TY - JOUR T1 - Perioperative Anesthesia Management and Mortality Predictors in Pediatric Patients Undergoing Craniotomy for Cranial Tumors AU - Tosun Söner, Hülya AU - Arpa, Abdurrahman PY - 2025 DA - May Y2 - 2025 DO - 10.37990/medr.1621860 JF - Medical Records JO - Med Records PB - Tıbbi Kayıtlar Derneği WT - DergiPark SN - 2687-4555 SP - 333 EP - 338 VL - 7 IS - 2 LA - en AB - Aim: Studies investigating the effects of perioperative anesthesia management on outcomes in patients undergoing craniotomy for pediatric intracranial tumors are limited in the literature. Our aim in this study was to investigate the effects of perioperative anesthesia management on mortality. Secondly, other mortality predictors were investigated.Material and Method: A total of 165 patients aged KW - Pediatric anesthesia KW - craniotomy KW - mortality CR - Thakkar JP, McCarthy BJ, Villano JL. Age-specific cancer incidence rates increase through the oldest age groups. Am J Med Sci. 2014;348:65-70. CR - Sümpelmann R, Becke K, Crean P. Pediatric anesthesia practice in Europe: a survey of the European Society for Paediatric Anaesthesiology. Pediatric Anesthesia. 2017;27:811-9. CR - O'Kane R, Mathew R, Kenny T, et al. United Kingdom 30-day mortality rates after surgery for pediatric central nervous system tumors. J Neurosurg Pediatr. 2013;12:227-34. CR - Hankinson TC, Dudley RW, Torok MR, et al. Short-term mortality following surgical procedures for the diagnosis of pediatric brain tumors: outcome analysis in 5533 children from SEER, 2004-2011. J Neurosurg Pediatr. 2016;17:289-97. CR - Sletvold TP, Boland S, Schipmann S, Mahesparan R. Quality indicators for evaluating the 30-day postoperative outcome in pediatric brain tumor surgery: a 10-year single-center study and systematic review of the literature. J Neurosurg Pediatr. 2023;31:109-23. CR - Sherrod BA, Rocque BG. Morbidity associated with 30-day surgical site infection following nonshunt pediatric neurosurgery. J Neurosurg Pediatr. 2017;19:421-7. CR - Palaniswamy SR, Beniwal M, Venkataramaiah S, Srinivas D. Perioperative management of pediatric giant supratentorial tumors: challenges and management strategies. J Pediatr Neurosci. 2019;14:211-7. CR - Rath GP, Dash HH. Anaesthesia for neurosurgical procedures in paediatric patients. Indian J Anaesth. 2012;56:502-10. CR - Liu Y, Hu H, Han Y, et al. Body mass index has a nonlinear association with postoperative 30-day mortality in patients undergoing craniotomy for tumors in men: an analysis of data from the ACS NSQIP database. Front Endocrinol (Lausanne). 2022;13:868968. CR - He J, Jia L, Zhang Y, et al. Obesity paradox for postoperative mortality in young Chinese patients undergoing craniotomy for brain tumor resection. J Neurosurg Anesthesiol. 2023. doi: 10.1097/ANA.0000000000000932. CR - Tsang NM, Pai PC, Chuang CC, et al. Overweight and obesity predict better overall survival rates in cancer patients with distant metastases. Cancer Med. 2016;5:665-75. CR - Reichle K, Peter RS, Concin H, Nagel G. Associations of pre-diagnostic body mass index with overall and cancer-specific mortality in a large Austrian cohort. Cancer Causes Control. 2015;26:1643-52. CR - Acker SN, Nolan MM, Prendergast C, et al. Blood transfusion is associated with adverse outcomes in pediatric solid tumor oncology patients following tumor resection. J Pediatr Hematol Oncol. 2023;45:137-42. CR - Wang T, Luo L, Huang H, et al. Perioperative blood transfusion is associated with worse clinical outcomes in resected lung cancer. Ann Thorac Surg. 2014;97:1827-37. CR - Davidson J, Tong S, Hancock H, et al. Prospective validation of the vasoactive-inotropic score and correlation to short-term outcomes in neonates and infants after cardiothoracic surgery. Intensive Care Med. 2012;38:1184-90. CR - Favia I, Vitale V, Ricci Z. The vasoactive-inotropic score and levosimendan: time for LVIS?. J Cardiothorac Vasc Anesth. 2013;27:e15-6. CR - Gaies MG, Jeffries HE, Niebler RA, et al. Vasoactive-inotropic score is associated with outcome after infant cardiac surgery: an analysis from the Pediatric Cardiac Critical Care Consortium and Virtual PICU System Registries. Pediatr Crit Care Med. 2014;15:529-37. CR - Torres-Espíndola LM, Demetrio-Ríos J, Carmona-Aparicio L, et al. Comorbidity Index as a predictor of mortality in pediatric patients with solid tumors. Front Pediatr. 2019;7:48. CR - STARSurg Collaborative; EuroSurg Collaborative. Association between multimorbidity and postoperative mortality in patients undergoing major surgery: a prospective study in 29 countries across Europe. Anaesthesia. 2024;79:945-56. CR - Hernández-Regino LM, De Jesús Castillejos-López M, Aquino-Gálvez A, et al. Clinical characteristics and mortality predictors of patients with cancer hospitalized by COVID-19 in a pediatric third-level referral center. Front Pediatr. 2022;10:960334. UR - https://doi.org/10.37990/medr.1621860 L1 - https://dergipark.org.tr/tr/download/article-file/4529349 ER -