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European Journal of Medical Research
Published in: European Journal of Medical Research 1/2023

Open Access 01-12-2023 | Meningitis | Review

Meningitis after elective intracranial surgery: a systematic review and meta-analysis of prevalence

Authors: Rafał Chojak, Marta Koźba-Gosztyła, Magdalena Gaik, Marta Madej, Aleksandra Majerska, Oskar Soczyński, Bogdan Czapiga

Published in: European Journal of Medical Research | Issue 1/2023

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Abstract

Meningitis is a potential complication of elective intracranial surgery (EIS). The prevalence of meningitis after EIS varies greatly in the literature. The objective of this study was to estimate the overall pooled prevalence of meningitis following EIS. Four databases (PubMed, Scopus, Web of Science, and Embase) were searched to identify relevant studies. Meta-analyses of proportions were used to combine data. Cochran's Q and I2 statistics were used to assess and quantify heterogeneity. Additionally, several subgroup analyses were conducted to investigate the source of heterogeneity and examine differences in the prevalence based on variables such as geographical regions, income level, and meningitis type. The meta-analysis included 83 studies (30 959 patients) from 26 countries. The overall pooled prevalence of meningitis after EIS was 1.6% (95% CI 1.1–2.1), with high heterogeneity present (I2 = 88%). The pooled prevalence in low- to middle-income countries and high-income countries was 2.7% (95% CI 1.6–4.1) and 1.2% (95% CI 0.8–1.7), respectively. Studies that reported only aseptic meningitis had a pooled prevalence of 3.2% (95% CI 1.3–5.8). The pooled prevalence was 2.8% (95% CI 1.5–4.5) in studies that reported only bacterial meningitis. Similar prevalence rates of meningitis were observed in the subgroups of tumor resection, microvascular decompression, and aneurysm clipping. Meningitis is a rare but not exceptional complication following EIS, with an estimated prevalence of 1.6%.
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Metadata
Title
Meningitis after elective intracranial surgery: a systematic review and meta-analysis of prevalence
Authors
Rafał Chojak
Marta Koźba-Gosztyła
Magdalena Gaik
Marta Madej
Aleksandra Majerska
Oskar Soczyński
Bogdan Czapiga
Publication date
01-12-2023
Publisher
BioMed Central
Published in
European Journal of Medical Research / Issue 1/2023
Electronic ISSN: 2047-783X
DOI
https://doi.org/10.1186/s40001-023-01141-3

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European Journal of Medical Research 1/2023 Go to the issue

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Treatment strategy for spontaneous coronary artery dissection based on anatomical characteristics

Research

Evaluation of self-sampling-based cervical cancer screening strategy using HPV Selfy CE-IVD test coupled with home-collection kit: a clinical study in Italy

Research

Adjuvant chemotherapy in pancreatic cancer at different AJCC stages: a propensity score matching analysis

Research

Clinical predictors of early surgical intervention in patients with venomous snakebites

Correction

Correction: Effects of metformin therapy on HMGB1 levels in rheumatoid arthritis patients

Review

The association between post-term births and autism spectrum disorders: an updated systematic review and meta-analysis