ArticleActa neurochirurgica2022
Optimizing post anesthesia care unit admission after elective craniotomy for brain tumors: a cohort study.
Article in Acta neurochirurgica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 10 citations in OpenAlex.
- The changing spectrum of neurointensive care unit needs for tumor patients.Neuro-oncology advances · 2026Review
- A cost-sensitive multiclass machine learning framework for postoperative neurosurgical triage (Neuro-TACTIC).Scientific reports · 2026Article
- A SIAARTI Neuroanesthesia and Neurointensive Care Section survey on elective neurosurgery and interventional neuroradiology.Journal of anesthesia, analgesia and critical care · 2025Review
- Postoperative Monitoring After Elective Intracranial Surgery in a Postanesthesia Care Unit is Safe, Efficient, and Cost-Effective.Neurocritical care · 2025Article
- Adverse Events Within 24 hours After 1070 Adult Brain Tumor Surgeries Recovered in a Neurocritical Care Unit or a Postanesthesia Care Unit.Neurosurgery practice · 2025Article
- No ICU Unless 2.0 - Refining ICU admission criteria after elective craniotomy.Brain & spine · 2025Article
- Routine ICU Surveillance after Brain Tumor Surgery: Patient Selection Using Machine Learning.Journal of clinical medicine · 2024Article
- Routine ICU admission after brain tumor surgery: retrospective validation and critical appraisal of two prediction scores.Acta neurochirurgica · 2023Article
- Risk factors for prolonged ventilation in patients undergoing endovascular treatment of unruptured intracranial aneurysm: a retrospective cohort study.Brazilian journal of anesthesiology (Elsevier)Article
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Authors and funding
11 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPostoperative admission to intensive care unit (ICU) after craniotomy for brain tumor was the routine in the past years. However, there is little evidence supporting this dogma and doubts have been casted by many authors in the last years. Our aim was to identify risk factors for ICU admission after elective brain tumor surgery in order to propose an individualized admission to ICU tailored on patient needs.
methodsWe conducted a retrospective cohort study including all patients undergoing elective surgery for brain tumor in a neurosurgical post anesthesia care unit of a university hospital over a period of 6 years. In order to identify and validate risk factors for ICU admission, we split the final cohort of patients in a training cohort (two/third of the cohort) and the validation cohort (one/third of the cohort) using a random sequence. Using univariate and multivariate logistic regression, we created a scoring system in the training cohort and tested it with the validation cohort. Moreover, we perform a sensitivity analysis on the overall population.
resultsA total of 420 patients were eligible for this study. ASA-PS, tumor volume, and surgery length entered the scoring system. Sensitivity analysis on the overall population for the scoring system had an AUC of 0.774 (95% CI 0.668-0.880, the best threshold at 12.5)
conclusionsWe created a tool based on ASA-PS, length of surgery, and tumor volume to evaluate the risk for ICU admission after supratentorial tumor resection. Prospective studies are deemed necessary to validate our tool.
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