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Surgical Mortality at 30 Days and Complications Leading to Recraniotomy in 2630 Consecutive Craniotomies for Intracranial Tumors
- Source :
- Neurosurgery. 68:1259-1269
- Publication Year :
- 2011
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2011.
-
Abstract
- In order to weigh the risks of surgery against the presumed advantages, it is important to have specific knowledge about complication rates.To study the surgical mortality and rate of reoperations for hematomas and infections after intracranial surgery for brain tumors in a large, contemporary, single-institution consecutive series.All adult patients from a well-defined population of 2.7 million inhabitants who underwent craniotomies for intracranial tumors at Oslo University Hospital from 2003 to 2008 were included (n = 2630). The patients were identified from our prospectively collected database and their charts studied retrospectively. Follow-up was 100%.The overall surgical mortality, defined as death within 30 days of surgery, was 2.3% (n = 60). The mortality rates for high- and low-grade gliomas, meningiomas, and metastases were 2.9%, 1.0%, 0.9%, and 4.5%, respectively. Age60 (odds ratio 1.84, P0.05) and biopsy compared with resection (odds ratio 4.67, P0.01) were significantly positively associated with increased surgical mortality. Hematomas accounted for 35% of the surgical mortality. Postoperative hematomas needing evacuation occurred in 2.1% (n = 54). Age60 was significantly correlated to increased risk of postoperative hematomas (odds ratio 2.43, P0.001). A total of 39 patients (1.5%) were reoperated for postoperative infection. Meningiomas had an increased risk of infections compared with high-grade gliomas (odds ratio 4.61, P0.001).The surgical mortality within 30 days of surgery was 2.3%, with age60 and biopsy vs resection being the 2 factors significantly associated with increased mortality. Postoperative hematomas caused about one third of the surgical mortality.
- Subjects :
- Adult
Male
Reoperation
medicine.medical_specialty
Adolescent
medicine.medical_treatment
Postoperative hematoma
Population
Brain tumor
Meningioma
Young Adult
Postoperative Complications
medicine
Humans
Prospective Studies
Registries
education
Craniotomy
Aged
Retrospective Studies
Aged, 80 and over
education.field_of_study
Brain Neoplasms
business.industry
Mortality rate
Retrospective cohort study
Odds ratio
Middle Aged
medicine.disease
Surgery
Female
Neurology (clinical)
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 0148396X
- Volume :
- 68
- Database :
- OpenAIRE
- Journal :
- Neurosurgery
- Accession number :
- edsair.doi.dedup.....5fe12624cab1fbd6f0395d5a6e65c116