脑积水是一种终生疾病，在大多数情况下，会因无法预测的住院手术维持而中断。它比其他任何疾病都更受儿科神经外科医生的关注。患者、患者家属和医疗保健系统都对衡量结果的基准感兴趣。与其他指标相比，30 天的结果需要适度的资源来收集，概念上是透明的，并且对流程改进敏感。美国外科医生学会儿科国家手术质量改进计划在 2013 年对脑积水手术进行了询问到 2020 年。收集了人口统计数据和有关合并症的数据。在单变量和多变量模型中对 30 天返回手术室、分流管感染和再入院的比率进行了分析。样本中共有 29,098 例外科手术，包括 10,135 例分流器插入、16,420 例分流器修复和 16,420 例分流器修复。 2543 例内镜下第三脑室造口术。总体30天再手术率为10.3%。最有力的关联与指数程序的性质以及极端过早的历史有关。 30天分流感染率为1.80%。主要关联与年轻、主要心脏危险因素、营养支持和呼吸机依赖。 30天再入院率为17.2%。索引程序的性质、当前的恶性肿瘤、营养支持和最近的类固醇给药是主要关联。与这些结果呈负相关的合并症非常普遍。重要的 30 天结果的精确基准是根据儿童脑积水手术的大量样本计算得出的。

Hydrocephalus is a lifelong condition punctuated in most cases by unpredictable hospital admissions for surgical maintenance. It occupies more of the attention of the pediatric neurosurgeon than any other condition. Benchmarks for the measurement of outcomes are of interest to patients, their families, and the healthcare system. Compared to other metrics, 30-day outcomes require modest resources to collect, are conceptually transparent, and are responsive to process improvement.The National Surgical Quality Improvement Program-Pediatric of the American College of Surgeons was queried for operations for hydrocephalus in the years 2013 through 2020. Demographic data and data regarding comorbidities were collected. Thirty-day rates of return to the operating room, of shunt infection, and of readmission to hospital were analyzed on a univariate basis and in multivariate models.There were 29,098 surgical procedures in the sample, including 10,135 shunt insertions, 16,420 shunt revisions, and 2543 endoscopic third ventriculostomies. The overall 30-day reoperation rate was 10.3%. The most powerful associations were with the nature of the index procedure and with a history of extreme prematurity. The 30-day shunt infection rate was 1.80%. The major associations were with young age, major cardiac risk factors, nutritional support, and ventilator dependence. The 30-day readmission rate was 17.2%. The nature of the index procedure, current malignancy, nutritional support, and recent steroid administration were major associations. Comorbidities negatively associated with these outcomes were highly prevalent.Precise benchmarks for important 30-day outcomes have been calculated from a very large sample of operations for hydrocephalus in childhood.