caa a22 4500 606216499 CHVBK 20210128101103.0 cr unu---uuuuu 210128e20150201xx s 000 0 eng 10.1007/s00701-014-2286-3 doi (NATIONALLICENCE)springer-10.1007/s00701-014-2286-3 Is duration of surgery a risk factor for extracranial complications and surgical site infections after intracranial tumor operations? [Elektronische Daten] [Arthur Golebiowski, Christina Drewes, Sasha Gulati, Asgeir Jakola, Ole Solheim] Background: Duration of surgery has not been much explored as a possible risk factor for complications in neurosurgery. Objective: To explore the possible impact of duration of surgery on the risk of developing extracranial complications and surgical site infections following intracranial tumor surgery. Methods: Retrospective review of 1,000 consecutive patients who underwent planned surgery for intracranial tumors at a single institution. Complications within 30days of surgery were registered. Results: Of all patients, 18.6% acquired extracranial complications, and they were seen in 14.3, 17.7, 22.1 and 37.4% after operations lasting <2, 2-4, 4-6 and ≥6h (p = 0.025). In multivariate analyses, duration of surgery per hour [OR 1.14 (1.04-1.25)], ASA 3-4 [OR 1.37 (1.14-1.63)] and acquired neurological deficits [OR 1.47 (1.02-2.11)] were associated with extracranial complications. For surgical site infections, there was a significant association between increased risk and increased duration of surgery (p < 0.001). Conclusion: Duration of surgery together with comorbidity and acquired neurological deficits is an independent risk factor for extracranial complications after brain tumor surgery. Duration of surgery is also associated with surgical site infections. Knowledge about the potential harm of slow surgery should be of interest to neurosurgeons when deciding on various surgical approaches, surgical tools or providing training. Also if acquiring ethical approval or informed consent in technical research projects, the risks associated with prolonging brain surgery should be considered. Special consideration should be warranted in patients with significant comorbidity, planned long surgery and higher risk of acquiring neurological deficits after surgery. Springer-Verlag Wien, 2014 Brain tumor nationallicence Neurosurgery nationallicence Operative time nationallicence Postoperative complications nationallicence ASA : American Society of Anesthesiologists nationallicence CCI : Charlson Comorbidity Index nationallicence CNS : Central nervous system nationallicence CSF : Cerebrospinal fluid nationallicence DVT : Deep vein thrombosis nationallicence ICU : Intensive care unit nationallicence LWMH : Low-weight molecular heparin nationallicence OR : Operating room/odds ratio nationallicence PE : Pulmonary embolism nationallicence SCD : Sequential gradient pneumatic leg compression nationallicence SSI : Surgical site infection nationallicence UTI : Urinary tract infection nationallicence Golebiowski Arthur Faculty of Medicine, Norwegian University of Science and Technology, DMF, NTNU, P.O. Box 8905, 7491, Trondheim, Norway aut Drewes Christina Department of Anesthesia, St. Olav's University Hospital, P.O. Box 3250, 7006, Trondheim, Norway aut Gulati Sasha Department of Neurosurgery, St. Olav's University Hospital, Olav Kyrres gate 17, 7006, Trondheim, Norway aut Jakola Asgeir Department of Neurosurgery, St. Olav's University Hospital, Olav Kyrres gate 17, 7006, Trondheim, Norway aut Solheim Ole Department of Neurosurgery, St. Olav's University Hospital, Olav Kyrres gate 17, 7006, Trondheim, Norway aut Acta Neurochirurgica Springer Vienna 157/2(2015-02-01), 235-240 0001-6268 157:2<235 2015 157 701 https://doi.org/10.1007/s00701-014-2286-3 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00701-014-2286-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Golebiowski Arthur Faculty of Medicine, Norwegian University of Science and Technology, DMF, NTNU, P.O. Box 8905, 7491, Trondheim, Norway aut NATIONALLICENCE 700 1- Drewes Christina Department of Anesthesia, St. Olav's University Hospital, P.O. Box 3250, 7006, Trondheim, Norway aut NATIONALLICENCE 700 1- Gulati Sasha Department of Neurosurgery, St. Olav's University Hospital, Olav Kyrres gate 17, 7006, Trondheim, Norway aut NATIONALLICENCE 700 1- Jakola Asgeir Department of Neurosurgery, St. Olav's University Hospital, Olav Kyrres gate 17, 7006, Trondheim, Norway aut NATIONALLICENCE 700 1- Solheim Ole Department of Neurosurgery, St. Olav's University Hospital, Olav Kyrres gate 17, 7006, Trondheim, Norway aut NATIONALLICENCE 773 0- Acta Neurochirurgica Springer Vienna 157/2(2015-02-01), 235-240 0001-6268 157:2<235 2015 157 701