Format

Send to

Choose Destination
Epilepsy Res. 2016 May;122:26-9. doi: 10.1016/j.eplepsyres.2016.02.004. Epub 2016 Feb 10.

Major and minor complications in extraoperative electrocorticography: A review of a national database.

Author information

1
Department of Neurological Surgery, University of California, San Francisco, CA, USA. Electronic address: john.rolston@ucsf.edu.
2
Department of Neurological Surgery, University of California, San Francisco, CA, USA.
3
Department of Neurology, University of California, San Francisco, CA, USA.

Abstract

The risk profile of extraoperative electrocorticography (ECoG) is documented almost exclusively by case series from a limited number of academic medical centers. These studies tend to underreport minor complications, like urinary tract infections (UTIs) and deep venous thromboses (DVTs), that nevertheless affect hospital cost, length of stay, and the patient's quality of life. Herein, we used data from the American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) to estimate the rate of adverse events in extraoperative ECoG surgeries. NSQIP is a validated dataset containing nearly 3 million procedures from over 600 North American hospitals, and uses strict criteria for the documentation of complications. Major complications occurred in 3.4% of 177 extraoperative ECoG cases, while minor complications occurred in 9.6%. The most common minor complication was bleeding requiring a transfusion in 3.4% of cases, followed by sepsis, DVT, and UTI each in 2.3% of cases. No mortality was reported. Overall, in a national database containing a heterogeneous population of hospitals, major complications of extraoperative ECoG were rare (3.4%). Complications such as UTI and DVT tend to be underreported in retrospective case series, yet make up a majority of minor complications for ECoG patients in this dataset.

KEYWORDS:

Adverse events; Complications; ECoG; Epilepsy; Patient safety; Seizures

PMID:
26921853
PMCID:
PMC5274526
DOI:
10.1016/j.eplepsyres.2016.02.004
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Elsevier Science Icon for PubMed Central
Loading ...
Support Center