The study was conducted on forty-two patients with acute hydrocephalus resulting from intraventricular hemorrhage. Patients were admitted to the Emergency Department of Bach Mai hospital from August 2011 to August 2014. The purpose of this study was to evaluate the effect of external intraventricular drain placement within 12 hours from onset in intraventricular hemorrhage with acute hydrocephalus. Recruited patients were divided into two groups: group one (n = 26), EVD were placed within 12 hours from the onset; and group 2 (n = 16), EVD were placed after 12 hours from the onset. There were better outcomes (GCS 12 and mRS = 3) in group 1 (61.5 percent and 42.3 percent, respectively) than group 2 (31.2 percent and 0 percent, respectively) with p 0.05. The authors found no difference in complications from EVD placement including EVD obstruction (7.7 percent vs 18.8 percent, p 0.05), catheter tract hemorrhage (7.7 percent vs 18.8 percent, p 0.05) and bacterial CSF infection (3.8 percent vs. 12.5 percent, P 0.05) and mortality rate (3.8 percent vs 12.5 percent, p 0.05) between the two groups. These results shown that EVD placement within 12 hours from symptom onset did not change the complication rates and the mortality rate, but were associated with improvement of short - term outcomes (GCS and mRS).
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