Wang JL, Wu XW, Wang SN, Liu X, Xiao B, Wang Y, Yu J. Factors influencing the surveillance of re-emerging intracranial infections in elective neurosurgical patients: A single-center retrospective study. World J Clin Cases 2023; 11(28): 6680-6687 [PMID: 37901028 DOI: 10.12998/wjcc.v11.i28.6680]
Corresponding Author of This Article
Jing Yu, RN, Chief Nurse, The First Operating Room, The First Hospital of Jilin University, Xinmin Road, Changchun 130000, Jilin Province, China. yujing@jlu.edu.cn
Research Domain of This Article
Neurosciences
Article-Type of This Article
Case Control Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Jiang-Long Wang, Xi-Wen Wu, Xuan Liu, Bing Xiao, Yu Wang, Jing Yu, The First Operating Room, The First Hospital of Jilin University, Changchun 130000, Jilin Province, China
Sheng-Nan Wang, Department of Neurology, The First Hospital of Jilin University, Changchun 130000, Jilin Province, China
Author contributions: Every author has made substantial contributions to the manuscript; Wang JL drafted the article and contributed to editing and revision; Wang SN downloaded datasets and conducted a bioinformatic analysis; Wu XW and Wang SN provided correction and analysis of statistical methods; Liu X, Wang Y and Xiao B contributed to figures and tables; Yu J substantively edited the manuscript; All authors read and approved the final version of this manuscript.
Institutional review board statement: The study was reviewed and approved by the first hospital of Jilin university Institutional Review Board [Approval No. 2023-KS-064].
Informed consent statement: Informed written consent was obtained from the patients for publication of this study.
Conflict-of-interest statement: The authors declare no conflicts of interest for this article.
Data sharing statement: Technical appendix, statistical code, and dataset available from the corresponding author at yujing@jlu.edu.cn. Participants gave informed consent for data sharing.
STROBE statement: The authors have read the STROBE Statement – checklist of items, and the manuscript was prepared and revised according to the STROBE Statement – checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jing Yu, RN, Chief Nurse, The First Operating Room, The First Hospital of Jilin University, Xinmin Road, Changchun 130000, Jilin Province, China. yujing@jlu.edu.cn
Received: June 21, 2023 Peer-review started: June 21, 2023 First decision: August 16, 2023 Revised: September 2, 2023 Accepted: September 6, 2023 Article in press: September 6, 2023 Published online: October 6, 2023
ARTICLE HIGHLIGHTS
Research background
Neurosurgical craniotomy has a high incidence of postoperative infections due to the difficulty of the procedure and the long hospital stay.
Research motivation
There are many studies on the risk factors for intracranial infection. However, there is no unified conclusion on whether these risk factors influence the incidence of postoperative intracranial reinfection, and the value of many risk factors is still unknown.
Research objectives
Ninety-four patients who underwent elective craniotomy from January 1, 2015 to December 31, 2022 in the Department of Neurosurgery, First Hospital of Jilin University, were included in this study. Of those, 45 patients were enrolled in the infection group, and 49 were enrolled in the control group.
Research methods
The clinical data of the patients were collected and divided into three categories, including preoperative baseline conditions, intraoperative characteristics and postoperative infection prevention. The data were analyzed using SPSS 26.0 software.
Research results
A history of hypertension and a high postoperative body temperature were independent risk factors for postoperative neurologic complications.
Research conclusions
The results obtained in this study indicated that a history of hypertension and a high postoperative body temperature were independent risk factors for postoperative neurologic complications that mostly occur within the first 3 d after surgery.
Research perspectives
Clinical staff should pay close attention to patients’ postoperative body temperatures and promptly treat patients with an elevated body temperature. Patients with a history of high blood pressure should also be particularly concerned.
