ArticleJournal of neuro-oncology2025
Variables associated with 90-day readmission following craniotomy for tumor in the pediatric population.
Article in Journal of neuro-oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Post-operative events following elective craniotomy for tumor in children.Journal of neuro-oncology · 2025Article
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeReadmission is a vital component of healthcare quality and is one of the core group metrics for quality-dependent outcomes. Currently, variables predictive of readmission following elective craniotomies for intracranial tumors in the pediatric population are not known. We sought to identify such variables in our population of children and young adults.
methodsAll elective craniotomies for tumor resection performed at our children's hospital from January 1, 2010, through December 31, 2022, were included for review, excluding those patients > 21 years of age. Demographic, clinical, and procedural covariates for each elective craniotomy for tumor resection were collected. Readmission was defined as readmission for any reason and to any service following discharge from the index admission (i.e., elective craniotomy). Readmission events were characterized as occurring within 90 days from discharge.
resultsA total of 1,276 patients underwent a total of 1,497 elective craniotomies for tumor resection. The median age of the population at their index operations was 9.45 years, of which 58.5% of patients were male, 68.5% Caucasian, and 76.5% had private insurance. Most tumor resections were supratentorial (63.4%). There were 208 (13.9%) readmissions within 90 days of index operation, with 154 (74%) of those returning within the first 30 days. Bivariate analysis identified a number of associations, but multivariate testing found four significant predictors: age 0 to < 5 years (OR 1.55, p = 0.02), surgical time (OR 1.002, p = 0.02), high tumor grade (OR 3.15, p = 0.03), and return to the neurosurgical OR due to postoperative event (POE) (OR 2.81, p = 0.005).
conclusionUtilizing our large pediatric tumor database, we identified key drivers of readmission following elective tumor resection. These were young children (0 to < 5 years), surgical time, high tumor grade, and return to the neurosurgical OR due to POE, of which high tumor grade was the strongest. Future studies are warranted to explore the specific ways that these predictors increase readmission risk.
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