Risk Factors Associated with ICU-Specific Care in Patients Undergoing Endovascular Treatment of Unruptured Intracranial Aneurysms

Autor: Francis J. Jareczek, Varun Padmanaban, Kevin M. Cockroft, Chanju Fritch, Sonia Majid, Paul Kalapos, Scott D. Simon, Michael J. Gigliotti, Ephraim W. Church, J. Christopher Zacko, D. Andrew Wilkinson, Sprague W. Hazard
Rok vydání: 2021
Předmět:
Zdroj: Neurocritical Care. 36:39-45
ISSN: 1556-0961
1541-6933
DOI: 10.1007/s12028-021-01306-0
Popis: Multiple studies suggest routine postoperative intensive care unit (ICUs) stays in presumed high-risk neurosurgical procedures may be unnecessary. Our objective was to evaluate the risk factors associated with ICU-specific needs in patients undergoing elective endovascular treatment of unruptured intracranial aneurysms. A retrospective review of consecutive patients undergoing elective endovascular treatment of unruptured aneurysms was performed between January 2010 and January 2020 in a single academic medical center. Patient demographic information, aneurysm and treatment characteristics, intraoperative and postoperative complications, as well as ICU-specific needs, were abstracted. The primary outcome was ICU-specific needs. A total of 382 patient encounters in 344 unique patients were abstracted. 13.6% (52 of 382) of patient encounters had an ICU-specific need. Multivariate analysis revealed that age [adjusted odds ratio (OR) 1.04, 95% confidence interval (CI) 1.01–1.07, p = 0.03], procedure duration greater 200 min (adjusted OR 2.75, 95% CI 1.34–5.88, p = 0.007), and any intraoperative complication (adjusted OR 20.41, CI 7.97–56.57, p
Databáze: OpenAIRE
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