Analysis of the Risk Factors Affecting the Surgical Site Infection after Cranioplasty Following Decompressive Craniectomy.
10.13004/kjnt.2015.11.2.100
- Author:
Jin Seong KIM
1
;
In Sung PARK
;
Sung Kwon KIM
;
Hyun PARK
;
Dong Ho KANG
;
Chul Hee LEE
;
Soo Hyun HWANG
;
Jin Myung JUNG
;
Jong Woo HAN
Author Information
1. Department of Neurosurgery, Gyeongsang National University School of Medicine, Gyeongsang National University Hospital, Jinju, Korea. gnuhpis@gnu.ac.kr
- Publication Type:Original Article
- Keywords:
Decompressive craniectomy;
Cranioplasty;
Surgical wound infection;
Risk factor
- MeSH:
Brain Injuries;
Decompressive Craniectomy*;
Female;
Humans;
Incidence;
Logistic Models;
Retrospective Studies;
Risk Factors*;
Surgical Wound Infection
- From:Korean Journal of Neurotrauma
2015;11(2):100-105
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: The risk factors for surgical site infections (SSIs) after cranioplasty following decompressive craniectomy remain unclear. The goal of this study was to analyze the risk factors related to developing SSIs after cranioplasty and to suggest valuable predictors. METHODS: A retrospective review was conducted of patients who underwent cranioplasty following decompressive craniectomy at our institution from January 2011 to December 2014, a total of 78 patients who underwent 78 cranioplasties. Univariate and multivariate logistic regression analyses were carried out to determine possible risk factors related to developing SSIs. We analyzed both patient-specific and surgery-specific factors. RESULTS: The overall rate of SSIs was 9.0% (7/78). SSIs after cranioplasty were significantly related to being female, having the primary etiology of traumatic brain injury (TBI) and having had a bilateral cranioplasty in the univariate analysis. Multivariate logistic regression analysis showed that being female [odds ratio (OR) 5.98, p=0.000] and having had a bilateral cranioplasty (OR 4.00, p=0.001) significantly increased the risk of SSIs. CONCLUSION: Based on our data, cranioplasty following decompressive craniectomy is associated with a high incidence of SSI. Being female, having a primary etiology of TBI and having had a bilateral cranioplasty may be risk factors for surgical site infections after cranioplasty.
