Risk factors affecting the length of intensive care unit stay after brain tumor surgery

Factors Influencing Prolonged Intensive Care Unit Length of Stay after Craniotomy for Intracranial Tumor in Children: A 10-year Analysis from a University Hospital

“…Postoperative ICH was not frequent in our study (4.78%), similar to findings from a previous study in adults. 6 Almost half of our ICH patients required reoperation for hematoma removal, which required a longer ICU stay. Moreover, the likelihood of PISs also increases in cases of other postoperative complications such as infection, seizure, and hydrocephalus.…”

“…A previous study in adults found TIVA was associated with shorter ICU stays after elective craniotomy. 6 TIVA seems to be more suitable for patients with brain surgery compared to inhalation technique in terms of intracranial pressure reduction and higher cerebral perfusion pressure. However, the anesthetic techniques were not significantly associated with ICU length of stay in our study.…”

“…The duration of anesthesia and operation was also one of the predictors of ICU length of stay after craniotomy. 6 The prolonged surgery might indicate a more invasive procedure or a complex surgery. 12 It is consistent with our study that surgery of more than 6 hours was the one of predictive factors for prolonged ICU length of stay.…”

“… 2 , 3 Postoperative ICU admission for at least one day is routinely practiced in pediatric and adult craniotomy for close monitoring, early detection, and treatment of complications. 4 – 6 The pediatric ICU in general hospitals admit both medical and surgical patients of which about 20% were neurocritical care patients. 7 Pediatric ICU beds are often limited while ICUs need specialized trained personnel and complex equipment.…”

“…It also can reduce unintentional cancellation of operations due to the lack of postoperative ICU capacity. 6 …”