Impact of supine recumbency duration on the complications after lumbar puncture in children

• DOI: 10.3760/cma.j.issn.2095-428x.2014.12.010
• Publication Date: 2014-06-20
• Authors: Weiling Yan; Zhen-zhen Dou; Tianming Chen; HU Hui-li
• Keywords: Supine position; Post-dural-puncture headache; Spinal Puncture; Guideline

Objective To evaluate the post-puncture complications in children, and to difference occurrence rate of headache backache between patients who had 1 hour supine recumbency those 4 hours recumbency, provide evidence for standardized lumbar puncture (LP) procedure children.

Methods Inpatients were older than 3 diagnostic LP course their treatment Nov.2012 Apr.2013 enrolled.The was performed by same investigator under institutional guideline information number attempts, duration cerebrospinal fluid (CSF) drainage volume recorded.After procedure, all children randomly assigned into 2 groups: test group after LP, control it hours.For first 5 days following reports recorded another physician didn't participate this study.The assessed chi-square or Fisher's probabilities 2×2 table.And a Logistic regression analysis assess risk factors backache.

Results The overall frequency 4.6% (4/87 cases). The not significantly different (2.4%) (6.7%) (P=0.617). And 19.5% (17/87 cases), groups (test group: 21.4%, 17.8%, P=0.668). In analysis, age (P=0.011, OR: 6.884, 95%CI: 1.398-33.906) previous history (P=0.018, 0.126, 0.026-0.618) significant backache.The with more times decreased.And higher 6 years younger years.

Conclusions Headache most frequent children.There no short (1 hour) long (4 hours) preventing LP.

Key words: Lumbar puncture; Post-puncture complications; Duration recumbency; Child