Prevalence of neurosurgery complications in the immediate postoperative at the intensive care unit
International Journal of Development Research
Prevalence of neurosurgery complications in the immediate postoperative at the intensive care unit
Received 10th December, 2020 Received in revised form 29th December, 2020 Accepted 04th January, 2021 Published online 24th February, 2021
Copyright © 2021, Annela Isabell Santos da Silva et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Neurosurgical patients are at significant risk of complications in the postoperative period. Knowledge of these events is essential, since most complications can be recognized and treated early, which increases patient survival. Methodology: Retrospective descriptive study with a quantitative approach, performed in a public oncology reference hospital in the state of Pará. The information sources were medical records of patients in the immediate postoperative period of neurosurgery admitted to the intensive care unit. Data analysis was performed using descriptive statistics. Results: profile of patients with a predominance of women and a mean age of 48.3 years. The most frequent diagnoses were benign and malignant neoplasms of the brain. 63.3% presented complications of different origins after neurosurgery still in the immediate postoperative period. The occurrence of complications implied an increase in the length of hospital stay in intensive care, which was 4.4 days on average. Most complications were cardiovascular disorders, such as hypotension, ventricular tachycardia, use of vasoactive drugs and bleeding, in addition to arterial hypertension, showing severe hemodynamic instability. However, 80.7% had a favorable outcome and were discharged from the hospital. Conclusion: Identifying the prevalence of neurosurgery complications, related factors and repercussions, is an important strategy for measuring quality and efficiency.