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Brain Neoplasms

Central Nervous System Depressants

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Anesthetics

no complication develop within 30 days after the operation and high GOS value

complication or complications develop within 30 days after the operation and low GOS value

Complications:

* Moderate to severe intracerebral hemorrhage confirmed in a brain CT scan (Midline shift in brain imaging ≥ 3 mm),
* İntracranial hypertension requiring post op surgical drainage,
* Status epilepticus or seizures,
* The need for tracheal intubation or use of mechanical ventilation after surgery,
* Decrease in GKS,
* Unmanageable agitation that requires restriction or sedation,
* Need for respiratory failure and oxygen therapy,
* Unexpected serious motor deficit
* Died

Quality of Recovery-15 is a scale consisting of 15 questions indicating the recovery quality of the patient after anesthesia and a score between 0-150.

Quality of Recovery-15

Glasgow Outcome Scale; It is a scale developed to categorize people suffering from head trauma or non-traumatic acute brain injury into broad outcome categories. It shows postoperative mortality and morbidity of patients who underwent intracranial surgery.

Glasgow Result Scale

Pre-operative: medical histories, drugs used, demographic features, additional diseases, ASA class, pre-operative routine parameters, operation history, GCS, tumor histology, location, dimensions and intracerebral radiological data, laboratory values Intraoperative; hemodynamic data of patients; highest and lowest values of heart rate, diastolic, systolic and mean arterial pressures, fluid and blood products given, anesthetic and other drugs administered, duration of anesthesia, duration of surgery, surgical position, blood loss, urine output and blood gas samples Post-operation; extubation time, MAS score, use of mechanical ventilation, post-operative complications, hemodynamic data, blood gas data

Risk Factors

ONUR KÜÇÜK, Resident

SEVTAP HEKİMOĞLU ŞAHİN, Professor

The aim of our study is to prevent unnecessary intensive care unit hospitalizations by developing a scoring system to detect low-risk patients after elective intracranial neurosurgery operation.

In this study, the data of patients who are planned to undergo craniotomy by neurosurgery will be collected as a file scan (medical histories, drugs used, demographic features, additional diseases, ASA class, pre-operative routine parameters, operation history, GCS, tumor histology, location, dimensions and intracerebral radiological data, laboratory values). The pre-operative Quality of Recovery-15 (QoR-15) score will be recorded before the patient is taken into operation. Intraoperative; hemodynamic data of patients; highest and lowest values of heart rate, diastolic, systolic and mean arterial pressures, fluid and blood products given, anesthetic and other drugs administered, duration of anesthesia, duration of surgery, surgical position, blood loss, urine output and blood gas samples will be written from the anesthesia document after the operation is over. For the study, the application of the anesthesiologist for the patient will not be interfered. After the operation; extubation time, MAS score, use of mechanical ventilation, post-operative complications (moderate to severe intracerebral hemorrhage on brain CT, intracranial hypertension requiring post op surgical drainage, development of status epilepticus or seizures, the need for tracheal intubation and mechanical ventilation after surgery, decrease in GKS, unmanageable agitation that requires restriction or sedation, need for respiratory failure and oxygen therapy, serious motor deficit and exitus) will be recorded in the service where the patient is sent. The post-operative QoR-15 score will be calculated 24 hours after the operation. Pre-operative and post-operative calculated scores of the patient will be evaluated and anesthesia recovery score will be created. With this recovery score, post-operative mortality and morbidity estimates will be made. The length of hospital stay of the patient will be recorded. Glasgow Result Scale (GOS) score will be determined 30 days after the patient operation. In this way, 1 month morbidity and mortality of the patient will be evaluated. The collected results will be statistically associated with anesthesia recovery and operation complications.

As a result, in our study; post-operative risk prediction score will be created in patients undergoing intracranial surgery with elective craniotomy.

Postoperative Risk Prediction Score After Elective Intracranial Neurosurgery Operation

the development of complication or complications during hospitalization

Complications:

* Moderate to severe intracerebral hemorrhage confirmed in a brain CT scan (Midline shift in brain imaging ≥ 3 mm),
* İntracranial hypertension requiring post op surgical drainage,
* Status epilepticus or seizures,
* The need for tracheal intubation or use of mechanical ventilation after surgery,
* Decrease in GKS,
* Unmanageable agitation that requires restriction or sedation,
* Need for respiratory failure and oxygen therapy,
* Unexpected serious motor deficit
* Died

Glasgow Outcome Scale; It is a scale developed to categorize people suffering from head trauma or non-traumatic acute brain injury into broad outcome categories. It shows postoperative mortality and morbidity of patients who underwent intracranial surgery. Glasgow Outcome Scale is a five-point scale. 1 point is considered death and five points as good recovery. As the score increases, morbidity and mortality decrease.

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization	Link
Postoperative Risk Prediction Score After Elective Intracranial Neurosurgery Operation	NCT04585633	Brain Tumor Post-Op Complic... Anesthesia	Quality of Reco... Glasgow Result ... Risk Factors	18 Years -	Trakya University
Postoperative Risk Prediction Score After Elective Intracranial Neurosurgery Operation	NCT04585633	Brain Tumor Post-Op Complic... Anesthesia	Quality of Reco... Glasgow Result ... Risk Factors	18 Years -	Trakya University

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