Patients undergoing a brain tumour neurosurgery with craniotomy may present rare but lifethreatening post-operative complications. There are currently no strong recommendations to help the clinician in an attempt to properly hospitalise these patients after their intervention (Neuro-ICU, ICU,surgical ward). Determining risk factors of post-operative complications could optimise resources. Therefore hospitalisation in Neuro-ICU would be mandatory in only a little number of patients.
Retrospective analysis of a prospective database to create a Risk Score. Post-operative neurosurgery complications recording (Hyponatremia \< 135mmol/l,Insulin administration, Nausea-Vomiting, Glasgow Coma Score, Inhalation, Post-operative intra-cranial bleeding requiring neurosurgery, Intra-cranial hypertension, Use of osmotherapy, Status epilepticus, Brain death, Death). Collection of datas as Duration of mechanical ventilation, Length of ICU stay, Length of hospital stay. Validation of this score on an independent prospective cohort.
Study Type
OBSERVATIONAL
Enrollment
795
Nantes University Hospital
Nantes, France
Post-operative complications requiring Neuro-ICU stay ≥ 24 hours after surgery for neurosurgical reason.
Time frame: During ICU stay, average of 24 hours
Describing post-operative complications in patients undergoing neuro-surgery for brain tumor.
Hyponatremia \< 135mmol/l,Insulin administration, Nausea-Vomiting, Glasgow Coma Score, Inhalation, Post-operative intra-cranial bleeding requiring neurosurgery Intra-cranial hypertension, Use of osmotherapy, Status epilepticus, Brain death Death.
Time frame: During ICU stay, average of 24 hours
Duration of mechanical ventilation
Time frame: Duration of mechinal ventilation, average of 12 hours
Length of ICU stay
Time frame: Duration of ICU stay, average of 24 hours
Length of hospital stay
Time frame: Duration of hospital stay, expected average 5 days
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