NDLI: Risk factors for the development of serious medical complications after resection of meningiomas. Clinical article.

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Risk factors for the development of serious medical complications after resection of meningiomas. Clinical article.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Sughrue, Michael E. Rutkowski, Martin J. Shangari, Gopal Chang, H. Quinn Parsa, Andrew T. Berger, Mitchel S. McDermott, Michael W.
Description	Country affiliation: United States Author Affiliation: Sughrue ME ( Brain Tumor Research Center, Department of Neurological Surgery, University of California, San Francisco, California, USA.)
Abstract	OBJECT: While the surgical and neurological risks of meningioma surgery have been reported, much less effort has been devoted to studying the rates of serious medical complications following such a procedure. The authors performed a review of 834 patients who underwent craniotomy for meningioma at their institution and analyzed the rate of major cardiac, pulmonary, renal, and hepatic complications. METHODS: The authors identified all patients between 1993 and 2007 who underwent craniotomy for meningioma. Clinical information was reconstructed using patient medical records, medication records, radiological data, and pathological specimens from both the author institution and outside medical facilities. Stepwise multivariate logistic regression analysis was performed to test the association between the dependent variable (rate of medical complications) and all covariates with a p < 0.2 on univariate testing. RESULTS: Fifty-seven patients (6.8%) experienced 61 serious medical complications following surgery for meningioma. Four patients died of medical complications. The most common complication was pneumonia, followed by renal dysfunction, arrhythmia, and deep venous thrombosis and/or pulmonary embolus. The development of a new or worsened neurological deficit (p < 0.00001), an age > 65 years (p < 0.03), hypertension (p < 0.02), and being on > 2 cardiac medications prior to surgery (p < 0.004) all demonstrated significantly increased rates of medical complications on univariate analysis. On multivariate analysis, only a new or worsened neurological deficit remained a significant risk factor for the occurrence of serious medical complications (p < 0.00001). CONCLUSIONS: Overall, the authors found that the rate of clinically detected serious medical complications is relatively low in this population (6.8%), given the duration and complexity of the meningioma operations, and is strongly linked to the subsequent development of significant medical complications. This information may be useful to surgeons in discussing the morbidity of surgery during the informed consent process.
File Format	HTM / HTML
ISSN	00223085
e-ISSN	19330693
Journal	Journal of Neurosurgery
Issue Number	3
Volume Number	114
Language	English
Publisher	American Association of Neurological Surgeons
Publisher Date	2011-03-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Discipline Neurosurgery Meningioma Surgery Neurosurgical Procedures Adverse Effects Postoperative Complications Epidemiology Adolescent Analysis Of Variance Craniotomy Data Interpretation, Statistical Databases, Factual Heart Diseases Etiology Kidney Diseases Liver Diseases Lung Diseases Nervous System Diseases Mortality Perioperative Care Preoperative Care Prospective Studies Risk Factors Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Neurology (clinical) Surgery

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