ĐÁNH GIÁ TỶ LỆ VÀ XÁC ĐỊNH YẾU TỐ NGUY CƠ CỦA VIÊM MÀNG NÃO, NÃO THẤT SAU PHẪU THUẬT SỌ NÃO TẠI KHOA HỒI SỨC CẤP CỨU - BỆNH VIỆN ĐA KHOA TỈNH PHÚ THỌ

Abstract

Background: Post-neurosurgical meningitis and ventriculitis are serious medical conditions with a high mortality rate, severe neurological sequelae, and leading to prolonged hospital stays. Objective: Evaluate risk factors for post-neurosurgical meningitis and ventriculitis. Subjects and methods: A retrospective study of 179 patients undergoing craniotomy, 36 developed meningitis or ventriculitis, compared related factors between the two groups. Results: There were 179 patients selected, of which 36 patients had meningitis, a rate of 20.1%. There were no differences in gender and age between the two groups. The meningitis group has different characteristics: surgery due to traffic accidents (38.9%) and hemorrhagic stroke (38.9%), the primary injury being brain parenchymal hematoma (52.8%) and subdural hematoma (41.7%), with low preoperative Glasgow score < 9 points (77.8%), with large hematoma volume > 60cm3 (97.7%), The rate of emergency surgery and preoperative mechanical ventilation were higher (p < 0.05). Risk factors in univariate logistic regression are: Glasgow < 9 points, preoperative mechanical ventilation, emergency surgery, hematoma volume > 60 cm3; in multivariable logistic regression are: Glasgow < 9 points and hematoma volume > 60 cm3 (p < 0.05). Conclusion: Post-neurosurgical meningitis and ventriculitis in the intensive care unit account for a high rate. Assessing risk factors helps early diagnosis and treatment to improve treatment results.