Abstract：
BACKGROUND:Postoperative hemorrhagic or ischemic complications cause significant morbidity and mortality after craniotomy. High altitude creates a state of relative hypoxia, resulting in increased cerebral blood flow for compensation. This potentially creates an increased risk at high altitude of having increased morbidity from hemorrhagic or ischemic events, and some neurosurgeons forbid air travel to patients immediately after craniotomy for this reason. We hypothesized there was no difference in postoperative complications based on altitude. METHODS:We retrospectively reviewed all craniotomies performed at a high-altitude medical center to assess whether originating, surgical, or destination altitude affected postoperative outcomes. RESULTS:Between 1 July 2014 and 30 June 2016, 1807 craniotomy procedures were performed. There were 53 (2.9%) postoperative hemorrhagic or ischemic complications during the first 30 days after surgery, 44 (2.4%) hemorrhagic events, and 9 (0.5%) ischemic events. From the 36 patients who had postoperative complications at the hospital, 10 of them lived in an altitude below the hospital, 26 lived in an altitude above the hospital, and 1 has no record of address. Excluding the patients who had complications at the hospital, we had 8 patients discharged to a ZIP code below the altitude of the hospital (7 hemorrhagic events and 1 ischemic) and 9 were discharged to a location at an altitude above that of the hospital (8 hemorrhagic events and 1 ischemic). There were no statistically significant differences between cohorts. CONCLUSIONS:Altitude does not appear to have a significant impact on postoperative rates of hemorrhagic or ischemic complications.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Cavalcante D,Ormond DRdoi
10.1016/j.wneu.2018.04.186subject
Has Abstractpub_date
2018-07-01 00:00:00pages
e782-e784eissn
1878-8750issn
1878-8769pii
S1878-8750(18)30906-9journal_volume
115pub_type
杂志文章abstract：INTRODUCTION:Although the indication of endoscopic approaches for anterior skull base meningiomas (ASBM) has been progressively refined, there remains a paucity of data on recurrence rates after resection. To analyze and compare recurrence rates of ASBM resected through endoscopic endonasal (EEE) versus transcranial (T...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2018.07.210
更新日期：2018-12-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章,评审
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2010.07.042
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abstract：BACKGROUND:The long-term outcomes of patients with intraprocedural aneurysm rupture (IPR) during endovascular coiling of unruptured intracranial aneurysms (UIAs) remain unclear. We investigated the long-term outcomes and predictors of neurological outcomes in patients who sustained IPR during coil embolization of UIAs....
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journal_title：World neurosurgery
pub_type： 杂志文章
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更新日期：2018-01-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章,评审
doi：10.1016/j.wneu.2012.12.006
更新日期：2014-02-01 00:00:00
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pub_type： 杂志文章,评审
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更新日期：2016-03-01 00:00:00
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journal_title：World neurosurgery
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更新日期：2020-07-01 00:00:00
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journal_title：World neurosurgery
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更新日期：2017-11-01 00:00:00
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journal_title：World neurosurgery
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更新日期：2020-06-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
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更新日期：2017-07-01 00:00:00
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journal_title：World neurosurgery
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更新日期：2015-08-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章,评审
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更新日期：2018-08-01 00:00:00
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journal_title：World neurosurgery
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更新日期：2019-06-01 00:00:00
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pub_type： 临床试验,杂志文章
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更新日期：2014-11-01 00:00:00
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更新日期：2019-09-01 00:00:00
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pub_type： 杂志文章
doi：10.1016/j.wneu.2018.06.157
更新日期：2018-10-01 00:00:00
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pub_type： 传,历史文章,杂志文章
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更新日期：2015-12-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2017.11.092
更新日期：2018-02-01 00:00:00
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更新日期：2018-10-01 00:00:00
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更新日期：2017-12-01 00:00:00
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journal_title：World neurosurgery
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更新日期：2018-01-01 00:00:00
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journal_title：World neurosurgery
pub_type：
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更新日期：2020-11-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2016.01.095
更新日期：2016-05-01 00:00:00
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pub_type： 杂志文章
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更新日期：2020-01-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章,meta分析
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更新日期：2018-12-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2011.12.014
更新日期：2013-03-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章,meta分析,评审
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更新日期：2015-10-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2017.04.142
更新日期：2017-08-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2019.02.018
更新日期：2019-05-01 00:00:00
