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Ventriculoperitoneal shunt complication in pediatric hydrocephalus: risk factor analysis from a single institution

  • Azka El Muzakka ,
  • Muhamad Thohar Arifin ,
  • Yuriz Bakhtiar ,
  • Krisna Tsaniadi Prihastomo ,
  • Zainal Muttaqin ,


Introduction: Ventriculoperitoneal (VP) shunt surgery is a commonly performed neurosurgical procedure. Complications due to shunt failure are associated with high morbidity and mortality. There is an absence of research in Indonesia that focuses on demographic factors related to complications from ventriculoperitoneal shunts. We report an analysis of risk factors for shunt failure in pediatric patients from a single institution 

Method: A retrospective analytical study with prospective data was designed. Pediatric patients with hydrocephalus were performed ventriculoperitoneal shunt in 5 years (January 2018 - December 2023). All of risk factors such as age, comorbidity, etiologies, types of shunts, CSF analysis were followed up.

Result: 448 pediatric patients underwent VP shunts, and 175 of them had complications. The age group <12 months, with 98 patients, noticed the highest number of complications of VP shunt. The logistic regression test showed that age, surgery duration, protein, CSF cells, and birth weight all had p-values <0.05. The number of CSF cells has the largest OR value (OR = 136,800) (95% CI 27.185 – 688.391). The Kaplan Meier survival test showed that the age group (p 0.008, OR 0.580 and 95% CI 0.387 – 0.868).


Conclusion: Patients under the age of six months had the highest incidence of VP shunt complications. Cell number, CSF protein, surgery duration, age, and birth weight all influence the risk of VP shunt complications in pediatric patients.





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How to Cite

Muzakka, A. E., Arifin, M. T. ., Bakhtiar, Y. ., Prihastomo, K. T. ., & Muttaqin, Z. . (2024). Ventriculoperitoneal shunt complication in pediatric hydrocephalus: risk factor analysis from a single institution. Indonesia Journal of Biomedical Science, 18(1), 116–122.




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Azka El Muzakka
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Muhamad Thohar Arifin
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Yuriz Bakhtiar
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Krisna Tsaniadi Prihastomo
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Zainal Muttaqin
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