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Infections of the Central Nervous System

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Вход / Регистрация
Линкът е запазен в клипборда
СъстояниеЗавършен
Спонсори
University Hospital, Basel, Switzerland

Ключови думи

Резюме

This study is to describe the incidence of infectious meningitis and/or encephalitis, and to analyze clinical, diagnostic and treatment characteristics of patients with suspected (and subsequently verified and not verified) infection.

Описание

The specific aims of the study include:

1. To assess the incidence, the diagnostic workup, and the treatment characteristics of patients with suspected and confirmed ME.

2. To examine clinical differences between patients with initially suspected and confirmed infectious Meningitis (ME) versus those with suspected but not confirmed infectious ME.

3. To evaluate potentially prognostic factors for pathological CT findings (especially expanding cerebral mass lesions) in patients with suspected infectious ME.

4. To identify a specific group of patients that benefit from cranial CT prior to LP.

5. To examine possible complications (e.g., hematoma, postpuncture headache, cerebral herniation, …) of lumbal punction (LP) and their correlations to pathologic signs on cranial CT.

6. To compare the outcome between patients with suspected infectious ME and cranial CT prior to LP versus patients without prior cranial CT.

Дати

Последна проверка: 03/31/2020
Първо изпратено: 02/25/2019
Очаквано записване подадено: 02/25/2019
Първо публикувано: 02/26/2019
Изпратена последна актуализация: 04/13/2020
Последна актуализация публикувана: 04/14/2020
Действителна начална дата на проучването: 02/28/2019
Приблизителна дата на първично завършване: 08/31/2019
Очаквана дата на завършване на проучването: 08/31/2019

Състояние или заболяване

Adult Patients With Suspected Meningitis and/or Encephalitis

Интервенция / лечение

Other: collection of patient data

Фаза

-

Критерии за допустимост

Възрасти, отговарящи на условията за проучване 18 Years Да се 18 Years
Полове, допустими за проучванеAll
Метод за вземане на пробиProbability Sample
Приема здрави доброволциДа
Критерии

Inclusion Criteria:

- suspected or confirmed infectious meningitis and/or encephalitis as principal and/or secondary diagnosis from January 2006 to December 2017

Exclusion Criteria:

- patients with the diagnosis of meningitis/encephalitis confirmed prior to hospital admission

Резултат

Първични изходни мерки

1. incidence of patients with suspected and confirmed ME (number) [single time point assessment during hospital stay (up to 4 weeks)]

assessment of number of patients with suspected and confirmed ME

2. Pathologic CT findings [single time point assessment during hospital stay (up to 4 weeks)]

assessment of number of patients with pathologic CT findings

3. Pathologic CT findings constituting a risk factor for herniation after performance of LP [single time point assessment during hospital stay (up to 4 weeks)]

assessment of number of patients with pathologic CT findings constituting a risk factor for herniation after performance of LP

Вторични изходни мерки

1. hematoma (number) [single time point assessment during hospital stay (up to 4 weeks)]

hematoma as a complication of LP

2. Glasgow Outcome Score [single time point assessment during hospital stay (up to 4 weeks)]

scale of patients with brain injuries that groups victims by the objective degree of recovery.The scale consists of five ordinal outcome categories: good recovery (able to live independently, able to return to work or school), moderate disability (able to live independently, unable to return to work or school), severe disability (able to follow commands, unable to live independently), persistent vegetative state (unable to interact with the environment, unresponsive), and death.

3. postpuncture headache (number) [single time point assessment during hospital stay (up to 4 weeks)]

postpuncture headache as a complication of LP

4. cerebral herniation (number) [single time point assessment during hospital stay (up to 4 weeks)]

cerebral herniation as a complication of LP

5. pathological CT findings (number) [single time point assessment at hospitalisation (Day1)]

number and evaluation of pathological CT findings (especially expanding cerebral mass lesions) in patients with suspected infectious ME

6. kind of medication [single time point assessment during hospital stay (up to 4 weeks)]

assessment of medication (treatment characteristics ) of patients with suspected and confirmed ME

7. Intensive Care Delirium Screening Checklist (ICDSC) [single time point assessment during hospital stay (up to 4 weeks)]

The ICDSC is a screening instrument including eight items specifically designed for the intensive care setting with two points: absent or present. The items include the assessment of: (1) consciousness (comatose, soporose, awake, or hypervigilant); (2) orientation; (3) hallucinations or delusions; (4) psychomotor activity; (5) inappropriate speech or mood; (6) attentiveness; (7) sleep-wake cycle disturbances; and (8) fluctuation of symptomatology. The maximum score is eight; scores of ≥4 indicate the presence of Delirium.

8. Death during hospital stay [single time point assessment during hospital stay (up to 4 weeks)]

assessment of number of patients with in-hospital death

9. Return to premorbid functional baseline [single time point assessment during hospital stay (up to 4 weeks)]

assessment of number of patients with return to premorbid functional baseline

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