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Analysis of institutional authors

Rodríguez-Boto GAuthorGutiérrez-González RAuthor

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September 5, 2023
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Tunneled antibiotic-impregnated vs. bolt-connected, non-coated external ventricular drainage: a comparison of complications

Publicated to: Frontiers in Neurology. 14 - 2023-08-11 14(), DOI: 10.3389/fneur.2023.1202954

Authors:

Ortega-Angulo, C; Royuela, A; Kalantari, T; Rodríguez-Boto, G; Gutierrez-Gonzalez, R
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Affiliations

Autonomous Univ Madrid, Fac Med, Dept Surg, Inst Invest Sanit Puerta Hierro Segovia de Arana, Madrid, Spain - Author
Hosp Cent Def Gomez Ulla, Dept Neurosurg, Madrid, Spain - Author
Hospital Central de la Defensa Gómez Ulla - Author
Hospital Universitario Puerta de Hierro Majadahonda - Author
Hospital Universitario Puerta de Hierro Majadahonda , Facultad de Medicina de la Universidad Autónoma de Madrid - Author
Puerta Hierro Univ Hosp, Biomed Res Inst, Consorcio Invest Biomed Red Epidemiol & Salud Publ, Biostat Unit,Inst Invest Sanit Puerta Hierro Segov, Madrid, Spain - Author
Puerta Hierro Univ Hosp, Dept Neurosurg, Madrid, Spain - Author
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Abstract

Background: External ventricular drainage (EVD) is a common emergency neurosurgical procedure, but it is not free of adverse events. The aim of this study is to compare the complication rate of two frequently used EVD types, namely, tunneled antibiotic-impregnated catheters (Bactiseal©) and bolt-connected non-coated devices (Camino©). Methods: All EVDs placed between 1 March 2015 and 31 December 2017 were registered. Procedures performed with any catheter different from Bactiseal© or Camino© EVD with incomplete follow-up and those EVDs placed due to infectious disease were excluded. Demographic and clinical variables, as well as the overall complication rate (infection, hemorrhage, obstruction, malposition of the catheter, and involuntary pull-out of the device) and the need for replacement of the EVD, were collected. Results: A total of 77 EVDs were finally considered for analysis (40 Bactiseal® and 37 Camino®). There was a statistically significant difference in diagnosis and also in the location of the procedure, as more bolt-connected EVD was placed outside the operating room (97.3 vs. 23.5%, p < 0.001) due to emergent pathologies such as vascular diseases and spontaneous hemorrhages. In the univariate analysis, a statistically significantly higher rate of catheter involuntary pull-out (29.7 vs. 7.5%, p = 0.012) and the need for EVD replacement (32.4 vs. 12.5%, p = 0.035) was found in the Camino cohort. However, those differences could not be confirmed with multivariable analysis, which showed no association between the type of catheter and any of the studied complications. Ventriculostomy duration was identified as a risk factor for infection (OR 1.09, 95% CI 1.02–1.18). Conclusion: No significant differences were observed regarding infection, hemorrhage, obstruction, malposition, involuntary catheter pull-out, and the need for EVD replacement when comparing non-impregnated bolt-connected EVDs (Camino®) with tunneled antibiotic-impregnated catheters (Bactiseal®). The duration of EVD was associated with an increased risk of infection.
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Keywords

accuracyanti-bacterial agentsburr-holedrainageefficacyexternal ventricular drainhemorrhagic complicationsinfectionsplacementpost-operative complicationspullout complicationsratesventriculostomyAnti-bacterial agentsDrainageExternal ventricular drainIntensive-care-unitPost-operative complicationsVentriculostomy

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Frontiers in Neurology due to its progression and the good impact it has achieved in recent years, according to the agency WoS (JCR), it has become a reference in its field. In the year of publication of the work, 2023, it was in position 112/280, thus managing to position itself as a Q2 (Segundo Cuartil), in the category Clinical Neurology. Notably, the journal is positioned en el Cuartil Q2 para la agencia Scopus (SJR) en la categoría Neurology (Clinical).

Independientemente del impacto esperado determinado por el canal de difusión, es importante destacar el impacto real observado de la propia aportación.

Según las diferentes agencias de indexación, el número de citas acumuladas por esta publicación hasta la fecha 2026-04-04:

  • WoS: 3
  • Scopus: 3
  • Europe PMC: 1
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Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2026-04-04:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 7.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 7 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 3.
  • The number of mentions on the social network X (formerly Twitter): 4 (Altmetric).

It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

  • The work has been submitted to a journal whose editorial policy allows open Open Access publication.
  • Assignment of a Handle/URN as an identifier within the deposit in the Institutional Repository: http://hdl.handle.net/10486/709018
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Leadership analysis of institutional authors

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: Last Author (GUTIERREZ GONZALEZ, RAQUEL).

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