Factors Predicting Postoperative Complication in Patients with Ruptured Cerebral Aneurysms
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Abstract
This cross-sectional descriptive research aimed to determine the factors predicting intraoperative status, comorbidity, and leukocytosis in postoperative complications in the 72 hours after surgery among adults with ruptured cerebral aneurysms at an intensive care unit in tertiary care. The samples in this study were 112 patients. The pathological physiology framework was used. Research instruments included demographic data, history of treatment, Surgical Apgar Score, The Charlson co - morbidity index, and complications in postoperative 72 hours record form with Person separation reliability .80 were collected from the patient’s medical record. Data were analyzed using descriptive statistics and binary logistic regression.
The findings found that patients with moderate to severe comorbidities were 13.73 (OR = 13.73, 95%CI [1.378, 136.698], p-value = .026) times more likely to have complications within 72 hours of surgery than those without comorbidities (χ2 = 6.70, p-value = .01, sensitivity = 2.60%, specificity = 45.90%, positive predictive value = 100%, negative predictive value = 75.60%). These results can be integrated to develop guidelines for screening the risks of postoperative complications. In addition, the management and correction of comorbidities before surgery in patients with ruptured cerebral aneurysms are needed to reduce the incidence of complications after surgery.
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