Incidence of complications associated with deep brain stimulation surgery in patients with Parkinson's disease: An 8-year retrospective study
Background: Various complications occur in patients undergoing deep brain stimulation (DBS) surgery. The objective of this study was to determine the incidence of complications in patients with Parkinson's disease who underwent DBS surgery and identify the risk factors, especially anesthetic fa...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-01-01
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| Series: | Saudi Journal of Anaesthesia |
| Subjects: | |
| Online Access: | http://www.saudija.org/article.asp?issn=1658-354X;year=2024;volume=18;issue=1;spage=62;epage=69;aulast=Eiamcharoenwit |
| _version_ | 1797299960295718912 |
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| author | Jatuporn Eiamcharoenwit Phuping Akavipat |
| author_facet | Jatuporn Eiamcharoenwit Phuping Akavipat |
| author_sort | Jatuporn Eiamcharoenwit |
| collection | DOAJ |
| description | Background: Various complications occur in patients undergoing deep brain stimulation (DBS) surgery. The objective of this study was to determine the incidence of complications in patients with Parkinson's disease who underwent DBS surgery and identify the risk factors, especially anesthetic factors.
Methods: A retrospective cohort study was performed between May 2015 and December 2022. Based on a review of medical charts, patients aged 18 years or older who underwent DBS surgery at a tertiary neurological center in Thailand were recruited. Univariate analysis using the Chi-square test or Fisher's exact test was performed to compare patients with and without complications. Multivariate logistic regression analysis was performed to identify the predictive factors for complications.
Results: The study included 46 patients. The most common complication during DBS electrode placement was hypertension (30/46, 65.2%), and 19 patients (41.3%) who developed hypertension did not receive antihypertensive treatment. The most common complication during battery placement was clinical hypotension (14/46, 30.4%). The most common postoperative complication was delirium (6/46, 13.0%). In the multivariate analysis, no significant independent risk factors for overall complications after DBS surgery were identified.
Conclusions: Hypertension during DBS electrode insertion was the most common perioperative complication. Hemodynamic instability is preventable and manageable, and vigilant and prompt treatment should be provided during DBS surgery. |
| first_indexed | 2024-03-07T22:59:14Z |
| format | Article |
| id | doaj.art-81d2fd2e55114156aa654c406ad9c732 |
| institution | Directory Open Access Journal |
| issn | 1658-354X |
| language | English |
| last_indexed | 2024-03-07T22:59:14Z |
| publishDate | 2024-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Saudi Journal of Anaesthesia |
| spelling | doaj.art-81d2fd2e55114156aa654c406ad9c7322024-02-22T15:28:27ZengWolters Kluwer Medknow PublicationsSaudi Journal of Anaesthesia1658-354X2024-01-01181626910.4103/sja.sja_384_23Incidence of complications associated with deep brain stimulation surgery in patients with Parkinson's disease: An 8-year retrospective studyJatuporn EiamcharoenwitPhuping AkavipatBackground: Various complications occur in patients undergoing deep brain stimulation (DBS) surgery. The objective of this study was to determine the incidence of complications in patients with Parkinson's disease who underwent DBS surgery and identify the risk factors, especially anesthetic factors. Methods: A retrospective cohort study was performed between May 2015 and December 2022. Based on a review of medical charts, patients aged 18 years or older who underwent DBS surgery at a tertiary neurological center in Thailand were recruited. Univariate analysis using the Chi-square test or Fisher's exact test was performed to compare patients with and without complications. Multivariate logistic regression analysis was performed to identify the predictive factors for complications. Results: The study included 46 patients. The most common complication during DBS electrode placement was hypertension (30/46, 65.2%), and 19 patients (41.3%) who developed hypertension did not receive antihypertensive treatment. The most common complication during battery placement was clinical hypotension (14/46, 30.4%). The most common postoperative complication was delirium (6/46, 13.0%). In the multivariate analysis, no significant independent risk factors for overall complications after DBS surgery were identified. Conclusions: Hypertension during DBS electrode insertion was the most common perioperative complication. Hemodynamic instability is preventable and manageable, and vigilant and prompt treatment should be provided during DBS surgery.http://www.saudija.org/article.asp?issn=1658-354X;year=2024;volume=18;issue=1;spage=62;epage=69;aulast=Eiamcharoenwitawake craniotomychoice of anesthesiacomplicationdeep brain stimulation |
| spellingShingle | Jatuporn Eiamcharoenwit Phuping Akavipat Incidence of complications associated with deep brain stimulation surgery in patients with Parkinson's disease: An 8-year retrospective study Saudi Journal of Anaesthesia awake craniotomy choice of anesthesia complication deep brain stimulation |
| title | Incidence of complications associated with deep brain stimulation surgery in patients with Parkinson's disease: An 8-year retrospective study |
| title_full | Incidence of complications associated with deep brain stimulation surgery in patients with Parkinson's disease: An 8-year retrospective study |
| title_fullStr | Incidence of complications associated with deep brain stimulation surgery in patients with Parkinson's disease: An 8-year retrospective study |
| title_full_unstemmed | Incidence of complications associated with deep brain stimulation surgery in patients with Parkinson's disease: An 8-year retrospective study |
| title_short | Incidence of complications associated with deep brain stimulation surgery in patients with Parkinson's disease: An 8-year retrospective study |
| title_sort | incidence of complications associated with deep brain stimulation surgery in patients with parkinson s disease an 8 year retrospective study |
| topic | awake craniotomy choice of anesthesia complication deep brain stimulation |
| url | http://www.saudija.org/article.asp?issn=1658-354X;year=2024;volume=18;issue=1;spage=62;epage=69;aulast=Eiamcharoenwit |
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