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

Journal of Neurosurgery
Adam M LukasiewiczJonathan N Grauer

Abstract

Surgery for subdural hematoma (SDH) is a commonly performed neurosurgical procedure. This study identifies patient characteristics associated with adverse outcomes and prolonged length of stay (LOS) in patients who underwent surgical treatment for SDH. All patients in the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) who were treated via craniotomy or craniectomy for SDH between 2005 and 2012 were identified. Patient demographics, comorbidities, and 30-day outcomes were described. Multivariate regression was used to identify predictors of adverse events. A total of 746 surgical procedures performed for SDH were identified and analyzed. Patients undergoing this procedure were 64% male with an average age (± SD) of 70.9 ± 14.1 years. The most common individual adverse events were death (17%) and intubation for more than 48 hours (19%). In total, 34% experienced a serious adverse event other than death, 8% of patients returned to the operating room (OR), and the average hospital LOS was 9.8 ± 9.9 days. In multivariate analysis, reduced mortality was associated with age less than 60 years (relative risk [RR] = 0.47, p = 0.017). Increased mortality was associated with gangrene (RR = 3.5, p = ...Continue Reading

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Citations

May 18, 2016·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·David J CoteTimothy R Smith
Jun 18, 2016·World Neurosurgery·Alexandra M G LarsenTimothy R Smith
Jan 28, 2017·Clinical Neurology and Neurosurgery·Kavelin RumallaManoj K Mittal
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Jun 23, 2020·Neurologia Medico-chirurgica·Shiho HiraizumiMasahito Hitosugi
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Jun 27, 2019·Journal of Surgical Education·Stephen P MirandaMary K Buss

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