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28 December 2024 : Database Analysis  

Liver Cirrhosis as a Predictor of Infection Risk in Patients Undergoing Ventriculoperitoneal Shunt Surgery: A Retrospective Cohort Analysis from the Taiwan National Health Insurance Research Database (NHIRD)

Yu-Chung Juan ADEF 1,2, Hung-Lin Lin ADF 1, Yu-hsiang Lin ORCID logo ADF 1, Wen-Miin Liang ACDG 3, Yu-Kai Cheng DF 1,4, Yu-Jun Chang DE 5, Chien-Tung Yang DF 1, Der-Yang Cho DF 1, Chun-Chung Chen ADEF 1,2,6*

DOI: 10.12659/MSM.946745

Med Sci Monit 2024; 30:e946745

Table 3 Prediction for occurrence of infection at 1 year.

CrudeAdjusted
sHRP-valuesHRP-value
Liver cirrhosis1.33 (1.07–1.66)0.0091.39 (1.12–1.73)0.003
Age0.98 (0.98–0.99)<0.0010.99 (0.98–0.99)<0.001
Male vs Female1.28 (1.15–1.42)<0.0011.21 (1.08–1.34)0.001
Steroid use1.30 (1.05–1.62)0.0191.42 (1.13–1.78)0.002
EVD1.20 (1.07–1.35)0.0031.09 (0.96–1.24)0.169
Treat history
 Cerebral hemorrhage1.55 (1.32–1.83)<0.0011.38 (1.14–1.66)0.001
 Aneurysm1.26 (0.90–1.75)0.1721.28 (0.92–1.80)0.143
 Brain tumor1.32 (1.00–1.73)0.0501.28 (0.96–1.70)0.090
 Decompressive craniectomy1.72 (1.41–2.11)<0.0011.36 (1.09–1.71)0.007
 Cranioplasty1.43 (1.11–1.83)0.0051.05 (0.80–1.40)0.708
Treat (same hospitalization)
 Cerebral hemorrhage1.55 (1.37–1.74)<0.0011.36 (1.19–1.55)<0.001
 Aneurysm1.05 (0.87–1.26)0.6091.08 (0.90–1.31)0.413
 Brain tumor1.35 (1.03–1.76)0.0321.21 (0.91–1.60)0.183
 Decompressive craniectomy1.77 (1.50–2.08)<0.0011.38 (1.16–1.65)<0.001
 Cranioplasty2.03 (1.77–2.32)<0.0011.40 (1.20–1.64)<0.001
Comorbidities
 Diabetes0.85 (0.76–0.96)0.0061.02 (0.90–1.15)0.783
 Hypertension0.76 (0.69–0.84)<0.0010.92 (0.82–1.03)0.161
 Congestive heart failure0.71 (0.57–0.89)0.0030.82 (0.65–1.03)0.091
 ESRD0.84 (0.69–1.03)0.0981.02 (0.83–1.25)0.868
 Malnutrition1.22 (0.58–2.57)0.5931.31 (0.62–2.75)0.481
 Pneumonia1.11 (0.99–1.24)0.0781.08 (0.96–1.21)0.209
 UTI0.87 (0.78–0.97)0.0160.98 (0.87–1.10)0.707
sHR – subdistribution hazard ratio; EVD – external ventricular drainage; ESRD – end-stage renal disease; UTI – urinary tract infections.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750