Postoperative complications after central nervous system tumor resection in pediatric patients admitted to an intensive care unit in Colombia
2024

Postoperative Complications in Pediatric CNS Tumor Surgery

Sample size: 114 publication Evidence: moderate

Author Information

Author(s): Rubén E. Lasso-Palomino, Inés Elvira Gómez, María José Soto-Aparicio, Andrés Gempeler, Andrés Pombo-Jiménez, Melissa Gómez-Toro, Valentina Rojas-Robledo, María Alejandra Jiménez-Arévalo, Karla Alejandra Bastidas-Toro, Jimena Sierra, Sofía Martínez-Betancur, Camila Ariza-Insignares, Isabella Montaño-Vivas, Ximena Castro, Anita V. Arias

Primary Institution: Hospital Universitario Fundación Valle del Lili, Cali, Colombia

Hypothesis

What are the postoperative complications observed in pediatric patients after CNS tumor resection admitted to the PICU?

Conclusion

The study highlights significant postoperative complications in pediatric patients after CNS tumor resection, emphasizing the need for tailored interventions.

Supporting Evidence

  • 3.5% of patients died during PICU stay, primarily due to complications.
  • Motor deficits were the most common complications after 48 hours.
  • Immediate complications included CNS hemorrhage (6.14%) and intracranial hypertension (3.5%).
  • 24.5% of patients required invasive mechanical ventilation with a median duration of 3 days.

Takeaway

Kids who have brain surgery can have a lot of problems afterward, so doctors need to watch them closely to help them get better.

Methodology

A cross-sectional observational analysis of pediatric patients who underwent surgery for CNS tumors and were admitted to the PICU from January 2011 to December 2021.

Limitations

The study's cross-sectional design limits the ability to establish causality, and the sample size may affect generalizability.

Participant Demographics

{"age":{"median":8,"interquartile_range":"4-12"},"sex":{"male":63,"female":51},"health_insurance":{"contributory":74,"subsidized":40},"origin":{"urban":91,"rural":23}}

Statistical Information

Confidence Interval

95%

Digital Object Identifier (DOI)

10.3389/fonc.2024.1491943

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