Predictors of reoperation and noninfectious complications following craniotomy for cerebral abscess

•∼20% of patients require reoperation or experience a non-infectious complication following brain abscess evacuation.•Increasing preoperative WBC counts predict both reoperation and non-infectious complications.•Smoking and high ASA Classification predict non-infectious complications.•Post-operative...

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Bibliographic Details
Published in:Clinical neurology and neurosurgery 2019-04, Vol.179, p.55-59
Main Authors: Longo, Michael, Feigen, Chaim, De la Garza Ramos, Rafael, Gelfand, Yaroslav, Echt, Murray, Agarwal, Vijay
Format: Article
Language:English
Subjects:
Age
Body mass index
Brain abscess
Cerebral abscess
Chronic obstructive pulmonary disease
Classification
Complications
Craniotomy
Diabetes
Gender
Hypertension
Medical personnel
Mortality
Neurology
Patients
Quality control
Reoperation
Risk factors
Smoking
Steroids
Surgery
Surgical outcomes
Ventilation
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Summary:•∼20% of patients require reoperation or experience a non-infectious complication following brain abscess evacuation.•Increasing preoperative WBC counts predict both reoperation and non-infectious complications.•Smoking and high ASA Classification predict non-infectious complications.•Post-operative mortality is ∼5% following abscess evacuation. There is a paucity of literature that examines predictors of reoperation and noninfectious complications following treatment of cerebral abscess with craniotomy. The goal of the present study is to identify predictors for each of these outcomes. The American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database 2012–2016 file was the data source. Patients were identified using a combination of CPT and ICD-9/10 codes. Exclusions included missing age/gender, secondary surgery, and absent length of stay information. Univariate followed by multivariable analysis using logistic regression was used to identify significant predictors of reoperation and noninfectious postoperative complications (p 
ISSN:0303-8467
1872-6968
DOI:10.1016/j.clineuro.2019.02.020