Abstract
BackgroundIntracranial infection after puncture of cerebral hematoma in patients with intracerebral hemorrhage is very common in the department of neurosurgery, yet the relevant risks remain unknown. We attempted to analyze the risk factors of intracranial infection after puncture of cerebral hematoma, to provide insights into the management of patients with intracerebral hemorrhage after puncture of cerebral hematoma.MethodsPatients with intracerebral hemorrhage after puncture of cerebral hematoma treated in our hospital from January 2017 to January 2020 were selected, the related characteristics of intracranial infection and no infection patients were compared. Logistic regression analyses were conducted to analyze the risk factors for intracranial infection after puncture of cerebral hematoma.ResultsA total of 925 patients with puncture of cerebral hematoma were included. The incidence of postoperative intracranial infection was 7.03%. There were significant statistical differences between the infected group and the no infection group in the American Association of Anesthesiologists (ASA) grade, length of hospital stay, consecutive operation, duration of surgery, extra-ventricular drainage (EVD) use (all p < 0.05). There was statistically significant difference in the duration of EVD between the infection and no infection groups (p = 0.002), and there was no significant difference in the frequency of EVD insertion between the two groups (p = 0.094). The length of hospital stay≥10 days (OR1.832, 1.062–3.158), consecutive operation (OR2.158, 1.358–3.430), duration of surgery≥4 h (OR1.581, 1.031–2.425), EVD use (OR1.694, 1.074–2.670), and duration of EVD ≥ 7 days (OR2.699, 1.689–4.311) were the risk factors of intracranial infection in patients with intracerebral hemorrhage after puncture of cerebral hematoma (all p < 0.05).ConclusionClinical medical workers should take corresponding preventive measures against the different risk factors for prevention of intracranial infection in patient with puncture of cerebral hematoma.
Highlights
Intracranial infection after puncture of cerebral hematoma in patients with intracerebral hemorrhage is very common in the department of neurosurgery, yet the relevant risks remain unknown
Patients Patients with puncture of cerebral hematoma treated in a traditional tertiary hospital from January 2017 to January 2020 were selected as the research participants
The inclusion criteria were if: (1) The patient was diagnosed as intracerebral hemorrhage and underwent emergency puncture of cerebral hematoma; (2) The age was ≥18 years old; (3) The patient’s relevant clinical data was complete and the follow-up of 3 months after discharge were successful; (4) Patients were informed and agreed to participate in this study
Summary
Intracranial infection after puncture of cerebral hematoma in patients with intracerebral hemorrhage is very common in the department of neurosurgery, yet the relevant risks remain unknown. Cerebral hemorrhage is one of the common clinical symptoms of cardiovascular and cerebrovascular diseases [1]. It has the characteristics of high disability rate and mortality [2]. As the proportion of the elderly population worldwide increases year by year, cardiovascular and cerebrovascular diseases represented by cerebral hemorrhage gradually invade the health of the elderly, which seriously impair their quality of life, and pose a serious threat to their later life [7, 8]. More and more people are gradually paying attention to the prevention and treatment of cardiovascular and cerebrovascular diseases
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