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Analysis of factors influencing hospital-acquired infection in postoperative patients with intracranial aneurysm

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收录情况： ◇ SCIE

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机构： [1]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, China International Neuroscience Institute (China-INI), 45 Changchun Street, Beijing 100053, China [2]Hospital Infection Management Division, Xuanwu Hospital, Capital Medical University, Beijing, China. [3]Centre for Evidence-Based Medicine, Xuanwu Hospital, Capital Medical University, Beijing, China

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关键词： Case-control study Hospital-acquired infection Intracranial aneurysm Risk factor

摘要：

Background: Hospital-acquired infection (HAI) is a serious complication of neurosurgery. In recent years, the medical body has paid increasing attention to this issue. Aim: We investigated the status of HAIs in patients who had undergone surgery for intracranial aneurysms and analysed their risk factors. Methods: A retrospective analysis was carried out on the medical records of 542 patients with intracranial aneurysms after they were admitted for neurosurgery at Xuanwu Hospital of Capital Medical University between January and December 2016. Cases studied were divided into an infection group and a control group. Logistic regression analysis of the data was carried out. Findings: Of the 542 patients with intracranial aneurysms who underwent surgery, 77 HAIs occurred in 64 patients, with an infection prevalence of 11.8% and prevalence of infection cases of 14.2%. Logistic regression showed that an admission Glasgow Coma Scale (GCS) score of less than 8 points (odds ratio = 4.261, 95% confidence interval 1.102-16.476), hyperglycaemia (2.759, 1.159-6.564), hypothermia treatment (6.557, 2.244-19.159), and central venous catheterisation (CVC) (8.853, 2.860-27.398) were independent risk factors for HAIs in patients with intracranial aneurysm who underwent surgery. Conclusion: Being comatose upon hospital admission, having hyperglycaemia or hypothermia, and indwelling CVC are major risk factors for HAIs in patients undergoing surgery for intracranial aneurysms. © 2019 The Author(s).

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出版当年[2018]版：

大类 | 4 区医学

小类 | 4 区临床神经病学

最新[2023]版：

大类 | 3 区医学

小类 | 4 区临床神经病学

JCR分区：

出版当年[2017]版：

Q3 CLINICAL NEUROLOGY

最新[2023]版：

Q3 CLINICAL NEUROLOGY

影响因子： 2.2 最新[2023版] 2.5 最新五年平均 2.17 出版当年[2017版] 2.598 出版当年五年平均 2.006 出版前一年[2016版] 2.233 出版后一年[2018版]

第一作者：

第一作者机构： [1]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, China International Neuroscience Institute (China-INI), 45 Changchun Street, Beijing 100053, China

通讯作者：

通讯机构： [1]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, China International Neuroscience Institute (China-INI), 45 Changchun Street, Beijing 100053, China

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