Brain Tumor, Neuro-ICU Stay, Neuro-surgery, Post-operative Complications
Conditions
Keywords
Neuro-surgery, Post-operative complications, Neuro-ICU resources
Brief summary
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.
Detailed description
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.
Interventions
OTHERCollecting pre-operative, per-operative data, neuro-radiological data and post-operative neuro-surgery complications
Sponsors
Nantes University Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
15 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
* Patients undergoing neuro-surgery for a brain tumor
Exclusion criteria
* Neuro-surgical emergency
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Post-operative complications requiring Neuro-ICU stay ≥ 24 hours after surgery for neurosurgical reason. | During ICU stay, average of 24 hours |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Describing post-operative complications in patients undergoing neuro-surgery for brain tumor. | During ICU stay, average of 24 hours | 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. |
| Duration of mechanical ventilation | Duration of mechinal ventilation, average of 12 hours | — |
| Length of ICU stay | Duration of ICU stay, average of 24 hours | — |
| Length of hospital stay | Duration of hospital stay, expected average 5 days | — |
Countries
France
Outcome results
None listed