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dc.contributor.authorMilosevic, Branko
dc.contributor.authorCevik, Muge
dc.contributor.authorUrosevic, Aleksandar
dc.contributor.authorNikolic, Natasa
dc.contributor.authorPoluga, Jasmina
dc.contributor.authorJovanovic, Milica
dc.contributor.authorMilosevic, Ivana
dc.contributor.authorMicic, Jelena
dc.contributor.authorPaglietti, Bianca
dc.contributor.authorBarac, Aleksandra
dc.date.accessioned2020-02-18T17:30:02Z
dc.date.available2020-02-18T17:30:02Z
dc.date.issued2020-01-31
dc.identifier.citationMilosevic , B , Cevik , M , Urosevic , A , Nikolic , N , Poluga , J , Jovanovic , M , Milosevic , I , Micic , J , Paglietti , B & Barac , A 2020 , ' Risk factors associated with poor clinical outcome in pyogenic spinal infections : 5-years’ intensive care experience ' , Journal of Infection in Developing Countries , vol. 14 , no. 01 , pp. 36-41 . https://doi.org/10.3855/jidc.12260en
dc.identifier.issn2036-6590
dc.identifier.otherPURE: 266411020
dc.identifier.otherPURE UUID: 70080ed4-34ad-4560-a83e-20fe81bd06c0
dc.identifier.otherScopus: 85079135647
dc.identifier.otherORCID: /0000-0003-1133-3874/work/69029546
dc.identifier.otherWOS: 000512957400005
dc.identifier.urihttp://hdl.handle.net/10023/19492
dc.description.abstractIntroduction: Management of pyogenic spinal infections (PSI) after the development of neurological deficit has not been specifically addressed in the literature. We aimed to describe real-life clinical outcomes of PSI in patients admitted to an intensive care unit with neurological deficit and identify factors associated with good prognosis. Methodology: Consecutive patients admitted to ICU with a possible diagnosis of spinal infection over five years’ period were included. Descriptive statistics were performed to examine the demographics and clinical parameters. Results: The majority (71%) of patients were male. The mean age was 57.4 years (27-79), and 71% were > 50 years old. At least one underlying risk factor was identified in 68% of the patients; the most common comorbidity was diabetes mellitus (DM). All patients have presented with fever accompanied by a neurological deficit (86%) and back pain (79%). A complete recovery was achieved in 25% of patients. However, the majority of patients had adverse outcomes with 21.4% mortality, and 43% remaining neurological sequelae. Increased age with a cut-off of 65 years and pre-existing DM were identified as being associated with poor outcome. Conclusion: Mortality among patients admitted to ICU with PSI was significantly higher than reported in the literature. The residual neurological deficit was common, one-third of patients had remaining neurological sequelae, and only one-fourth had complete recovery. Increased age and background DM were the most important determinants of poor clinical outcome. The impact of DM appears to be much more important than currently recognised in this population.
dc.format.extent6
dc.language.isoeng
dc.relation.ispartofJournal of Infection in Developing Countriesen
dc.rightsCopyright © 2020 Milosevic et al. This is an open-access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.en
dc.subjectDiscitisen
dc.subjectPyogenicen
dc.subjectSpinal infectionsen
dc.subjectSpondylodiscitisen
dc.subjectVertebral infectionsen
dc.subjectQR355 Virologyen
dc.subjectMicrobiologyen
dc.subjectParasitologyen
dc.subjectVirologyen
dc.subjectInfectious Diseasesen
dc.subjectE-DASen
dc.subject.lccQR355en
dc.titleRisk factors associated with poor clinical outcome in pyogenic spinal infections : 5-years’ intensive care experienceen
dc.typeJournal articleen
dc.description.versionPublisher PDFen
dc.contributor.institutionUniversity of St Andrews.School of Medicineen
dc.identifier.doihttps://doi.org/10.3855/jidc.12260
dc.description.statusPeer revieweden


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