The risk factors associated with urinary tract infection after cerebral hemorrhage

VernacularTitle:康复医学科中老年脑出血患者并发尿路感染危险因素的回顾性研究
Author: Jingsong MU ; Chaomin NI ; Ming WU ; Wenxiang FAN ; Fengjuan XU ; Zheng LIU ; Lei LIU
From: Chinese Journal of Physical Medicine and Rehabilitation 2021;43(3):239-242
CountryChina
Language:Chinese
Abstract: Objective:To observe factors influencing the risk of urinary tract infection (UTI) after cerebral hemorrhage (ICH).Methods:A total of 77 ICH patients undergoing rehabilitation between August 2015 and August 2017 were studied. Among them, 24 were diagnosed with a UTI according to clinical manifestations and urine routine tests and urine culture. They formed the UTI group. The other 53 were the non-UTI group. Complete clinical evaluations were available for all 77, and those data were used to identify risk factors for UTI using univariate and multivariate logistic regression analysis.Results:The univariate analysis showed that age, side of paralysis, consciousness dysfunction, Brunnstrom staging of the lower extremity, tracheotomy, indwelling catheter, lung infection, white blood cell count, neutrophil percentage, serum natrium, uric acid, D-dimer level and fibrinogen were all significant predictors of UTI. The multivariate analysis identified age, right side hemiplegia and D-dimer level as useful predictors.Conclusions:Advanced age and a high D-dimer level are independent risk factors for UTI after ICH, while hemiplegia on the right side is a protective factor.