Related factors affecting postoperative pneumonia in patients with cavernous cerebrovascular malformation
10.3760/cma.j.issn.1671-8925.2019.11.012
- VernacularTitle:影响脑海绵状血管畸形患者术后肺炎发生的相关因素分析
- Author:
Fangyu WANG
1
;
Chenyu DING
;
Wenhua FAN
;
Yuanxiang LIN
;
Zhangya LIN
;
Dezhi KANG
Author Information
1. 福建医科大学附属第一医院神经外科
- Keywords:
erebral cavernous malformation;
Postoperative pneumonia;
Modified Rankin scale;
Glasgow coma scale
- From:
Chinese Journal of Neuromedicine
2019;18(11):1146-1150
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the related factors affecting postoperative pneumonia in patients with cavernous cerebrovascular malformation (CCM).MethodsClinical data of 151 CCM patients admitted to our hospital from January 2010 to January 2017 were retrospectively collected. Patients were divided into postoperative pneumonia group (n=11) and postoperative non-pneumonia group (n=140) according to the occurrence of postoperative pneumonia. Univariate Logistic regression analysis, multivariate Logistic regression analysis and receiver operating characteristic (ROC) curve were used to screen the relevant factors influencing the occurrence of postoperative pneumonia in CCM patients and evaluate the predictive value of relevant factors in postoperative pneumonia.ResultsAs compared with patients from postoperative non-pneumonia group, patients from postoperative pneumonia group had significantly increased modified Rankin scale (mRS) scores and significantly higher percentage of CCM combined with hemorrhage, and significantly decreased Glasgow coma scale (GCS) scores (P<0.05). Multivariate Logistic regression analysis showed that preoperative GCS scores (OR=4.75, 95％CI: 1.14-19.80,P=0.032) and mRS scores (OR=15.61, 95％CI: 3.22-75.58,P=0.001) were independent factors influencing the occurrence of postoperative pneumonia. ROC curve showed that the sensitivity and specificity of mRS scores≥4 to predict postoperative pneumonia were 45.5％ and 95.7％, respectively, and the sensitivity and specificity of GCS scores≤13 to predict postoperative pneumonia were 54.5％ and 85.7％, respectively.ConclusionFor CCM patients with preoperative GCS scores≤13 or mRS scores≥4, more attention should be paid to perioperative lung management and occurrence of postoperative pneumonia should be vigilant.
