Postoperative complications after central nervous system tumor resection in pediatric patients admitted to an intensive care unit in Colombia
IntroductionCentral nervous system (CNS) tumors are the second most prevalent malignant neoplasms in childhood, with surgical resection as the primary therapeutic approach. The immediate postoperative period following CNS tumor resection requires intensive care to mitigate complications associated w...
Saved in:
| Main Authors: | , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2024-12-01
|
| Series: | Frontiers in Oncology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2024.1491943/full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850176019969867776 |
|---|---|
| author | Rubén E. Lasso-Palomino Rubén E. Lasso-Palomino Inés Elvira Gómez Inés Elvira Gómez María José Soto-Aparicio Andrés Gempeler Andrés Gempeler Andrés Pombo-Jiménez Melissa Gómez-Toro Valentina Rojas-Robledo María Alejandra Jiménez-Arévalo Karla Alejandra Bastidas-Toro Jimena Sierra Sofía Martínez-Betancur Sofía Martínez-Betancur Camila Ariza-Insignares Isabella Montaño-Vivas Ximena Castro Ximena Castro Anita V. Arias |
| author_facet | Rubén E. Lasso-Palomino Rubén E. Lasso-Palomino Inés Elvira Gómez Inés Elvira Gómez María José Soto-Aparicio Andrés Gempeler Andrés Gempeler Andrés Pombo-Jiménez Melissa Gómez-Toro Valentina Rojas-Robledo María Alejandra Jiménez-Arévalo Karla Alejandra Bastidas-Toro Jimena Sierra Sofía Martínez-Betancur Sofía Martínez-Betancur Camila Ariza-Insignares Isabella Montaño-Vivas Ximena Castro Ximena Castro Anita V. Arias |
| author_sort | Rubén E. Lasso-Palomino |
| collection | DOAJ |
| description | IntroductionCentral nervous system (CNS) tumors are the second most prevalent malignant neoplasms in childhood, with surgical resection as the primary therapeutic approach. The immediate postoperative period following CNS tumor resection requires intensive care to mitigate complications associated with high morbidity and mortality. ObjectiveThe primary aim of this study is to comprehensively describe the postoperative complications observed in pediatric patients who underwent primary CNS tumor resection and were subsequently admitted to the pediatric intensive care unit (PICU) at Hospital Universitario Fundación Valle del Lili in Colombia.MethodsWe conducted a cross-sectional observational analysis of pediatric patients who underwent surgery for CNS tumors and were admitted to our PICU from January 2011 to December 2021. Clinical, histopathologic, and postoperative complication data were collected. A descriptive statistical analysis was performed using measures of dispersion and central tendency with a 95% confidence interval.ResultsA total of 114 patients were included, of whom 55.3% were male. The median PICU stay was 4 days (2–7). The most common tumor type was embryonal (25.4%), followed by low-grade glioma (20.1%) and high-grade glioma (14.9%). Mechanical ventilation was required in 24.5% of patients, with a median extubation time of 3 days (2–9). In the immediate postoperative period, 6.14% of patients experienced CNS hemorrhage and 3.5% experienced intracranial hypertension. Common complications included motor deficits, facial paralysis, and sensory deficits. The mortality rate was 3.5%.ConclusionThis study describes the postoperative complications, clinical challenges, and interventions observed in pediatric patients after CNS tumor resection in a resource-limited country. Our findings emphasize the importance of tailored interventions and multidisciplinary collaboration to optimize clinical outcomes. Future data comparison from centers sharing similar characteristics will play a crucial role in identifying best practices and enhancing outcomes globally. |
| format | Article |
| id | doaj-art-ab37424fbc3d4e7c96c2d6a70beff2df |
| institution | OA Journals |
| issn | 2234-943X |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oncology |
| spelling | doaj-art-ab37424fbc3d4e7c96c2d6a70beff2df2025-08-20T02:19:21ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2024-12-011410.3389/fonc.2024.14919431491943Postoperative complications after central nervous system tumor resection in pediatric patients admitted to an intensive care unit in ColombiaRubén E. Lasso-Palomino0Rubén E. Lasso-Palomino1Inés Elvira Gómez2Inés Elvira Gómez3María José Soto-Aparicio4Andrés Gempeler5Andrés Gempeler6Andrés Pombo-Jiménez7Melissa Gómez-Toro8Valentina Rojas-Robledo9María Alejandra Jiménez-Arévalo10Karla Alejandra Bastidas-Toro11Jimena Sierra12Sofía Martínez-Betancur13Sofía Martínez-Betancur14Camila Ariza-Insignares15Isabella Montaño-Vivas16Ximena Castro17Ximena Castro18Anita V. Arias19Fundación Valle del Lili, Unidad de Cuidado Intensivo Pediátrico, Unidad Materno Infantil, Cali, ColombiaUniversidad Icesi, Facultad de Ciencias de la Salud, Departamento de Pediatría, Cali, ColombiaUniversidad Icesi, Facultad de Ciencias de la Salud, Departamento de Salud Pública, Cali, ColombiaFundación Valle del Lili, Centro de Investigaciones Clínicas (CIC), Cali, ColombiaFundación Valle del Lili, Centro de Investigaciones Clínicas (CIC), Cali, ColombiaUniversidad Icesi, Facultad de Ciencias de la Salud, Departamento de Salud Pública, Cali, ColombiaFundación Valle del Lili, Centro de Investigaciones Clínicas (CIC), Cali, ColombiaFundación Valle del Lili, Centro de Investigaciones Clínicas (CIC), Cali, ColombiaUniversidad Icesi, Facultad de Ciencias de la Salud, Departamento de Salud Pública, Cali, ColombiaUniversidad Icesi, Facultad de Ciencias de la Salud, Departamento de Salud Pública, Cali, ColombiaUniversidad Icesi, Facultad de Ciencias de la Salud, Departamento de Salud Pública, Cali, ColombiaUniversidad Icesi, Facultad de Ciencias de la Salud, Departamento de Salud Pública, Cali, ColombiaUniversidad Icesi, Facultad de Ciencias de la Salud, Departamento de Pediatría, Cali, ColombiaFundación Valle del Lili, Centro de Investigaciones Clínicas (CIC), Cali, ColombiaUniversidad Tecnológica de Pereira, Facultad de Ciencias de la Salud, Departamento de Pediatría, Pereira, ColombiaUniversidad Icesi, Facultad de Ciencias de la Salud, Departamento de Pediatría, Cali, ColombiaUniversidad Icesi, Facultad de Ciencias de la Salud, Departamento de Pediatría, Cali, ColombiaUniversidad Icesi, Facultad de Ciencias de la Salud, Departamento de Pediatría, Cali, ColombiaFundación Valle del Lili, Unidad de Atención de Cáncer Infantil, Unidad Materno Infantil, Cali, ColombiaDivision of Critical Care and Pulmonary Medicine, Department of Pediatrics, St Jude Children’s Research Hospital, Memphis, TN, United StatesIntroductionCentral nervous system (CNS) tumors are the second most prevalent malignant neoplasms in childhood, with surgical resection as the primary therapeutic approach. The immediate postoperative period following CNS tumor resection requires intensive care to mitigate complications associated with high morbidity and mortality. ObjectiveThe primary aim of this study is to comprehensively describe the postoperative complications observed in pediatric patients who underwent primary CNS tumor resection and were subsequently admitted to the pediatric intensive care unit (PICU) at Hospital Universitario Fundación Valle del Lili in Colombia.MethodsWe conducted a cross-sectional observational analysis of pediatric patients who underwent surgery for CNS tumors and were admitted to our PICU from January 2011 to December 2021. Clinical, histopathologic, and postoperative complication data were collected. A descriptive statistical analysis was performed using measures of dispersion and central tendency with a 95% confidence interval.ResultsA total of 114 patients were included, of whom 55.3% were male. The median PICU stay was 4 days (2–7). The most common tumor type was embryonal (25.4%), followed by low-grade glioma (20.1%) and high-grade glioma (14.9%). Mechanical ventilation was required in 24.5% of patients, with a median extubation time of 3 days (2–9). In the immediate postoperative period, 6.14% of patients experienced CNS hemorrhage and 3.5% experienced intracranial hypertension. Common complications included motor deficits, facial paralysis, and sensory deficits. The mortality rate was 3.5%.ConclusionThis study describes the postoperative complications, clinical challenges, and interventions observed in pediatric patients after CNS tumor resection in a resource-limited country. Our findings emphasize the importance of tailored interventions and multidisciplinary collaboration to optimize clinical outcomes. Future data comparison from centers sharing similar characteristics will play a crucial role in identifying best practices and enhancing outcomes globally.https://www.frontiersin.org/articles/10.3389/fonc.2024.1491943/fullpediatriccancercentral nervous system neoplasmstumorpediatric intensive care unitpostoperative complications |
| spellingShingle | Rubén E. Lasso-Palomino Rubén E. Lasso-Palomino Inés Elvira Gómez Inés Elvira Gómez María José Soto-Aparicio Andrés Gempeler Andrés Gempeler Andrés Pombo-Jiménez Melissa Gómez-Toro Valentina Rojas-Robledo María Alejandra Jiménez-Arévalo Karla Alejandra Bastidas-Toro Jimena Sierra Sofía Martínez-Betancur Sofía Martínez-Betancur Camila Ariza-Insignares Isabella Montaño-Vivas Ximena Castro Ximena Castro Anita V. Arias Postoperative complications after central nervous system tumor resection in pediatric patients admitted to an intensive care unit in Colombia Frontiers in Oncology pediatric cancer central nervous system neoplasms tumor pediatric intensive care unit postoperative complications |
| title | Postoperative complications after central nervous system tumor resection in pediatric patients admitted to an intensive care unit in Colombia |
| title_full | Postoperative complications after central nervous system tumor resection in pediatric patients admitted to an intensive care unit in Colombia |
| title_fullStr | Postoperative complications after central nervous system tumor resection in pediatric patients admitted to an intensive care unit in Colombia |
| title_full_unstemmed | Postoperative complications after central nervous system tumor resection in pediatric patients admitted to an intensive care unit in Colombia |
| title_short | Postoperative complications after central nervous system tumor resection in pediatric patients admitted to an intensive care unit in Colombia |
| title_sort | postoperative complications after central nervous system tumor resection in pediatric patients admitted to an intensive care unit in colombia |
| topic | pediatric cancer central nervous system neoplasms tumor pediatric intensive care unit postoperative complications |
| url | https://www.frontiersin.org/articles/10.3389/fonc.2024.1491943/full |
| work_keys_str_mv | AT rubenelassopalomino postoperativecomplicationsaftercentralnervoussystemtumorresectioninpediatricpatientsadmittedtoanintensivecareunitincolombia AT rubenelassopalomino postoperativecomplicationsaftercentralnervoussystemtumorresectioninpediatricpatientsadmittedtoanintensivecareunitincolombia AT ineselviragomez postoperativecomplicationsaftercentralnervoussystemtumorresectioninpediatricpatientsadmittedtoanintensivecareunitincolombia AT ineselviragomez postoperativecomplicationsaftercentralnervoussystemtumorresectioninpediatricpatientsadmittedtoanintensivecareunitincolombia AT mariajosesotoaparicio postoperativecomplicationsaftercentralnervoussystemtumorresectioninpediatricpatientsadmittedtoanintensivecareunitincolombia AT andresgempeler postoperativecomplicationsaftercentralnervoussystemtumorresectioninpediatricpatientsadmittedtoanintensivecareunitincolombia AT andresgempeler postoperativecomplicationsaftercentralnervoussystemtumorresectioninpediatricpatientsadmittedtoanintensivecareunitincolombia AT andrespombojimenez postoperativecomplicationsaftercentralnervoussystemtumorresectioninpediatricpatientsadmittedtoanintensivecareunitincolombia AT melissagomeztoro postoperativecomplicationsaftercentralnervoussystemtumorresectioninpediatricpatientsadmittedtoanintensivecareunitincolombia AT valentinarojasrobledo postoperativecomplicationsaftercentralnervoussystemtumorresectioninpediatricpatientsadmittedtoanintensivecareunitincolombia AT mariaalejandrajimenezarevalo postoperativecomplicationsaftercentralnervoussystemtumorresectioninpediatricpatientsadmittedtoanintensivecareunitincolombia AT karlaalejandrabastidastoro postoperativecomplicationsaftercentralnervoussystemtumorresectioninpediatricpatientsadmittedtoanintensivecareunitincolombia AT jimenasierra postoperativecomplicationsaftercentralnervoussystemtumorresectioninpediatricpatientsadmittedtoanintensivecareunitincolombia AT sofiamartinezbetancur postoperativecomplicationsaftercentralnervoussystemtumorresectioninpediatricpatientsadmittedtoanintensivecareunitincolombia AT sofiamartinezbetancur postoperativecomplicationsaftercentralnervoussystemtumorresectioninpediatricpatientsadmittedtoanintensivecareunitincolombia AT camilaarizainsignares postoperativecomplicationsaftercentralnervoussystemtumorresectioninpediatricpatientsadmittedtoanintensivecareunitincolombia AT isabellamontanovivas postoperativecomplicationsaftercentralnervoussystemtumorresectioninpediatricpatientsadmittedtoanintensivecareunitincolombia AT ximenacastro postoperativecomplicationsaftercentralnervoussystemtumorresectioninpediatricpatientsadmittedtoanintensivecareunitincolombia AT ximenacastro postoperativecomplicationsaftercentralnervoussystemtumorresectioninpediatricpatientsadmittedtoanintensivecareunitincolombia AT anitavarias postoperativecomplicationsaftercentralnervoussystemtumorresectioninpediatricpatientsadmittedtoanintensivecareunitincolombia |