Predictive factors of the outcome and intraventricular rupture of brain abscess
Tunthanathip, T.; Kanjanapradit, K.; Sae-Heng, S.; Oearsakul, T.; Sakarunchai, I.
Journal of the Medical Association of Thailand 98(2): 170-180
2015
ISSN/ISBN: 0125-2208 PMID: 25842798 Document Number: 16764
To identify the significant factors predicting afavorable outcome and to study clinical characteristics and identify the factors predicted by intraventricular rupture of brain abscess (IVROBA). In the retrospective study, the computer-based medical records of patients of a tertiary care hospital between 1999 and 2013 were reviewed. Univariate and multivariate analyses were used to determine the significant factors predicting the outcomes and IVROBA. One hundred fourteen patients with brain abscesses were enrolled. The predictivefactor of a favorable outcome was Glasgow Coma Scale (GCS) score 13 to 15 (OR 14.64; 95% CI 2.70-79.34; p = 0.02). Conversely, the factors associated with an unfavorable outcome were fungal brain abscess (OR 40.81; 95% CI 3.57-466.49; p = 0.003) and IVROBA (OR 5.50; 95% CI 1.34-22.49; p = 0.017). Moreover greater distance of the brain abscess from the ventricle decreased the IVROBA (OR 0.62; 95% CI 0.45-0.87; p = 0.005). Abscesses with intraventricular rupture that were at less than 7 mm of a ventricle (p < 0.000) were likely to IVROBA. The outcome of a brain abscess depends on good clinical status, pathogens, and fatal complication of lVROBA. If poor prognostic factors exist, then better surgical option can be selected.
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