Risk of Reoperation for Hemorrhage in Patients After Craniotomy
- PMID: 26407928
- DOI: 10.1016/j.wneu.2015.09.020
Risk of Reoperation for Hemorrhage in Patients After Craniotomy
Abstract
Objective: To identify clinical factors predictive of patients returning to the operating room (OR) for hemorrhage after craniotomy.
Methods: A national surgical quality database (American College of Surgeons National Surgical Quality Improvement Project) was reviewed for patients undergoing craniotomy based on Current Procedural Terminology (CPT) code. CPT codes were also used to identify patients returning to the OR for hemorrhage.
Results: Of 5520 patients who underwent craniotomy in 2012, 81 (1.5%) had a reoperation for hematoma evacuation. Preoperative and intraoperative factors associated with reoperation for hemorrhage included preexisting hypertension, bleeding disorder, and primary craniotomy for hematoma evacuation. Postoperative factors included ventilator dependence >48 hours, unplanned reintubation, and blood transfusion during or after the index operation. A risk score based on these factors was predictive of reoperation for hemorrhage with a receiver operating characteristic area under the curve of 0.767. Restricting the score to preoperative factors was still predictive of reoperation (area under the curve = 0.683).
Conclusions: Reoperation for evacuation of hematoma is influenced by several clinical factors. A risk score based on these factors is predictive of return to the OR and may be used to identify patients at risk.
Keywords: Craniotomy; Hemorrhage; NSQIP; Reoperation.
Copyright © 2016 Elsevier Inc. All rights reserved.
Similar articles
-
Surgery for Cerebellar Hemorrhage: A National Surgical Quality Improvement Program Database Analysis of Patient Outcomes and Factors Associated with 30-Day Mortality and Prolonged Ventilation.World Neurosurg. 2017 Oct;106:543-550. doi: 10.1016/j.wneu.2017.07.041. Epub 2017 Jul 19. World Neurosurg. 2017. PMID: 28735123
-
Analysis of Venous Thromboembolism Risk in Patients Undergoing Craniotomy.World Neurosurg. 2015 Nov;84(5):1372-9. doi: 10.1016/j.wneu.2015.06.033. Epub 2015 Jun 25. World Neurosurg. 2015. PMID: 26117085
-
Patient factors associated with 30-day morbidity, mortality, and length of stay after surgery for subdural hematoma: a study of the American College of Surgeons National Surgical Quality Improvement Program.J Neurosurg. 2016 Mar;124(3):760-6. doi: 10.3171/2015.2.JNS142721. Epub 2015 Aug 28. J Neurosurg. 2016. PMID: 26315000
-
Autologous and acrylic cranioplasty: a review of 10 years and 258 cases.World Neurosurg. 2014 Sep-Oct;82(3-4):e525-30. doi: 10.1016/j.wneu.2013.08.005. Epub 2013 Sep 13. World Neurosurg. 2014. PMID: 24036124 Review.
-
Remote cerebellar hemorrhage after supratentorial procedures (part 1): a systematic review.Neurosurg Rev. 2016 Oct;39(4):565-73. doi: 10.1007/s10143-015-0691-6. Epub 2016 Feb 4. Neurosurg Rev. 2016. PMID: 26846668 Review.
Cited by
-
Understanding Risk Factors Associated With Unplanned Reoperation in Major Head and Neck Surgery.JAMA Otolaryngol Head Neck Surg. 2018 Nov 1;144(11):1044-1051. doi: 10.1001/jamaoto.2018.2049. JAMA Otolaryngol Head Neck Surg. 2018. PMID: 30267078 Free PMC article.
-
Safety and timing of early therapeutic anticoagulation therapy after craniotomy.Surg Neurol Int. 2024 Feb 2;15:31. doi: 10.25259/SNI_887_2023. eCollection 2024. Surg Neurol Int. 2024. PMID: 38468647 Free PMC article.
-
Factors Creating a Need for Repeated Drainage of Deep Neck Infections.Diagnostics (Basel). 2022 Apr 9;12(4):940. doi: 10.3390/diagnostics12040940. Diagnostics (Basel). 2022. PMID: 35453988 Free PMC article.
-
Stereo-crossed ablation guided by stereoelectroencephalography for epilepsy: comprehensive coagulations via a network of multi-electrodes.Ther Adv Neurol Disord. 2020 Jun 9;13:1756286420928657. doi: 10.1177/1756286420928657. eCollection 2020. Ther Adv Neurol Disord. 2020. PMID: 32565913 Free PMC article.
-
Unplanned reoperation after radical surgery for oral cancer: an analysis of risk factors and outcomes.BMC Oral Health. 2022 May 25;22(1):204. doi: 10.1186/s12903-022-02238-7. BMC Oral Health. 2022. PMID: 35614416 Free PMC article.
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical
