{"id":196,"date":"2017-06-21T12:54:54","date_gmt":"2017-06-21T15:54:54","guid":{"rendered":"http:\/\/pressreleases.scielo.org\/en\/?p=196"},"modified":"2023-03-28T13:14:20","modified_gmt":"2023-03-28T16:14:20","slug":"complications-in-patients-submitted-to-neurosurgical-procedures","status":"publish","type":"post","link":"https:\/\/pressreleases.scielo.org\/en\/2017\/06\/21\/complications-in-patients-submitted-to-neurosurgical-procedures\/","title":{"rendered":"Complications in patients submitted to neurosurgical procedures"},"content":{"rendered":"

By\u00a0Solange Diccini, (associate professor) Escola Paulista de Enfermagem<\/em> of the Universidade Federal de S\u00e3o Paulo<\/em>, S\u00e3o Paulo, SP, Brazil<\/strong><\/p>\n

<\/a><\/p>\n

Ellen Maria Pires Siqueira and Solange Diccini, researchers of the Group for Studies and Investigation on Nursing in Neuroscience and Pain (Escola Paulista de Enfermagem<\/em>, EPE; Universidade Federal de S\u00e3o Paulo<\/em>, UNIFESP), evaluated and compared the systemic and neurological complications and mortality between patients submitted to elective neurosurgical or urgency\/emergency procedures. This study was conducted in a large-size university hospital in the city of S\u00e3o Paulo, SP, Brazil. The results and conclusions of this scientific study were published in Acta Paulista de Enfermagem<\/em> (Vol. 30, N. 1, Jan. 2017).<\/p>\n

Neurological complications in the postoperative period of elective skull surgeries include decreased level of consciousness,\u00a0cerebral vasospasms,\u00a0refractory seizures,\u00a0reoperation, hemiparesis and intraparenchymal hematoma.\u00a0In urgency\/emergency surgeries are also reported complications such as intracranial hypertension,\u00a0motor deficits,\u00a0recurrent subdural hematoma, intraparenchymal hemorrhage,\u00a0vasospasms and seizures. Systemic complications in the postoperative period of elective neurosurgeries include nausea and vomiting, hypotension, respiratory distress\u00a0and surgical site infection. \u00a0For urgency\/emergency surgeries, pain\u00a0and nosocomial infections are also observed. The overall mortality rate has been reported to be only 1%\u00a0after elective neurosurgery, as compared to 29% after urgency\/emergency neurosurgery. Postoperative complications has been increased the risk of death in both groups (BUI, et al<\/em>., 2011; IBA\u00d1EZ, et al<\/em>., 2014; ROLSTON, et al<\/em>., 2014).<\/p>\n

A total of 202 patients were included in the study, divided into two neurosurgical groups: elective (n=127) and urgency\/emergency (n=75) surgeries. In both groups, the systemic [elective (98.3%) and urgency\/emergency (98.5%) surgeries; p>0.99] and neurological [elective (45.5%) and urgency\/emergency (52.9%) surgeries; p=0.402] complications were similar. The patients in the elective surgery group presented more pain (p<0.001) and vomiting (p=0.010), while the patients of the urgency\/emergency surgery group presented more intracranial hypertension (p=0.001), anisocoria (p=0.002), cerebral vasospasm (p=0.043), absence of pupillary photoreaction (p=0.006), and reoperation (p=0.046). Mortality was different in patients of the elective (5.5%) and urgency\/emergency (26.7%, p<0.001) surgery groups.<\/p>\n

The systemic and neurological complications were present in both postoperative period of elective neurosurgeries and surgeries performed in urgency\/emergency situations. Knowledge of type and frequency of these complications can trigger preventive or early-identification measures in the postoperative period, with decrease in hospital morbidity and mortality.<\/p>\n

References<\/h3>\n

BUI, J.Q.,\u00a0et al<\/em>. Is postoperative intensive care unit admission a prerequisite for elective craniotomy? J Neurosurg<\/em>. 2011, vol. 115, no. 6, pp. 1236-1241.<\/p>\n

IBA\u00d1EZ, F.A.L., et al<\/em>. A new classification of complications in neurosurgery. World Neurosurg. <\/em>2011, vol. 75, no. 5\/6, pp. 709-715.<\/p>\n

ROLSTON, J.D., et al<\/em>. Frequency and predictors of complications in neurological surgery: national trends from 2006 to 2011. J Neurosurg. <\/em>2014, vol. 120, no. 3, pp. 736-745.<\/p>\n

To read the article, access it:<\/h3>\n

SIQUEIRA, E.M.P. and DICCINI, S. Complica\u00e7\u00f5es p\u00f3s-operat\u00f3rias em neurocirurgia eletiva e n\u00e3o eletiva. Acta paul. enferm<\/em>. [online] 2017, \u00a0vol. 30, no. 1, pp. 101-108\u00a0[viewed 17 May 2017]. DOI: 10.1590\/1982-0194201700015<\/a>. Available from:\u00a0http:\/\/ref.scielo.org\/vsdz2w<\/a><\/p>\n

External link<\/h3>\n

Acta Paulista de Enfermagem – APE: <http:\/\/www.scielo.br\/ape<\/a>><\/p>\n","protected":false},"excerpt":{"rendered":"

Neurosurgical procedures are often performed in an elective mode or in urgency or emergency situations. In the postoperative period, the patients perform in general intensive care or neurological units, or even in hospital admission units. Despite the care provided in the postoperative period, patients can present systemic or neurological complications, impacting hospitalization time as well as hospital cost and mortality. …<\/span> Read More →<\/span><\/a><\/span><\/p>\n","protected":false},"author":94,"featured_media":37,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[13,8,12],"tags":[14,194],"class_list":["post-196","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ape","category-health-sciences","category-press-releases","tag-acta-paulista-de-enfermagem","tag-nursing"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/posts\/196","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/users\/94"}],"replies":[{"embeddable":true,"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/comments?post=196"}],"version-history":[{"count":4,"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/posts\/196\/revisions"}],"predecessor-version":[{"id":214,"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/posts\/196\/revisions\/214"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/media\/37"}],"wp:attachment":[{"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/media?parent=196"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/categories?post=196"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/tags?post=196"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}