患儿手术后30天感染的危险因素 患儿脑水性心脏病的心室避风术
Vivien Chan1, Irene E Harmsen2, Geoffrey Shumilak3
1Spine Center, Cedars-Sinai Medical Center, Los Angeles, California, USA.
World neurosurgery
|January 18, 2025
概括
确定儿科分流感染的危险因素至关重要. 营养支持和更长的操作时间等因素会增加感染风险,而年龄较大和手术内抗生素会降低感染风险.
科学领域:
- 神经外科 神经外科
- 儿科手术 儿科手术
- 传染性疾病 传染性疾病
背景情况:
- 腹腔导向感染在儿科水脑病患者中存在重大风险.
- 迅速识别风险因素对于改善外科手术结果至关重要.
研究的目的:
- 为了确定与小儿水脑患者30天后术后的先导感染相关的危险因素.
主要方法:
- 使用国家外科质量改进计划儿科数据库 (2016-2021) 进行回顾性队列研究.
- 包括18岁以下的患者,接受了心室分流手术.
- 对14个预后变量进行多变量逻辑回归分析,以评估感染风险.
主要成果:
- 在10878名患者中,整体的30天术后分流感染率为3.7%.
- 随着营养支持,更长的手术室时间和先天性水头,观察到感染风险增加.
- 随着患者年龄的增加,手术内静脉内抗生素和首次分离装置的安置,发现感染风险降低.
结论:
- 几种可修改和不可修改的因素影响儿科分流感染风险.
- 针对这些因素可以减少感染,防止修订,并提高患者的结果和生活质量.
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