Evidence map›Paper›PMID 39554795›Full record

ArticleNeuro-oncology practice2024

Predictors of operative ischemic cerebrovascular complications in skull base tumor resections: Experience in low-resource setting.

Mestet Yibeltal Shiferaw, Abat Sahlu Baleh, Abel Gizaw, Tsegazeab Laeke Teklemariam, Abenezer Tirsit Aklilu, Atalel Fentahun Awedew, Denekew Tenaw Anley, Bereket Hailu Mekuria, Ermias Fikiru Yesuf, Mengistu Ayele Yigzaw and 4 more

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Article in Neuro-oncology practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

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5 · Who and what money

Authors and funding

14 authors.

Mestet Yibeltal ShiferawDepartment of Surgery, Neurosurgery Unit, Debre Tabor University, Debre Tabor, Ethiopia.ORCID https://orcid.org/0000-0001-5073-6946
Abat Sahlu BalehDepartment of Surgery, Neurosurgery Unit, Addis Ababa University, Addis Ababa, Ethiopia.
Abel GizawDepartment of Surgery, Neurosurgery Unit, Addis Ababa University, Addis Ababa, Ethiopia.
Tsegazeab Laeke TeklemariamDepartment of Surgery, Neurosurgery Unit, Addis Ababa University, Addis Ababa, Ethiopia.
Abenezer Tirsit AkliluDepartment of Surgery, Neurosurgery Unit, Addis Ababa University, Addis Ababa, Ethiopia.
Atalel Fentahun AwedewDepartment of Surgery, Debre Tabor University, Debre Tabor, Ethiopia.
Denekew Tenaw AnleyDepartment of Public Health, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Bereket Hailu MekuriaDepartment of Surgery, Neurosurgery Unit, Addis Ababa University, Addis Ababa, Ethiopia.
Ermias Fikiru YesufDepartment of Surgery, Neurosurgery Unit, Debre Birhan University, Debre Birhan, Ethiopia.
Mengistu Ayele YigzawDepartment of Surgery, Neurosurgery Unit, Hawassa University, Hawassa, Ethiopia.
Henok Teshome MollaDepartment of Surgery, Neurosurgery Unit, Addis Ababa University, Addis Ababa, Ethiopia.
Alemu Adise MldieDepartment of Surgery, Neurosurgery Unit, Jimma University, Jimma, Ethiopia.
Mekides Musie AwanoDepartment of Surgery, Neurosurgery Unit, Addis Ababa University, Addis Ababa, Ethiopia.
Abraham TeymDepartment of Environmental Health, College of Health Sciences, Debre Markos University, Debre Markos,  Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Ischemic cerebrovascular complications following skull base tumor resections remain a significant factor impacting both short-term and long-term patient outcomes. This study aims to improve risk stratification, surgical decision-making, and postoperative care protocols. Methods: A retrospective cohort study on predictors of ischemic cerebrovascular complications among patients who underwent skull base tumor resection was conducted at 2 high-volume neurosurgical centers in Ethiopia from 2018 to 2023. Binary logistic analysis was performed to see the association of each predictor variable. Results: The study included 266 patients, with 65.5% being female. The median age and tumor size were 37 (± IQR = 17) years and 4.9 cm (± IQR 1.5), respectively. Ischemic cerebrovascular complications occurred in 19.9% of patients. Middle cranial fossa tumors and tumors spanning both anterior and middle cranial fossa (AOR = 6.75, 95% CI: 1.66-27.54, Conclusions: Surgery-related ischemic cerebrovascular complications are common. Thorough perioperative risk stratification and proactive treatment planning are crucial to mitigate vascular insults associated with it. In low-resource settings, neurosurgical services are provided without advanced instruments, leading to more complications. Therefore, it is important to focus on improving neurosurgical setup to enhance patient outcomes.

Indexed as

cerebrovascular complicationsiatrogenic injuryresectionskull base tumorvasospasm

Identifiers

PMID39554795
PMCPMC11567745

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.