Faculty Collaboration Database

[Analysis of the stay and morbidity and mortality rates in a unit for neurocritical patients following surgery for a brain tumour]. Rev Neurol 2015 Apr 01;60(7):296-302

Date

03/26/2015

Pubmed ID

25806478

Scopus ID

2-s2.0-84964307529 (requires institutional sign-in at Scopus site)

Abstract

AIM: To evaluate the association between the pre- and post-operative variables with stays in hospital lasting more than one day and the morbidity and mortality rates of patients undergoing surgery for a brain tumour during their stay in a neurocritical intensive care unit (NCU).

PATIENTS AND METHODS: The retrospective study, over a period of three years (2010-2012), involving a cohort of 317 patients who consecutively underwent surgical interventions due to brain tumours performed by different neurosurgeons and were hospitalised in the NCU.

RESULTS: A total of 21.5% (n = 68) of the patients were hospitalised for more than one day (group L), and 78.5% (n = 249) stayed for one day or less (group S). The univariable association of the pre- and post-operative risks with the length of stay was evaluated. There were no significant differences between groups L and S in terms of the demographic data, the physical status according to the classification of the American Society of Anesthesiologists (ASA), the pathological features or the radiological tumour severity index. Tracheal intubation was required in 42.6% (n = 29) of the patients in group L at some time during the post-operative period. Of the patients in group L, 19.1% (n = 13) had systemic and regional complications simultaneously.

CONCLUSIONS: An important fraction of patients remain in an NCU for more than one day. The need for both tracheal intubation and respiratory assistance, together with the appearance of systemic and regional complications, can require stays in an NCU for more than one day.

Author List

Benatar-Haserfaty J, Ly-Liu D, González-Moreno V, Tiscar-García C

Author

Diana Ly Liu PhD, MD Assistant Professor in the Anesthesiology department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Adult
Aged
Biopsy
Brain Diseases
Brain Neoplasms
Craniotomy
Critical Care
Elective Surgical Procedures
Female
Hospital Mortality
Hospitals, University
Humans
Intensive Care Units
Intubation, Intratracheal
Length of Stay
Male
Middle Aged
Neurosurgical Procedures
Postoperative Complications
Respiration Disorders
Respiration, Artificial
Retrospective Studies
Risk Factors
Spain