Araştırma Makalesi

Central Nervous System Infections in the Intensive Care Units and risk factors for mortality; retrospective study

Cilt: 3 Sayı: 1 15 Nisan 2021
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Central Nervous System Infections in the Intensive Care Units and risk factors for mortality; retrospective study

Öz

Aim: This study was designed to analyze demographic, clinical and laboratory characteristics beside risk factors that affect the mortality rate of patients hospitalized in ICUs with diagnosis of CNS infection. Methods: Patients that have been hospitalized at ICU on pre-CNS infection were retrospectively studied. Beside the clinical laboratory characteristics of the patients, mortality rate and risk factors that affect the mortality were recorded to be analyzed later. Results: Following the evaluation of 118 ICU patients who were suspected to have CNS infection, 62 of them, with full diagnosis of CNS infection, were included in the study. Bacterial meningitis was the diagnosis for 40 (66%) of these patients while 18 of the total (30%) was diagnosed with viral encephalitis and 3 of them (4%) was diagnosed with tuberculous meningitis. When these factors were investigated in a multivariable study, age and time from the onset of symptoms to hospital admission were independent risk factors (CI: 1,098(1,031-1,169), 1,614(1,037-1,278). Conclusion: The mortality rate of the patients that were subjects of the study was 52,5%. Age and time from the onset of symptoms to hospital admission were independent risk factors that affect the mortality.

Anahtar Kelimeler

Destekleyen Kurum

YOK

Kaynakça

  1. 1)Tunkel AR, Van de Beek D, Scheld WM. Acute meningitis. In: Mandell GL, Bennett JE, Dolin R, editors. Mandell, Douglas and Bennett’s Principles and Practice of Infectious Diseases. 7th edn. Philadelphia: Churchill Livingstone-Elsevier; 2010.
  2. 2) Solbrig MV, Tyler KL. Infections of the nervous system: viral infections. In: Bradley WG, Daroff RB, Fenichel GM, Jankovic J, editors. Neurology in Clinical Practice, 5th edn. Philadelphia: Butterworth-Heinemann Elsevier; 2008: pp. 1457–88.
  3. 3) Solomon T, Dung NM, Kneen R et al. Japanese encephalitis. J Neurol Neurosurg Psychiatry 2000:68:405–15.
  4. 4 )Kalita J, Misra UK, Pandey S et al. A comparison of clinical and radiological findings in adults and children with Japanese encephalitis. Arch Neurol 2003:60:1760–4.
  5. 5) Chou CH, Lin GM, Ku CH, Chang FY. Comparison of the APACHE II, GCS and MRC scores in predicting outcomes in patients with tuberculous meningitis. Int J Tuberc Lung Dis. 2010;14(1):86-92.
  6. 6) Fernandes D, Gonçalves-Pereira J, Janeiro S, Silvestre J, Bento L, Póvoa P. Acute bacterial meningitis in the intensive care unit and risk factors for adverse clinical outcomes: retrospective study. J Crit Care. 2014;29(3):347-350. doi:10.1016/j.jcrc.2013.12.001
  7. 7) Edberg M, Furebring M, Sjölin J, Enblad P. Neurointensive care of patients with severe community-acquired meningitis. Acta Anaesthesiol Scand. 2011;55(6):732-739. doi:10.1111/j.1399-6576.2011.02460.x
  8. 8) Trachtenberg JD, Kambugu AD, McKellar M et al. The medical management of central nervous system infections in Uganda and the potential impact of an algorithm-based approach to improve outcomes. Int J Infect Dis 2007:11:524–30.

Ayrıntılar

Birincil Dil

İngilizce

Konular

Yoğun Bakım

Bölüm

Araştırma Makalesi

Yazarlar

Ali Sarı Bu kişi benim
Türkiye

Murat Sungur Bu kişi benim
Türkiye

Yayımlanma Tarihi

15 Nisan 2021

Gönderilme Tarihi

27 Kasım 2020

Kabul Tarihi

19 Aralık 2020

Yayımlandığı Sayı

Yıl 2021 Cilt: 3 Sayı: 1

Kaynak Göster

APA
Sipahioğlu, H., Esmaoğlu Çoruh, A., Sarı, A., Gündoğan, K., & Sungur, M. (2021). Central Nervous System Infections in the Intensive Care Units and risk factors for mortality; retrospective study. Eurasian Journal of Critical Care, 3(1), 1-6. https://izlik.org/JA36MW55RP
AMA
1.Sipahioğlu H, Esmaoğlu Çoruh A, Sarı A, Gündoğan K, Sungur M. Central Nervous System Infections in the Intensive Care Units and risk factors for mortality; retrospective study. Eurasian Journal of Critical Care. 2021;3(1):1-6. https://izlik.org/JA36MW55RP
Chicago
Sipahioğlu, Hilal, Aliye Esmaoğlu Çoruh, Ali Sarı, Kürşat Gündoğan, ve Murat Sungur. 2021. “Central Nervous System Infections in the Intensive Care Units and risk factors for mortality; retrospective study”. Eurasian Journal of Critical Care 3 (1): 1-6. https://izlik.org/JA36MW55RP.
EndNote
Sipahioğlu H, Esmaoğlu Çoruh A, Sarı A, Gündoğan K, Sungur M (01 Nisan 2021) Central Nervous System Infections in the Intensive Care Units and risk factors for mortality; retrospective study. Eurasian Journal of Critical Care 3 1 1–6.
IEEE
[1]H. Sipahioğlu, A. Esmaoğlu Çoruh, A. Sarı, K. Gündoğan, ve M. Sungur, “Central Nervous System Infections in the Intensive Care Units and risk factors for mortality; retrospective study”, Eurasian Journal of Critical Care, c. 3, sy 1, ss. 1–6, Nis. 2021, [çevrimiçi]. Erişim adresi: https://izlik.org/JA36MW55RP
ISNAD
Sipahioğlu, Hilal - Esmaoğlu Çoruh, Aliye - Sarı, Ali - Gündoğan, Kürşat - Sungur, Murat. “Central Nervous System Infections in the Intensive Care Units and risk factors for mortality; retrospective study”. Eurasian Journal of Critical Care 3/1 (01 Nisan 2021): 1-6. https://izlik.org/JA36MW55RP.
JAMA
1.Sipahioğlu H, Esmaoğlu Çoruh A, Sarı A, Gündoğan K, Sungur M. Central Nervous System Infections in the Intensive Care Units and risk factors for mortality; retrospective study. Eurasian Journal of Critical Care. 2021;3:1–6.
MLA
Sipahioğlu, Hilal, vd. “Central Nervous System Infections in the Intensive Care Units and risk factors for mortality; retrospective study”. Eurasian Journal of Critical Care, c. 3, sy 1, Nisan 2021, ss. 1-6, https://izlik.org/JA36MW55RP.
Vancouver
1.Hilal Sipahioğlu, Aliye Esmaoğlu Çoruh, Ali Sarı, Kürşat Gündoğan, Murat Sungur. Central Nervous System Infections in the Intensive Care Units and risk factors for mortality; retrospective study. Eurasian Journal of Critical Care [Internet]. 01 Nisan 2021;3(1):1-6. Erişim adresi: https://izlik.org/JA36MW55RP