Thirty-Day Outcomes After Craniotomy for Primary Malignant Brain Tumors: A National Surgical Quality Improvement Program Analysis.

摘要: BACKGROUND Despite improved perioperative management, the rate of postoperative morbidity and mortality after brain tumor resection remains considerably high. OBJECTIVE To assess rates, causes, timing, predictors major complication, extended length stay (>10 d), reoperation, readmission, death within 30 d craniotomy for primary malignant tumors. METHODS Patients were extracted from National Surgical Quality Improvement Program registry (2005-2015) analyzed using multivariable logistic regression. RESULTS A total 7376 patients identified, which 948 (12.9%) experienced a complication. The most common complications reoperation (5.1%), venous thromboembolism (3.5%), (2.6%). Furthermore, 15.6% stayed longer than 10 d, 11.5% readmitted surgery. reasons readmission intracranial hemorrhage (18.5%) wound-related (11.9%), respectively. Multivariable analysis identified older age, higher body mass index, American Society Anesthesiologists (ASA) classification, dependent functional status, elevated preoperative white blood cell count (white [WBC], >12 000 cells/mm3), operative time as complication (all P < .001). Higher ASA WBC, ventilator dependence classification WBC (both status Older CONCLUSION This study provides descriptive identifies short-term complications, including death,