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TROPHY registry - status report.

U W Thomale1, C Auer2, P Spennato3

  • 1Pediatric Neurosurgery, Campus Virchow Klinikum, Charité Universitätsmedizin, Berlin Augustenburger Platz 1, 13353, Berlin, Germany. uthomale@charite.de.

Child'S Nervous System : Chns : Official Journal of the International Society for Pediatric Neurosurgery
|June 29, 2021
PubMed
Summary
This summary is machine-generated.

The TROPHY registry shows varied surgical approaches for neonatal hydrocephalus. Neuroendoscopic lavage (NEL) use increased, while external ventricular drainage (EVD) decreased, indicating evolving treatment strategies for neonatal post-hemorrhagic hydrocephalus (nPHH).

Keywords:
External ventricular drainageInfant hydrocephalusNeuroendoscopic shuntPosthemorrhagic hydrocephalusSubgaleal shuntTROPHYVentricular access device

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Area of Science:

  • Neurosurgery
  • Pediatric Surgery
  • Clinical Data Registries

Background:

  • Neonatal intraventricular hemorrhage (IVH) frequently leads to hydrocephalus (nPHH).
  • Surgical management of nPHH involves diverse techniques with varying adoption rates globally.
  • Standardized data collection is crucial for developing evidence-based guidelines.

Purpose of the Study:

  • To establish the TROPHY international registry for prospective data collection on surgical management of nPHH.
  • To compare the efficacy and utilization of different hydrocephalus treatment techniques.
  • To report initial findings on the standard of care survey from participating centers.

Main Methods:

  • A survey of standard treatment protocols was conducted among 56 registered centers.
  • Data on interventions for nPHH over two years (Y1 and Y2) were collected.
  • Patient data from 110 infants treated between September 2018 and February 2021 were analyzed.

Main Results:

  • Fewer external ventricular drains (EVDs) were used (Y1 55% to Y2 46%), while neuroendoscopic lavage (NEL) use increased (Y1 39% to Y2 52%).
  • Ventricular access devices (VADs) and ventricular subgaleal shunts (VSGS) showed consistent usage rates.
  • A majority of centers employed multiple techniques (43% used ≥2), with NEL being the most common treatment for enrolled patients (43%).

Conclusions:

  • Surgical management strategies for nPHH are diverse across international centers.
  • The TROPHY registry is actively recruiting patients, promising further insights.
  • Future publications will detail comprehensive evaluations based on the registry protocol.