@article{article_384995, title={Surgery-Related Neurosurgical Complications in Elderly Patients: Definition of Risk Factors and Importance of Preoperative Assessments}, journal={Ahi Evran Medical Journal}, volume={2}, pages={26–34}, year={2018}, author={Asan, Ziya}, keywords={nöroşirürjikal komplikasyonlar,yaşlı olgularda komplikasyonlar,yara enfeksiyonu,Karnofsky skoru derecelendirmesi,nöroşirürji}, abstract={<div style="border:none;border-bottom:solid 1.5pt;padding:0cm 0cm 1pt 0cm;"> <p class="MsoNormal" style="line-height:normal;border:none;padding:0cm;"> <b> <span lang="en-us" style="font-size:9pt;font-family:’Times New Roman’, serif;" xml:lang="en-us">Purpose: </span> </b> <span lang="en-us" style="font-size:9pt;font-family:’Times New Roman’, serif;" xml:lang="en-us"> To reveal the surgical
complications that may be encountered in neurosurgical patients over 60 years
of age and to discuss them according to literature. </span> </p> <p> </p> <p class="MsoNormal" style="line-height:normal;border:none;padding:0cm;"> <b> <span lang="en-us" style="font-size:9pt;font-family:’Times New Roman’, serif;" xml:lang="en-us">Materials and Methods: </span> </b> <span lang="en-us" style="font-size:9pt;font-family:’Times New Roman’, serif;" xml:lang="en-us"> The files of 283
patients over 60 years of age who underwent neurosurgical operation in our
clinic were reviewed. According to surgery type, they were evaluated in 3
different groups as cranial, spinal and peripheral nerve surgery. The stages of
the emergence of complications were evaluated in 3 groups: early
hospitalization, late hospitalization, and late period complications. </span> </p> <p> </p> <p class="MsoNormal" style="line-height:normal;border:none;padding:0cm;"> <b> <span lang="en-us" style="font-size:9pt;font-family:’Times New Roman’, serif;" xml:lang="en-us">Results: </span> </b> <span lang="en-us" style="font-size:9pt;font-family:’Times New Roman’, serif;" xml:lang="en-us"> 117 patients underwent
cranial, 52 patients underwent spinal and 114 patients underwent peripheral
nerve surgery. Depending on the applied surgical technique, the rates of
complications were determined. In patients who underwent cranial surgery, there
was no significant difference between the number of complications encountered
in early postoperative and post-discharge periods. Wound site infection was the
most common complication. In the patients whose Karnofsky score is low, the
incidence of additional neurological deficit development was found to be
significantly higher. The postoperative recovery period was found to be
prominently longer. </span> </p> <p> </p> <p class="MsoNormal" style="line-height:normal;border:none;padding:0cm;"> <b> <span lang="en-us" style="font-size:9pt;font-family:’Times New Roman’, serif;" xml:lang="en-us">Conclusion: </span> </b> <span lang="en-us" style="font-size:9pt;font-family:’Times New Roman’, serif;" xml:lang="en-us"> Additional
methods may need to be used to prevent the development of neurosurgical
complications in elderly patients. Among those complications, wound infection
is the most common. The Karnofsky score assessment is one of the most important
parameters in predicting the quality and length of life in the postoperative
period for cranial and spinal surgeries. </span> </p> <p> </p> </div>}, number={2}, publisher={Kırşehir Ahi Evran Üniversitesi}