Factors Associated With Post-induction Hypotension in Idiopathic Normal Pressure Hydrocephalus (iNPH) Patient Undergoing Ventriculoperitoneal (VP) and Lumbar Peritoneal (LP) Shunt
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Mahidol University
- Enrollment
- 426
- Locations
- 1
- Primary Endpoint
- Factors associated with post-induction hypotension in iNPH patients undergoing VP or LP shunt procedures
Study Overview
Brief Summary
This study is a retrospective work involving the review of patients who were scheduled for VP or LP shunt in Siriraj Hospital, Mahidol University, Thailand. The sample size calculation was based on the rule of thumbs of the logistic regression comprising 18 risk factors. The incidence of post-induction hypotension according to our institution's pilot study November 2019-January 2020) was 47%. With 10% addition for missing data and other possible reasons, the sample size was 426. The primary objective of the study is to report the factors associated with post-induction hypotension in iNPH patients undergoing VP or LP shunt procedures. Our secondary objective is to determine the incidence of post-induction hypotension in these patients.
Study Design
- Study Type
- Observational
- Observational Model
- Case Control
- Time Perspective
- Retrospective
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Elective cases of iNPH scheduled for VP and LP shunt
- •Patients aged > 18 years old
Exclusion Criteria
- •Emergency cases
Arms & Interventions
Hypotensive group
Hypotenson is defined as systolic blood pressure (SBP) < 80 mmHg or a drop more than 20% from baseline SBP for longer than 10 minutes or a drop that requires treatment either vasopressor or inotropic drugs.
Intervention: Ehedrine Norepineprine (Drug)
Outcomes
Primary Outcomes
Factors associated with post-induction hypotension in iNPH patients undergoing VP or LP shunt procedures
Time Frame: 9 months
Risk factors associated with post-induction hypotension after administration of anesthetic agents
Secondary Outcomes
No secondary outcomes reported
Investigators
Phuriphong Songarj
Associate Professor
Mahidol University
