Table 1 Baseline characteristics, laboratory data, in-hospital measures and outcome parameters for all patients with community-acquired bacterial meningitis developing increased cerebral blood flow velocity.
Meningitis | Increased cerebral blood flow velocity (N = 30) | Normal cerebral blood flow velocity (N = 78) | p value | |
|---|---|---|---|---|
Gender (♀)b | 23 (76.7%) | 33 (42.3%) | 0.001 | |
Prior medical history—admission status—in hospital measures | ||||
Premorbid mRSa | 0 (0–1) | 0 (0–1) | 0.278 | |
Alcohol abuseb | 9 (30.0%) | 6 (7.7%) | 0.003 | |
Neurologic deficitb | 13 (43.3%) | 17 (21.8%) | 0.025 | |
Glasgow Coma Scalea | 12 (9–14) | 14 (11–15) | 0.005 | |
Length of ventilation (LOV) (h)a | 167 (45–510) | 0 (0–206) | 0.001 | |
Dexamethasone on admissionb | 26 (86.7%) | 54 (69.2%) | 0.064 | |
Stay on Neurointensive Care Unitb | 30 (100.0%) | 63 (80.8%) | 0.010 | |
Osmotherapyb | 13 (43.3%) | 6 (7.7%) | < 0.001 | |
Nimodipine therapyb | 23 (76.7%) | 3 (3.9%) | < 0.001 | |
Need of Catecholaminesb | 22 (73.3%) | 31 (39.7%) | 0.002 | |
Temperature on admission (°C) | 38.3 (37.5–39.2) | 38.8 (38.1–39.4) | 0.064 | |
Sepsisb | 17 (56.7%) | 30 (38.5%) | 0.087 | |
Laboratory values on admission | ||||
First spinal tap | ||||
Leucocytes (× 106/L)a | 2328 (187–5788) | 1020 (216–5104) | 0.661 | |
Erythrocytes (× 106/L)a | 234 (5–555) | 27 (1–160) | 0.032 | |
Proteine (g/L) a | 2.910 (1.491–4.287) | 1.501 (0.629–3.038) | 0.009 | |
Glucose (mmol/L)a | 1.28 (0–3.61) | 2.28 (0.22–3.44) | 0.676 | |
Lactate (mmol/L)a | 9.8 (5.2–16.9) | 7.1 (3.5–13.8) | 0.178 | |
Causative pathogen identified by bloodb | 17 (56.7%) | 31 (39.7%) | 0.113 | |
Causative pathogen identified by CSFb | 28 (93.3%) | 51 (65.4%) | 0.003 | |
Causative pathogen identified by CSF via PCRb | 14 (46.7%) | 28 (35.9%) | 0.304 | |
No causative pathogen identifiedb | 1 (3.3%) | 17 (21.8%) | 0.021 | |
Most frequent causative pathogen | ||||
S. pneumoniaeb | 21 (70.0%) | 21 (26.9%) | < 0.001 | |
Serum | ||||
Neutrophil–Lymphocyte-Ratioa | 24.0 (20.4–30.2) | 13.5 (8.4–19.5) | < 0.001 | |
Thrombocytes (109/L)c | 172.7 ± 62 | 208.0 ± 98 | 0.078 | |
Granulocytes (109/L)a | 15.6 (13.7–20.8) | 12.1 (8.1–15.4) | 0.017 | |
Lymphocytes (109/L)a | 0.7 (0.6–1.0) | 0.9 (0.8–1.3) | 0.024 | |
Radiological data | ||||
First CT on admission | ||||
Abscessb | 1 (3.3%) | 2 (2.6%) | 0.627 | |
Ischemiab | 2 (6.7%) | 2 (2.6%) | 0.308 | |
Obstructive hydrocephalusb | 4 (13.3%) | 1 (1.3%) | 0.020 | |
CT within hospital stay- follow up (57/108 patients received a second cerebral imaging) | ||||
Abscessb | 3/27 (11.1%) | 3/30 (10.0%) | 0.613 | |
Ischemiab | 9/27 (33.3%) | 3/30 (10.0%) | 0.031 | |
Obstructive hydrocephalusb | 3/27 (11.1%) | 1/30 (3.3%) | 0.266 | |
Discharge status | ||||
Symptomatic epilepsyb | 6 (20.0%) | 3 (3.8%) | 0.013 | |
Glasgow Outcome Scale (GOS) | 3 (3–4) | 4 (3–5) | 0.028 | |
LOVb | 167 (45–510) | 0 (0–206) | 0.001 | |
Length of stay (d)a | 22 (18–26) | 15 (9–20) | < 0.001 | |
mRS at discharge a | 4 (2–5) | 1 (1–4) | 0.020 | |
mRS at 3 months a | 2 (2–4) | 2 (1–3) | 0.166 | |
mRS at 12 months a | 2 (1–4) | 1 (0–3) | 0.238 | |