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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Neurosurgery for brain tumor patients | Collecting pre-operative and per-operative data, neuro-radiological data and post-operative complications |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Collecting pre-operative, per-operative data, neuro-radiological data and post-operative neuro-surgery complications | Other |
|
| Measure | Description | Time Frame |
|---|---|---|
| Post-operative complications requiring Neuro-ICU stay ≥ 24 hours after surgery for neurosurgical reason. | During ICU stay, average of 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| 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. | During ICU stay, average of 24 hours |
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Inclusion Criteria:
Exclusion Criteria:
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Patients undergoing neuro-surgery for a brain tumor
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| Name | Affiliation | Role |
|---|---|---|
| Karim ASEHNOUNE, PhD, MD | Nantes University Hospital | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nantes University Hospital | Nantes | 44000 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 14668615 | Background | Ziai WC, Varelas PN, Zeger SL, Mirski MA, Ulatowski JA. Neurologic intensive care resource use after brain tumor surgery: an analysis of indications and alternative strategies. Crit Care Med. 2003 Dec;31(12):2782-7. doi: 10.1097/01.CCM.0000098860.52812.24. |
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| 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 |
| ID | Term |
|---|---|
| D001932 | Brain Neoplasms |
| ID | Term |
|---|---|
| D016543 | Central Nervous System Neoplasms |
| D009423 | Nervous System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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