{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T21:07:22Z","timestamp":1765487242651,"version":"3.41.2"},"reference-count":0,"publisher":"Stichting Nase","issue":"0","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rhin"],"abstract":"<jats:p>Background: Data on risk factors for rhinogenic intracranial complications (RICs) including cerebral abscess have been limited.\nUsing a nationwide database, the aim was to identify the factors related to mortality and delayed discharge.\nMethodology: Data of 326 patients between 2012 and 2022 were extracted from a Japanese inpatient database. The main outcome\nwas survival at discharge. In a subgroup analysis of the 316 surviving patients, the outcome was delayed discharge.\nResults: The mortality rate was 3.1%. Logistic regression analyses identified intracerebral complications more than one surgical\nintervention and consciousness level evaluated by the Japan Coma Scale (JCS): JCS I and JCS\u2265 II as risk factors for mortality. Concurrent\ninterventions of intracranial and sinonasal drainage was identified as a factor associated with decreased risk.\nConclusions: Although RICs are rare, with decreasing mortality due to progress in imaging and clinical strategies, they remain the\nmost severe complications of rhinosinusitis. Subdural and\/or intracerebral abscess, consciousness level at admission, and more\nthan one surgical intervention were found to be risk factors for mortality. Conversely, concurrent interventions, intracranial and\nsinonasal drainage, contributed to reducing this risk.<\/jats:p>","DOI":"10.4193\/rhin25.057","type":"journal-article","created":{"date-parts":[[2025,7,7]],"date-time":"2025-07-07T13:38:51Z","timestamp":1751895531000},"page":"0-0","source":"Crossref","is-referenced-by-count":1,"title":["Risk factors in patients treated with surgical drainage for rhinogenic intracranial complications: a nationwide study"],"prefix":"10.4193","volume":"0","author":[{"given":"M","family":"Morita","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K","family":"Tarasawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H","family":"Hidaka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y","family":"Yun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K","family":"Fujimori","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K","family":"Fushimi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Hamada","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Asako","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Kawachi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Yagi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H","family":"Iwai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2708","published-online":{"date-parts":[[2025,5,1]]},"container-title":["Rhinology Journal"],"original-title":[],"deposited":{"date-parts":[[2025,7,7]],"date-time":"2025-07-07T13:38:53Z","timestamp":1751895533000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.rhinologyjournal.com\/Abstract.php?id=3298"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,1]]},"references-count":0,"journal-issue":{"issue":"0","published-online":{"date-parts":[[2025,5,1]]}},"URL":"https:\/\/doi.org\/10.4193\/rhin25.057","relation":{},"ISSN":["0300-0729"],"issn-type":[{"value":"0300-0729","type":"print"}],"subject":[],"published":{"date-parts":[[2025,5,1]]}}}