartofpagefrom140en_US
dc.relation.ispartofpageto151en_US
dc.relation.ispartofjournalJournal of Clinical Neuroscienceen_US
dc.relation.ispartofvolume94en_US
dc.subject.fieldofresearchClinical sciencesen_US
dc.subject.fieldofresearchcode3202en_US
dc.titleSystematic review and meta-analysis of external ventricular drain placement accuracy and narrative review of guidance devicesen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Articlesen_US
dcterms.bibliographicCitationStuart, MJ; Antony, J; Withers, TK; Ng, W, Systematic review and meta-analysis of external ventricular drain placement accuracy and narrative review of guidance devices, Journal of Clinical Neuroscience, 2021, 94, pp. 140-151en_US
dc.date.updated2021-11-10T00:17:37Z
gro.hasfulltextNo Full Text
gro.griffith.authorNg, Wayne


Files in this item

FilesSizeFormatView

There are no files associated with this item.

This item appears in the following Collection(s)

  • Journal articles
    Contains articles published by Griffith authors in scholarly journals.

Show simple item record