Predictors of 30-day perioperative morbidity and mortality of unruptured intracranial aneurysm surgery

Kerezoudis, Panagiotis; McCutcheon, Brandon A.; Murphy, Meghan; Rayan, Tarek; Gilder, Hannah; Rinaldo, Lorenzo; Shepherd, Daniel; Maloney, Patrick R.; Hirshman, Brian R.; Carter, Bob S.; Bydon, Mohamad; Meyer, Fredric B.; Lanzino, Giuseppe

doi:10.1016/j.clineuro.2016.07.027

Cited by 35 publications

(23 citation statements)

References 28 publications

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“…Currently, it holds information on more than 1.7 million cases from more than 500 hospitals, 82% of which have over 300 beds. Extensively trained data collectors are used at each participating institution to capture information, and all data undergo quality‐control processes including inter‐rater reliability audits by surgical clinical reviewers . Additional information on reoperation and readmission is included for cases occurring after 2011, and subgroup analysis was performed on these cases.…”

Section: Methodsmentioning

confidence: 76%

“…The 2005 through 2014 ACS‐NSQIP datasets were reviewed to identify patients who underwent total laryngectomy. Each case contains between 240 and 323 Health Insurance Portability and Accountability Act–compliant variables related to preoperative risk factors, intraoperative data, and 30‐day outcomes, including morbidity and mortality . Currently, it holds information on more than 1.7 million cases from more than 500 hospitals, 82% of which have over 300 beds.…”

Section: Methodsmentioning

confidence: 99%

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Predictors of length of stay, reoperation, and readmission following total laryngectomy

et al. 2016

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Section: Methodsmentioning

confidence: 76%

Section: Methodsmentioning

confidence: 99%

Predictors of length of stay, reoperation, and readmission following total laryngectomy

et al. 2016

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“…The illness burden is similar to that experienced by lung and breast cancer patients. 9,18,21,27 Despite the evidence for the efficacy of temporal lobectomy in the management of medically refractory temporal lobe epilepsy (TLE) and the expanding use of neuroimaging and electroencephalographic studies in select patients who are likely to benefit, 31 a large number of candidate patients are not referred for surgical evaluation. 32,36,37 Several factors for the underutilization of temporal lobectomy include the fact that many patients are offered palliative surgical therapy, such as vagus nerve stimulation, or else endless medical therapies.…”

Section: Discussionmentioning

confidence: 99%

“…The NSQIP data set contains more than 300 variables on patient demographics, comorbidities, and intraoperative data as well as 30-day postoperative morbidity and mortality outcomes. 18 The registry has grown significantly since its inception in 2001. By December 2008, almost 200 hospitals were contributing data and were receiving real-time, risk-adjusted feedback on their surgical outcomes.…”

Section: Data Sourcementioning

confidence: 99%

Thirty-day postoperative morbidity and mortality after temporal lobectomy for medically refractory epilepsy

Kerezoudis

McCutcheon

Murphy

et al. 2018

Journal of Neurosurgery

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OBJECTIVE Temporal lobectomy is a well-established treatment modality for the management of medically refractory epilepsy in appropriately selected patients. The aim of this study was to assess 30-day morbidity and mortality after temporal lobectomy in cases registered in a national database. METHODS A retrospective cohort analysis was conducted using a multiinstitutional surgical registry compiled between 2006 and 2014. The authors identified patients who underwent anterior temporal lobectomy and/or amygdalohippocampectomy for a primary diagnosis of intractable epilepsy. Univariate and multivariable analyses with regard to patient demographics, comorbidities, operative characteristics, and 30-day outcomes were applied. RESULTS A total of 216 patients were included in the study. The median age was 38 years and 46% of patients were male. The median length of stay was 3 days and the 30-day mortality rate was 1.4%. Fourteen patients (6.5%) developed at least one major complication. Return to the operating room was observed in 7 patients (3.2%). Readmission within 30 days and discharge to a location other than home were available for 2011-2014 (n = 155) and occurred in 11% and 10.3% of patients, respectively. Multivariable regression analysis revealed that increasing age was an independent predictor of discharge disposition other than home and that male sex was a significant risk factor for the development of a major complication. Interestingly, the presence of the attending neurosurgeon and a resident during the procedure was significantly associated with decreased odds of prolonged length of stay (i.e., > 75th percentile [5 days]) and discharge to a location other than home. CONCLUSIONS Using a multiinstitutional surgical registry, 30-day outcome data after temporal lobectomy for medically intractable epilepsy demonstrates a mortality rate of 1.4%, a major complication rate of 6.5%, and a readmission rate of 11%. Temporal lobectomy is an extremely effective therapy for seizures originating there-however, surgical intervention must be weighed against its morbidity and mortality outcomes.

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“…Such as in a study of 3682 patients with unruptured intracranial aneurysm surgery from the Nationwide Inpatient Sample, increasing age and history of prior stroke were identified as independent predictors of mortality. 19 It should be added that patients with Myocardial Injury After Noncardiac Surgery was significantly older. 20 Many studies have found that the traditional assumption that older persons generally less well from weakened immune systems, and other common diseases, recover slowly, general weakness and reduced social support is correct.…”

Section: Preoperative Factorsmentioning

confidence: 99%

Thirty Days Mortality Following Lung Resection: Risk Factors, Preoperative Assessment and Improvement Program

Wang¹,

Sun²,

Abby³

et al. 2019

JAH

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Effect and mechanism of acute graft versus host disease on early diffuse murine lung injury following allogeneic stem cell transplantation Science in China Series C-Life Sciences 52, 1016 (2009); An efficient method for identification of risk factors Science in China Series E-Technological Sciences 52, 3626 (2009); Risk assessment method of major unsafe hydroelectric project Science in China Series E-Technological Sciences 51, 1345 (2008); Dynamic security risk assessment and optimization of power transmission system Science in China Series E-Technological Sciences 51, 713 (2008);

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Predictors of 30-day perioperative morbidity and mortality of unruptured intracranial aneurysm surgery

Cited by 35 publications

References 28 publications

Predictors of length of stay, reoperation, and readmission following total laryngectomy

Predictors of length of stay, reoperation, and readmission following total laryngectomy

Thirty-day postoperative morbidity and mortality after temporal lobectomy for medically refractory epilepsy

Thirty Days Mortality Following Lung Resection: Risk Factors, Preoperative Assessment and Improvement Program

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