Predictors of cranioplasty complications in stroke and trauma patients.

摘要: Object. Decompressive craniectomy mandates subsequent cranioplasty. Complications of cranioplasty may be independent the initial craniectomy, or they contingent upon craniectomy. Authors this study aimed to identify surgery- and patient-specific risk factors related development surgical site infection other complications following Methods. A consecutive cohort patients all ages both sexes who had undergone for stroke trauma at a single institution in period from May 2004 2012 was retrospectively established. Patients infectious lesions neoplasia were excluded. logistic regression analysis performed model predict determinants Results. Two hundred thirty­nine met criteria. The overall rate complication cra­ nioplasty 23.85% (57 patients). included, predominantly, infection, hydrocephalus, new-onset seizures. Logistic identified previous reoperation (OR 3.25, 95% CI 1.30–8.11, p = 0.01) therapeutic indication 2.45, 1.11–5.39, 0.03) as significantly associated with infection. Patient age, location cranioplasty, presence an intracranial device, bone flap preservation method, material, booking time interval > 90 days between not predictive Conclusions. Cranioplasty are common. rates predicted by (stroke). These variables patient­centered that increase risk.