Evidence map›Paper›PMID 41074626›Full record

Observational studyNursing in critical care2025

External Ventricular Drain Column Height Fails to Explain Cerebrospinal Fluid Drainage Volumes.

Yuan Li, Shripal Gunna, Amber Salter, Yohan Kim, DaiWai M Olson

Abstract readObservational Study
In one paragraph

Observational study in Nursing in critical care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Yuan LiAffiliated Hospital of Zunyi Medical University, Zunyi, China.
Shripal GunnaUniversity of Texas Southwestern, Dallas, Texas, USA.
Amber SalterUniversity of Texas Southwestern, Dallas, Texas, USA.
Yohan KimUniversity of Texas Southwestern, Dallas, Texas, USA.
DaiWai M OlsonUniversity of Texas Southwestern, Dallas, Texas, USA.ORCID https://orcid.org/0000-0002-9280-078X

Funding

NeurOptics Inc.
6 · The paper itself

Abstract

backgroundAn external ventricular drain (EVD) facilitates cerebrospinal fluid (CSF) diversion and intracranial pressure (ICP) monitoring. CSF drainage can be regulated by controlling the fluid drain height. There is limited evidence guiding nursing practice for adjusting drain height when caring for patients with an EVD.

aimThis purpose of this study is to explore the relationship between EVD drain height setting and CSF drainage volumes. STUDY

designThis was a retrospective observational study. The initial 14 days from EVD placement for patients admitted to a university hospital between 2022 and 2024 who received an EVD and had CSF diversion were considered. Associations between time-stamped data for five drain height categories (< 0 cmH

resultsThe 115 patients provided 27 552 time-stamped observations over a median of 6.3 (IQR = 2.7-11.8) EVD days. The mean age was 51 (15.5) years; 53.0% were female, 64.9% were White and 74.8% were Non-Hispanic. Across the first 14 EVD days, the mean daily CSF volume was 179.2 (121 mL) with a range from 0 to 539 mL. Mean daily CSF output by height were: < 0 cmH

conclusionThis study found a limited role of low-altitude settings in facilitating CSF drainage in EVD management. RELEVANCE TO CLINICAL PRACTICE: Future efforts should be made to establish if there is a relationship between ICP management based on CSF drainage volume or drain height setting and to examine the impact of CSF drainage on patient outcomes. This information may also guide clinicians in making decisions about CSF drainage.

Indexed as

Cerebrospinal FluidDrainageVentriculostomyAdultAgedFemaleHumansIntracranial PressureMaleMiddle AgedRetrospective Studies

Identifiers

PMID41074626
PMCPMC12514661

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.