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- Title
Postoperative complications in elective and non-elective neurosurgery.
- Authors
Pires Siqueira, Ellen Maria; Diccini, Solange
- Abstract
Objective: To evaluate the incidence of postoperative complications and mortality among patients submitted to elective or non-elective neurosurgery. Methods: Prospective cohort study in adult patients, followed from preoperative period until hospital discharge or death. Results: One hundred and twenty seven patients were included in elective surgery group and 75 patients in non-elective surgery group. The elective group had more vomiting (p=0.010) and pain (p<0.001) and the non-elective group presented more intracranial hypertension (p=0.001), anisocoria (p=0.002), cerebral vasospasm (p=0.043), light-unresponsive pupil (p=0.006) and reoperation (p=0.046). The mortality rate was 5.5% in the elective surgery group and 26.7% in the non-elective surgery group (p<0.001). Conclusion: Elective procedures in neurosurgery are related to higher frequencies of systemic complications while non-elective surgeries had significantly higher rates of neurological complications and mortality.
- Subjects
BRAZIL; MORTALITY; FISHER exact test; LONGITUDINAL method; NEUROSURGERY; NONPARAMETRIC statistics; POISSON distribution; STATISTICAL hypothesis testing; SURGICAL complications; T-test (Statistics); DATA analysis software; KAPLAN-Meier estimator; LOG-rank test
- Publication
Acta Paulista de Enfermagem, 2017, Vol 30, Issue 1, p101
- ISSN
0103-2100
- Publication type
Article
- DOI
10.1590/1982-0194201700015