Observational Study of Risk Factors of Neuro-critical Care Complications Regarding Patients Undergoing Brain Tumour Neuro-surgery : a Prospective Validation of the Cranioscore.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Neuro-surgery
- Sponsor
- Nantes University Hospital
- Enrollment
- 795
- Locations
- 1
- Primary Endpoint
- Post-operative complications requiring Neuro-ICU stay ≥ 24 hours after surgery for neurosurgical reason.
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
Patients undergoing a brain tumour neurosurgery with craniotomy may present rare but lifethreatening post-operative complications. There are currently no strong recommendations to help the clinician in an attempt to properly hospitalise these patients after their intervention (Neuro-ICU, ICU,surgical ward).
Determining risk factors of post-operative complications could optimise resources. Therefore hospitalisation in Neuro-ICU would be mandatory in only a little number of patients.
Detailed Description
Retrospective analysis of a prospective database to create a Risk Score. Post-operative neurosurgery complications recording (Hyponatremia \< 135mmol/l,Insulin administration, Nausea-Vomiting, Glasgow Coma Score, Inhalation, Post-operative intra-cranial bleeding requiring neurosurgery, Intra-cranial hypertension, Use of osmotherapy, Status epilepticus, Brain death, Death). Collection of datas as Duration of mechanical ventilation, Length of ICU stay, Length of hospital stay. Validation of this score on an independent prospective cohort.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patients undergoing neuro-surgery for a brain tumor
Exclusion Criteria
- •Neuro-surgical emergency
Outcomes
Primary Outcomes
Post-operative complications requiring Neuro-ICU stay ≥ 24 hours after surgery for neurosurgical reason.
Time Frame: During ICU stay, average of 24 hours
Secondary Outcomes
- Describing post-operative complications in patients undergoing neuro-surgery for brain tumor.(During ICU stay, average of 24 hours)
- Length of hospital stay(Duration of hospital stay, expected average 5 days)
- Duration of mechanical ventilation(Duration of mechinal ventilation, average of 12 hours)
- Length of ICU stay(Duration of ICU stay, average of 24 hours)