Factors influencing intensive care unit length of stay after craniotomy for supratentorial tumor resection: an observational study
Background Few studies have explored the intensive care unit (ICU) requirements of patients after craniotomy. Identifying the factors that contribute to extended ICU stay can enhance ICU efficiency and reduce costs. This study investigated the predictors of prolonged ICU stay after craniotomy for su...
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The Korean Neurocritical Care Society
2025-06-01
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| Series: | Journal of Neurocritical Care |
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| Online Access: | http://www.e-jnc.org/upload/pdf/jnc-250046.pdf |
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| author | Abdelghafour El Koundi Mehdi Samali Meskine Amine Khalil Mounir Hicham Balkhi Mustapha Bensghir |
| author_facet | Abdelghafour El Koundi Mehdi Samali Meskine Amine Khalil Mounir Hicham Balkhi Mustapha Bensghir |
| author_sort | Abdelghafour El Koundi |
| collection | DOAJ |
| description | Background Few studies have explored the intensive care unit (ICU) requirements of patients after craniotomy. Identifying the factors that contribute to extended ICU stay can enhance ICU efficiency and reduce costs. This study investigated the predictors of prolonged ICU stay after craniotomy for supratentorial brain tumors to establish conditions enabling ICU bypass. Methods We retrospectively reviewed 205 patients admitted to the ICU after craniotomy for supratentorial brain tumors. Patients were categorized based on ICU length of stay (LOS): ≤24 hours (group 1) and >24 hours (group 2). Logistic regression analysis identified factors linked to extended ICU stay. Results Among the patients, 172 (84%) were discharged from the ICU within 24 hours, whereas 33 (16%) had longer stays. Independent predictors of prolonged ICU LOS included midline shift (odds ratio [OR], 2.494; 95% CI, 1.289–4.824; P=0.007), operative blood transfusion (OR, 1.295; 95% CI, 1.007–1.665; P=0.044), longer operative duration (OR, 1.027; 95% CI, 1.014–1.039; P<0.001), and new postoperative neurological deficits (OR, 1.865; 95% CI, 1.426–2.439; P<0.001). Conclusion These findings may optimize ICU resource allocation by identifying low-risk patients suitable for early transfer to the neuroscience floor. A selective ICU admission strategy can improve resource use, minimize costs, and enhance ICU availability. |
| format | Article |
| id | doaj-art-c5d9a967a1814d9197ba9ed3b83d3cd3 |
| institution | Matheson Library |
| issn | 2005-0348 2508-1349 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | The Korean Neurocritical Care Society |
| record_format | Article |
| series | Journal of Neurocritical Care |
| spelling | doaj-art-c5d9a967a1814d9197ba9ed3b83d3cd32025-07-02T07:37:35ZengThe Korean Neurocritical Care SocietyJournal of Neurocritical Care2005-03482508-13492025-06-01181232810.18700/jnc.250046426Factors influencing intensive care unit length of stay after craniotomy for supratentorial tumor resection: an observational studyAbdelghafour El KoundiMehdi Samali0Meskine Amine1Khalil Mounir2Hicham Balkhi3Mustapha Bensghir4 Department of Anesthesiology and Critical Care, Military Teaching Hospital Mohammed V, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University of Rabat, Rabat, Morocco Department of Anesthesiology and Critical Care, Military Teaching Hospital Mohammed V, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University of Rabat, Rabat, Morocco Department of Anesthesiology and Critical Care, Military Teaching Hospital Mohammed V, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University of Rabat, Rabat, Morocco Department of Anesthesiology and Critical Care, Military Teaching Hospital Mohammed V, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University of Rabat, Rabat, Morocco Department of Anesthesiology and Critical Care, Military Teaching Hospital Mohammed V, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University of Rabat, Rabat, MoroccoBackground Few studies have explored the intensive care unit (ICU) requirements of patients after craniotomy. Identifying the factors that contribute to extended ICU stay can enhance ICU efficiency and reduce costs. This study investigated the predictors of prolonged ICU stay after craniotomy for supratentorial brain tumors to establish conditions enabling ICU bypass. Methods We retrospectively reviewed 205 patients admitted to the ICU after craniotomy for supratentorial brain tumors. Patients were categorized based on ICU length of stay (LOS): ≤24 hours (group 1) and >24 hours (group 2). Logistic regression analysis identified factors linked to extended ICU stay. Results Among the patients, 172 (84%) were discharged from the ICU within 24 hours, whereas 33 (16%) had longer stays. Independent predictors of prolonged ICU LOS included midline shift (odds ratio [OR], 2.494; 95% CI, 1.289–4.824; P=0.007), operative blood transfusion (OR, 1.295; 95% CI, 1.007–1.665; P=0.044), longer operative duration (OR, 1.027; 95% CI, 1.014–1.039; P<0.001), and new postoperative neurological deficits (OR, 1.865; 95% CI, 1.426–2.439; P<0.001). Conclusion These findings may optimize ICU resource allocation by identifying low-risk patients suitable for early transfer to the neuroscience floor. A selective ICU admission strategy can improve resource use, minimize costs, and enhance ICU availability.http://www.e-jnc.org/upload/pdf/jnc-250046.pdfrisk factorscraniotomybrain neoplasmsintensive care unitslength of stay |
| spellingShingle | Abdelghafour El Koundi Mehdi Samali Meskine Amine Khalil Mounir Hicham Balkhi Mustapha Bensghir Factors influencing intensive care unit length of stay after craniotomy for supratentorial tumor resection: an observational study Journal of Neurocritical Care risk factors craniotomy brain neoplasms intensive care units length of stay |
| title | Factors influencing intensive care unit length of stay after craniotomy for supratentorial tumor resection: an observational study |
| title_full | Factors influencing intensive care unit length of stay after craniotomy for supratentorial tumor resection: an observational study |
| title_fullStr | Factors influencing intensive care unit length of stay after craniotomy for supratentorial tumor resection: an observational study |
| title_full_unstemmed | Factors influencing intensive care unit length of stay after craniotomy for supratentorial tumor resection: an observational study |
| title_short | Factors influencing intensive care unit length of stay after craniotomy for supratentorial tumor resection: an observational study |
| title_sort | factors influencing intensive care unit length of stay after craniotomy for supratentorial tumor resection an observational study |
| topic | risk factors craniotomy brain neoplasms intensive care units length of stay |
| url | http://www.e-jnc.org/upload/pdf/jnc-250046.pdf |
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