gms | German Medical Science

127. Kongress der Deutschen Gesellschaft für Chirurgie

Deutsche Gesellschaft für Chirurgie

20.04. - 23.04.2010, Berlin

The Influence of the comorbidity on the postoperative course of desease in patients with idiopathic normal pressure hydrocaphlus (iNPH)

Meeting Abstract

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  • Ullrich Meier - Unfallkrankenhaus Berlin-Marzahn, Klinik für Neurochirurgie, Berlin, Deutschland
  • Johannes Lemcke - Unfallkrankenhaus Berlin, Klinik für Neurochirurgie, Berlin, Deutschland

Deutsche Gesellschaft für Chirurgie. 127. Kongress der Deutschen Gesellschaft für Chirurgie. Berlin, 20.-23.04.2010. Düsseldorf: German Medical Science GMS Publishing House; 2010. Doc10dgch037

DOI: 10.3205/10dgch037, URN: urn:nbn:de:0183-10dgch0377

Published: May 17, 2010

© 2010 Meier et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.


Outline

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Objective: The accurate prediction of the outcome after shunt implantation is the most important question in iNPH diagnostics. Due to this, the comorbidities are more and more of interest. In our study, we examined the influence of the comorbidities to the outcome of our patients.

Methods: We retrospectively analysed 100 patients in which we implanted a ventriculoperitoneal shunt with a gravitational valve due to an iNPH in our hospital between 9/1997 and 7/2005. We classified them with the Co-Morbidity-Index (CMI) introduced by Kiefer. The results were correlated with the outcome 12 months after surgery

Results: In patients with a CMI of 3 points or less the portion of shunt responders (excellent, good or satisfying outcome) were remarkebly higher than in patients with a CMI of more than 3 points.

Conclusions: The clinical success of shunt surgery correlates with the comorbidity. The CMI is a helpful tool for predicting the postoperative course of desease in patients with iNPH.