{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T15:27:26Z","timestamp":1791646046147,"version":"4.3.4"},"reference-count":41,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,8,1]]},"abstract":"<jats:sec>\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>The aim of this study was to evaluate the effect of standardized care guidelines featuring next-day discharge on hospital length of stay (LOS), outcomes, patient experience, and healthcare consumption in patients receiving ventriculoperitoneal shunts (VPSs) for idiopathic normal pressure hydrocephalus (iNPH).<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>METHODS<\/jats:title>\n<jats:p>This single-center population-based observational cohort study included 271 adult iNPH patients who underwent VPS surgery at Karolinska University Hospital. Groups were compared before and after the implementation of new standardized discharge guidelines. The primary outcome was the hospital LOS. Secondary outcomes included postoperative complications, patient experience, and frequency of unscheduled outpatient follow-up appointments.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>RESULTS<\/jats:title>\n<jats:p>A total of 121 patients were treated with variable hospitalization periods. One hundred fifty patients were managed under the new guidelines stipulating next-day discharge. There was no significant difference in positive surgical outcome (66% vs 71%, p = 0.372) or rates of complication (p \u2265 0.066) between groups. The standardized guidelines group had a significantly shorter period of inpatient hospitalization (1 vs 2 days, p &lt; 0.001) and demonstrated lower levels of unscheduled outpatient healthcare consumption (p &lt; 0.001) while maintaining levels of positive patient experience (p = 0.828).<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>CONCLUSIONS<\/jats:title>\n<jats:p>Standardized discharge guidelines featuring next-day discharge are safe for iNPH patients undergoing VPS surgery, maintain the quality of the patient experience, and are an effective method for mitigating healthcare consumption in an expanding patient group.<\/jats:p>\n<\/jats:sec>","DOI":"10.3171\/2024.4.jns24601","type":"journal-article","created":{"date-parts":[[2024,8,10]],"date-time":"2024-08-10T01:31:11Z","timestamp":1723253471000},"page":"1-7","source":"Crossref","is-referenced-by-count":2,"title":["Impact of standardized care guidelines featuring next-day discharge on outcome, healthcare consumption, and patient healthcare experience in patients with idiopathic normal pressure hydrocephalus receiving ventriculoperitoneal shunts"],"prefix":"10.3171","author":[{"given":"Alexandra","family":"Backlund","sequence":"first","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lovisa","family":"Brodin","sequence":"additional","affiliation":[{"name":"Neurology, Karolinska University Hospital, Stockholm; and"},{"name":"Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fattema","family":"Khalil","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Fletcher-Sandersj\u00f6\u00f6","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"},{"name":"Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helena","family":"Kristiansson","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Aller Tosi","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann-Christin","family":"Von Vogelsang","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"},{"name":"Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Arvidsson","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"},{"name":"Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"2","key":"b1","series-title":"Neurol Med Chir (Tokyo)","first-page":"63","article-title":"Guidelines for Management of Idiopathic Normal Pressure Hydrocephalus. 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J Neurol Sci. 1965;2(4):307\u2013327."},{"key":"b3","series-title":"Front Aging Neurosci","first-page":"866313","article-title":"Pathophysiological mechanisms underlying idiopathic normal pressure hydrocephalus: a review of recent insights","volume":"14","author":"Bonney PA","year":"2022","unstructured":"Bonney PA, Briggs RG, Wu K,  Pathophysiological mechanisms underlying idiopathic normal pressure hydrocephalus: a review of recent insights. Front Aging Neurosci. 2022;14:866313."},{"issue":"5","key":"b4","series-title":"PLoS One","first-page":"e0217705","article-title":"Prevalence of idiopathic normal pressure hydrocephalus: a prospective, population-based study","volume":"14","author":"Andersson J","year":"2019","unstructured":"Andersson J, Rosell M, Kockum K, Lilja-Lund O, S\u00f6derstr\u00f6m L, Laurell K. Prevalence of idiopathic normal pressure hydrocephalus: a prospective, population-based study. 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