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Table 5 Patient-dependent risk factors for EVDRI

From: External ventriculostomy-associated infection reduction after updating a care bundle

  

Case No

No EVDRI

EVDRI

Bivariate

Logistic regression

EVD infection

 

198

n = 175

n = 23

  

Age (mean ± SD)

  

55 ± 15

53 ± 16

NS

 

Gender

Female

108

96/175 (55%)

12/23 (52%)

NS

 

Diagnosis at admission

Subarachnoid hemorrhage

85

75/175 (43%)

10/23 (44%)

NS

 

Intracerebral hemorrhage

48

44/175 (25%)

4/23 (8%)

  

Tumor

28

23/175 (13%)

5/23 (22%)

  

Traumatic brain injury

8

7/175 (4%)

1/23 (4%)

  

Other

27

25/175 (14%)

2/23 (9%)

  

GCS median (IQR)

At hospital admission

 

13 (7–15)

13 (8–15)

NS

 

GCS median (IQR)

At ICU admission

 

9 (5–14)

9 (7–15)

NS

 

Severity scores at ICU admission

Apache III (mean ± SD)

 

51 ± 26

55 ± 27

NS

 

SOFA median (IQR)

 

6 (4–8)

6 (4–8)

NS

 

Previous open

neurosurgery

 

74

61/175 (35%)

13/23 (57%)

0.043

2.7 (95% CI, 1.1–6.8)

Intraventricular Hemorrhage

 

131

116/175 (66%)

15/23 (65%)

NS

 

Concomitant systemic infection

 

167

144/175 (82%)

23/23 (100%)

0.028

NS

Nasal colonization

 

5

4/175 (2%)

1/23 (4%)

NS

 

Rectal colonization

 

33

25/174 (14%)

8/23 (35%)

0.014

NS

Other treatments:

Barbiturate

11

9/175 (5%)

2/23 (9%)

NS

 

Corticosteroids

109

95/175 (54%)

14/23 (61%)

NS

 

Urokinase

5

4/175 (2%)

1/23 (4%)

NS

 

Indication for EVD

Hydrocephalus

110

96/175 (55%)

14/23 (61%)

NS

 

Intraventricular hemorrhage

80

72/175 (41%)

8/23 (35%)

  

Other

8

7/175 (4%)

1/23 (4%)

  

Hospital days before EVD

  

0 (0–2)

1 (0–9)

NS

 
  1. Concomitant systemic infection referred to respiratory, urinary, catheter, or other infection. Nasal and rectal colonization referred to positive resistant cultures of nosocomial screenings made routinely
  2. EVD  External ventricular drain, EVDRI EVD-related infection, IQR interquartile range, SD standard deviation, NS Not significant