Risk Factors Associated with Poor Outcomes in Patients with Brain Abscesses
Journal of Korean Neurosurgical Society
;
: 34-41, 2014.
Artigo
em Inglês
| WPRIM
| ID: wpr-114568
ABSTRACT
OBJECTIVE:
The purpose of this study was to describe the clinical characteristics, treatment outcomes, and prognostic factors in patients with brain abscesses treated in a single institute during a recent 10-year period.METHODS:
Fifty-one patients with brain abscesses who underwent navigation-assisted abscess aspiration with antibiotic treatment were included in this study. Variable parameters were collected from the patients' medical records and radiological data. A comparison was made between patients with favorable [Glasgow Outcome Scale (GOS) > or =4] and unfavorable (GOS or =13) and 24 patients (47%) had predisposing factors. The offending microorganisms were identified in 25 patients (49%), and Streptococcus species were the most commonly isolated bacteria (27%). The mean duration of antibiotic administration was 42 days. At discharge, 41 patients had a favorable outcome and 10 had an unfavorable outcome including 8 deaths. The decreased level of consciousness (GCS or =140 mg/dL) was an independent risk factor for prolonged antibiotic therapy (p=0.032).CONCLUSION:
We found that the level of consciousness at admission was associated with treatment outcomes in patients with brain abscesses. Furthermore, initial hyperglycemia was closely related to the long-term use of antibiotic agents.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Streptococcus
/
Bactérias
/
Abscesso Encefálico
/
Escala de Coma de Glasgow
/
Prontuários Médicos
/
Causalidade
/
Fatores de Risco
/
Estado de Consciência
/
Escala de Resultado de Glasgow
/
Abscesso
Tipo de estudo:
Estudo de etiologia
/
Estudo prognóstico
/
Fatores de risco
Limite:
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Journal of Korean Neurosurgical Society
Ano de publicação:
2014
Tipo de documento:
Artigo
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