ArticleCureus2026
Comparative Short-Term Outcomes of Conservative Management Versus External Ventricular Drainage in Adults With Spontaneous Intraventricular Hemorrhage: A Mixed Observational Cohort Study.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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.
Who cites it
1 citing paper in PubMed.
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSpontaneous intraventricular hemorrhage (IVH) is a rare and serious condition with high morbidity and mortality, often leading to hydrocephalus and elevated intracranial pressure. Optimal management, surgical versus conservative, remains a topic of debate, particularly when hydrocephalus is present.
objectiveThis study aimed to compare clinical outcomes in adult patients with spontaneous IVH managed conservatively versus those undergoing external ventricular drainage (EVD). PATIENTS AND
methodsThis single-center mixed retrospective-prospective observational study included 40 adult patients with spontaneous IVH managed either conservatively or with EVD. All patients underwent full clinical assessment, brain magnetic resonance imaging (MRI), and computed tomography (CT) angiography. Outcome was measured using Glasgow Coma Scale (GCS) changes at discharge. Comparisons between groups were conducted using chi-squared tests for categorical variables and t-tests or Mann-Whitney U tests for continuous variables.
resultsThere were insignificant variances in sex, age, Graeb score, or follow-up CT findings between the two groups. However, hemiparesis was significantly more frequent in the surgical group (85% vs. 55%; P=0.038). Conservative treatment resulted in a significantly higher improvement rate (90% against 60%; P=0.028) and lower mortality (10% vs. 40%).
conclusionConservative treatment in selected adult patients with spontaneous IVH was associated with better short-term outcomes in terms of functional recovery and survival compared to surgical interventions, which were associated with more neurological complications and higher mortality. However, these findings should be interpreted in light of baseline severity differences that may have influenced treatment selection.
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