Observational studyEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2021
Factors associated with posttraumatic meningitis among traumatic head injury patients: a nationwide study in Japan.
Observational study in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.
- Surgical intervention in traumatic brain injury: a systematic review and meta-analysis of decompressive craniotomy.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Pooled it
- A Clinical Fallacy: Myth of Meningitis-Driven Dural Healing in Post-traumatic Cerebrospinal Fluid Leaks.Cureus · 2025Review
- Clinical Management in Traumatic Brain Injury.Biomedicines · 2024Review
- Incidence, risk factors and outcomes of traumatic head injury among trauma patients visited at the Yanet Trauma and Surgery Specialized Centre, Sidama region, Hawassa, Ethiopia: cohort study.Frontiers in neurology · 2024Article
- A rare case of posttraumatic meningitis presenting with acute hydrocephalus.Trauma case reports · 2022Article
- Incidental Sacral Meningocele in an Elderly Patient Diagnosed After Epidermal Inclusion Cyst Removal: A Case Report.Cureus · 2022Article
- Steroid-Responsive Post-Traumatic Persistent Neutrophilic Meningitis.Case reports in medicine · 2022Article
- Demographic profiles and risk factors for mortality in acute meningitis: A nationwide population-based observational study.Acute medicine & surgeryArticle
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Authors and funding
12 authors at 6 institutions in 1 country.
Funding
Abstract
purposePosttraumatic meningitis is one of the severe complications that can result in increased mortality and longer hospital stay among trauma patients. Factors such as cerebrospinal fluid (CSF) fistula and basilar skull fracture are associated with posttraumatic meningitis. However, it remains unclear whether procedures such as burr hole surgery in the emergency department and decompressive craniectomy are associated with posttraumatic meningitis. The aim of this study was to assess factors associated with posttraumatic meningitis with a nationwide hospital-based trauma registry in Japan.
methodsThis was a retrospective observational study with a 12-year study period from January 2004 to December 2015. We included trauma patients registered in the Japanese Trauma Data Bank, whose head Abbreviated Injury Scale score was ≥ 3 in this study. The main endpoint was the occurrence of meningitis during hospitalization. Multivariable logistic regression analysis was used to assess independent parameters associated with posttraumatic meningitis such as CSF fistula, burr hole surgery in the emergency department, and decompressive craniectomy.
resultsAmong 60,390 head injury patients with head AIS score 3 or more, 284 (0.5%) patients had posttraumatic meningitis. Factors associated with posttraumatic meningitis were burr hole surgery in the emergency department (adjusted odds ratio [AOR] 2.158 [95% confidence interval (CI) 1.401-3.325]), decompressive craniectomy (AOR 2.123 [95% CI 1.506-2.993]), external ventricular drainage (AOR 1.843 [95% CI, 1.157-2.935]), CSF leakage (AOR 3.328 [95% CI 2.205-5.022]), and basilar skull fracture (AOR 1.651 [95% CI 1.178-2.314]).
conclusionsIn this population of trauma patients, burr hole surgery in the emergency department and decompressive craniectomy was associated with posttraumatic meningitis.
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