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Risk Model of Franko et al for ICU Care Following Supratentorial Brain Tumor Resection

Description

Franko et al identified patients undergoing supratentorial brain tumor resection who require ICU care after surgery. This can help to identify a patient who may require more aggressive management. The authors are from the University of Michigan and the University of Colorado.


Patient selection: supratentorial brain tumor resection

 

Overall rate of ICU admission: 9.3%

 

Parameters:

(1) Karnofsky performance status (KPS)

(2) general anesthesia with endotracheal tube

(3) early postoperative complications

 

Parameter

Finding

Points

Karnofsky Performance

>= 70

0

 

< 70

1

general anesthesia with endotracheal tube

no

0

 

yes

1

early postoperative complications

no

0

 

yes

2

 

total score =

= SUM(points for all 3 parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 4

• The higher the score the more likely that the patient will require ICU care.

 

Score

Percent in ICU

0

0%

1

3%

2

22%

3

63%

4

82%

 


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