Risk of readmission for infection after surgical intervention for intracerebral hemorrhage.

Journal of the Neurological Sciences
Gurmeen KaurMandip S Dhamoon

Abstract

Several operative interventions are performed to reduce the mortality and morbidity of Intracerebral hemorrhage (ICH) in the acute setting, including: craniotomy or craniectomy, placement of an external ventricular drain (EVD), placement of a ventriculo-peritoneal shunt (VPS) and stereotactic craniotomy. Infections are a major source of readmissions following ICH. We explored the association between operative interventions for ICH and 30-day readmissions for infection-related causes. The Nationwide Readmissions Database contains >14 million discharges for all payers and uninsured in 2013. International Classification of Disease, Ninth Revision, Clinical Modification codes were used to identify index cases of ICH, intracranial procedures, and comorbidities. We summarized demographics and comorbidities during index admission, stratified by receipt of operative interventions. We calculated differences in means (using t-tests) and frequencies (using chi-square) by group (any intervention versus none). Top 5 causes of 30-day readmission and top 5 causes for infectious readmissions were identified. Cox regression analysis was performed for time to readmission for infectious causes. There were 27,739 index admissions with ICH, 13% had...Continue Reading

Citations

May 2, 2021·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Daina KashiwazakiSatoshi Kuroda
Dec 22, 2021·International Journal of Immunopathology and Pharmacology·Yu FengXiaohui Wu

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