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Meta Analysis of Risk Factors for Intracranial Infection after Craniocerebral Injury in China |
WANG Kunpeng, WANG Weixing, YANG Jie, et al |
The Affiliated Hospital of Chengde Medical College, Hebei Chengde 067000, China |
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Abstract Objective: To explore risk factors for intracranial infection after craniocerebral injury surgery, and provided the theory basis for clinical treatment and prevention. Methods: The Chinese knowledge network, VIP, Wan Fang, CBM, and PubMed database were retrieved, and a case-control study on the related risk factors of intracranial infection after craniocerebral injury in China was retrieved from the establishment of each database to July 2016. The quantitative and comprehensive analysis of the risk factors was carried out by a fixed or random model. Results: A total of 14 case-control studies, 7969 patients had been brought into study. Meta analysis results showed that: ≥45 years old[ORthe combineOR=1.49,95%CI(1.14~1.94), P =0.003], preoperative GCS<8 [ORthe combineOR=2.53,95%CI(1.09~5.84),P=0.037], serum albumin<35g/L [ORthe combineOR=3.56,95%CI(1.27~9.96), P =0.02], operation time>4 hours [ORthe combineOR=3.47,95%CI(1.96~6.13),P<0.0001], external ventricular drainage [ORthe combineOR=1.93,95%CI(1.00~3.72), P<0.00001], cerebrospinal fluid leakage [ORthe combineOR=5.15,95%CI(2.17~12.24), P=0.0002] and operation more than once were all risk factors for intracranial infection after craniocerebral injury surgery, the difference has statistically significance (P<0.05). The influence factor of open craniocerebral injury [ORthe combineOR=1.02, 95%CI(0.50~2.11),P=0.95], blood glucose≥7mmol/L [ORthe combineOR=3.25, 95%CI(0.49~21.31), P=0.22] has no statistically significance(P>0.05). Conclusion: The age was≥45 years old, GCS<8, ALB<35g/L, operation time>4 hours, external ventricular drainage, cerebrospinal fluid leakage, operation more than once were high risk factors for intracranial infection after craniocerebral injury surgery. Positive prevention and treatment should be carried on the clinical guidance for high-risk patients to reduce mortality and improve prognosis.
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