Table 7.
Predictors of complications, NSQIP 2005–2013. Complications were split into major and minor categories. Risk ratios were computed for any complication.
Procedure | Age (mean±SD) |
No Complication (%) |
Minor Complication (%)a |
Major Complication (%)b |
Any Complication (%) |
Risk Ratio (95% CI) |
Mortality Rate (%) |
---|---|---|---|---|---|---|---|
Temporal lobectomy | 45.6 ± 16.5 | 238 (84.7) | 15 (5.3) | 34 (12.1) | 43 (15.3) | 1 [reference] | 6 (2.1) |
Selective amygdalohippocampectomy | 40.4 ± 12.4 | 29 (93.5) | 1 (3.2) | 1 (3.2) | 2 (6.5) | 0.42 (0.11, 1.66) | 0 |
Excision of focus | 39.5 ± 15.4 | 42 (89.4) | 3 (6.4) | 4 (8.5) | 5 (10.6) | 0.70 (0.29, 1.66) | 0 |
Other lobectomy | 50.1 ±17.8 | 62 (68.9) | 13 (14.4) | 20 (22.2) | 28 (31.1) | 2.03 (1.35, 3.07) | 8 (8.9) |
Corpus callosotomy | 36.3 ± 14.8 | 12 (85.7) | 1 (7.1) | 2 (14.3) | 2 (14.3) | 0.93 (0.25, 3.47) | 0 |
Hemispherectomy | 56.1 ±20.4 | 4 (44.4) | 3 (33.3) | 4 (44.4) | 5 (55.6) | 3.63 (1.90, 6.92) | 1 (11.1) |
Multiple subpial transections | 44.3 ± 20.9 | 8 (80.0) | 0 | 2 (20.0) | 2 (20.0) | 1.31 (0.37, 4.65) | 1 (10.0) |
Major complications include death, return to OR, failure to wean from ventilator, stroke, unplanned reintubation, sepsis, DVT, organ space SSI, progressive renal insufficiency, wound dehiscence, deep SSI, septic shock, cardiac arrest requiring CPR, and myocardial infarction.
Minor complications include bleeding requiring transfusion, UTI, pneumonia, and superficial SSI.