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This study aims to investigate the association between hyperlactatemia and neurological disability, length-of-stay and mortality in patients who undergo tumorcraniotomy. The risk factors that induce lactat accumulation will also be explored.
Hyperlactatemia is a frequent occurrence in brain tumor surgery. The existing studies, however, are all retrospective, reporting varying effects on clinical outcome. One study reported new neurological deficitis, some found an association with extended hospital stay, while others found no association with outcome. It is therefore important to conduct a prospective study of hyperlactatemia in this patientgroup.
Participants in this study will follow the standard treatment protocol for tumorcraniotomy, aside from 2-3 additional, perioperative blodgas analyses and 2 standardized measurements of neurological disability.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Tumorcraniotomy patients |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Serum-lactate < 2,2 mmol/L | Other | Bloodgas analysis every hour from start surgery until recovery ward discharge |
|
| Measure | Description | Time Frame |
|---|---|---|
| Neurological disability | Modified Rankin Scale (Scoring 0-6, high scores meaning worse outcome) | Change from baseline mRS at 30 days after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Length of hospital stay | In days from admission to discharge. | 1 year |
| Mortality | After 30 days, 6 months and 5 years |
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Inclusion Criteria:
Exclusion Criteria:
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Patients undergoing tumorcraniotomy
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Neuroanesthesiology, Rigshospitalet | Copenhagen | Denmark |
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| ID | Term |
|---|---|
| D065906 | Hyperlactatemia |
| D001932 | Brain Neoplasms |
| ID | Term |
|---|---|
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Serum-lactate >/= 2,2 mmol/L | Other | Bloodgas analysis every hour from start surgery until recovery ward discharge |
|
| 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 |