Factors Predicting 7-Day Postoperative Complications Among Patients Undergoing Brain Tumor Surgery
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Abstract
This research was a descriptive and predictive correlational study with cross-sectional design. The purpose of the study was to examine the predictive powers on frailty, body mass index (BMI), duration of anesthesia, and estimated blood loss on 7-day postoperative complications in patients undergoing brain tumor surgery. The conceptual framework was Roy’s adaptation model. The sample comprised 260 patients aged 18 years and over and had brain tumor surgery at a super tertiary hospital. Data collection was performed through questionnaire on demographic characteristics, modified frailty index (Validity; rs = .65), and Clavien-Dindo classification for the severity of postoperative complications (CVI = .80, = .84). Data were analyzed using descriptive statistics and binary logistic regression analyses.
The results illustrated that patients who had frailty, overweight BMI, and received more than 360 minutes of anesthesia were likely to have higher risks of postoperative complications than any other group of patients at 70.87, 2.00 and 3.59 times, respectively. Nurses, thus, should provide specific nursing care to reduce frailty and control patients’ body weight for surgical readiness as well as close monitoring for post-operative complications in patients having duration of anesthesia more than 360 minutes and promote the effective recovery adaptation to minimize postoperative complications.
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