{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T06:11:12Z","timestamp":1789020672502,"version":"build-2803163510"},"reference-count":20,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,6,1]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>Modern neurosurgical developments enable minimally invasive surgery with shorter operation times, faster recovery, and earlier hospital discharge. These in combination with Enhanced Recovery After Surgery (ERAS) protocols have the potential to safely shift craniotomy for tumor resection to the ambulatory setting in selected patients. The aim of this retrospective observational single-center study was to assess the success rate of planned same-day discharge from hospital in patients undergoing craniotomy for supratentorial brain tumor resection under general anesthesia or awake craniotomy as well as to explore potential associations with anesthesia techniques, complications, and readmission rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>A retrospective analysis of all patients scheduled for same-day discharge after supratentorial craniotomy for tumor resection over 25 years (1996\u20132021) was performed. Patients were identified for same-day discharge based on specific inclusion and exclusion criteria. Data collected included patient demographics, comorbidities, anesthetic data, perioperative complications, and patient dispositions. Data are presented descriptively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>A total of 630 patients (mean age 50.9 years; 311 females, 319 males) scheduled for same-day discharge were analyzed. Patients underwent either awake craniotomy (AC; n = 491) or craniotomy under general anesthesia (GA; n = 139). Successful preplanned same-day discharge occurred in 571 (90.6%). Failed same-day discharge happened in 59 patients (GA, n = 14; AC, n = 45). Reasons for failed discharge included the following: new neurological deficit (n = 28); presence of seizure (n = 8); postoperative nausea and vomiting (PONV; n = 12); excessive headache (n = 5); and\/or social factors (n = 10). Nine patients (1.4%) (GA, n = 0; AC, n = 9) with same-day discharge required readmission to hospital within the first 24 hours after discharge. Reasons for readmission included headache (n = 2), seizure (n = 4), neurological deficit (n = 3), and\/or PONV (n = 1); all patients were successfully discharged from hospital after 1 day with no need for reoperation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>This retrospective, single-center analysis shows that same-day discharge after craniotomy can be safe in carefully selected patients after both GA and AC for tumor resection. Multidisciplinary involvement (surgeons, anesthesiologists, nurses, and other allied health professionals) optimizes success of same-day craniotomy programs. Future optimization of analgesia and prevention of PONV has the potential to increase the success rate.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2023.9.jns231454","type":"journal-article","created":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T20:19:38Z","timestamp":1701461978000},"page":"1519-1526","source":"Crossref","is-referenced-by-count":11,"title":["Same-day discharge after craniotomy for tumor resection: a retrospective observational single-center study of 630 patients"],"prefix":"10.3171","volume":"140","author":[{"given":"Kristof","family":"Nijs","sequence":"first","affiliation":[{"name":"Department of Anesthesia and Pain Medicine, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sydney","family":"McQueen","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Swati","family":"Chhabra","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Pain Medicine, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesse","family":"Goldmacher","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Pain Medicine, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lashmi","family":"Venkatraghavan","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Pain Medicine, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Bernstein","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"4","key":"b1","series-title":"J Neurosurg","first-page":"649","article-title":"Outpatient brain tumor surgery: innovation in surgical neurooncology","volume":"108","author":"Boulton M","year":"2008","unstructured":"Boulton M, Bernstein M. Outpatient brain tumor surgery: innovation in surgical neurooncology. J Neurosurg. 2008;108(4):649\u2013654."},{"issue":"6","key":"b2","series-title":"Neurosurg Focus","first-page":"E19","article-title":"Outpatient neurosurgery in neuro-oncology","volume":"44","author":"Marigil M","year":"2018","unstructured":"Marigil M, Bernstein M. Outpatient neurosurgery in neuro-oncology. Neurosurg Focus. 2018;44(6):E19."},{"issue":"5","key":"b3","series-title":"Curr Opin Anesthesiol","first-page":"569","article-title":"Same day discharge for craniotomy","volume":"34","author":"Goldmacher J","year":"2021","unstructured":"Goldmacher J, Bernstein M, Venkatraghavan L. Same day discharge for craniotomy. Curr Opin Anesthesiol. 2021;34(5):569\u2013574."},{"issue":"5","key":"b4","series-title":"J Neurosurg","first-page":"1130","article-title":"Outpatient brain tumor craniotomy under general anesthesia","volume":"125","author":"Au K","year":"2016","unstructured":"Au K, Bharadwaj S, Venkatraghavan L, Bernstein M. Outpatient brain tumor craniotomy under general anesthesia. J Neurosurg. 2016;125(5):1130\u20131135."},{"issue":"11","key":"b5","series-title":"Can J Anaesth","first-page":"1245","article-title":"Same-day discharge after craniotomy for supratentorial tumour surgery: a retrospective observational single-centre study","volume":"63","author":"Venkatraghavan L","year":"2016","unstructured":"Venkatraghavan L, Bharadwaj S, Au K, Bernstein M, Manninen P. Same-day discharge after craniotomy for supratentorial tumour surgery: a retrospective observational single-centre study. Can J Anaesth. 2016;63(11):1245\u20131257."},{"issue":"3","key":"b6","series-title":"Br J Neurosurg","first-page":"360","article-title":"Day-case neurosurgery for brain tumours: the early United Kingdom experience","volume":"22","author":"Grundy PL","year":"2008","unstructured":"Grundy PL, Weidmann C, Bernstein M. Day-case neurosurgery for brain tumours: the early United Kingdom experience. Br J Neurosurg. 2008;22(3):360\u2013367."},{"issue":"1","key":"b7","series-title":"Neurosurgery","first-page":"119","article-title":"Outpatient brain tumor surgery and spinal decompression: a prospective study of 1003 patients","volume":"69","author":"Purzner T","year":"2011","unstructured":"Purzner T, Purzner J, Massicotte EM, Bernstein M. Outpatient brain tumor surgery and spinal decompression: a prospective study of 1003 patients. Neurosurgery. 2011;69(1):119\u2013127."},{"issue":"6","key":"b8","series-title":"Semin Neurol","first-page":"502","article-title":"Today\u2019s approach to treating brain swelling in the neuro intensive care unit","volume":"36","author":"Shah S","year":"2016","unstructured":"Shah S, Kimberly WT. Today\u2019s approach to treating brain swelling in the neuro intensive care unit. Semin Neurol. 2016;36(6):502\u2013507."},{"issue":"1","key":"b9","series-title":"J Neurosurg","first-page":"48","article-title":"Timing of postoperative intracranial hematoma development and implications for the best use of neurosurgical intensive care","volume":"82","author":"Taylor WA","year":"1995","unstructured":"Taylor WA, Thomas NW, Wellings JA, Bell BA. Timing of postoperative intracranial hematoma development and implications for the best use of neurosurgical intensive care. J Neurosurg. 1995;82(1):48\u201350."},{"issue":"1","key":"b10","series-title":"J Neurosurg","first-page":"1","article-title":"Prospective study of awake craniotomy used routinely and nonselectively for supratentorial tumors","volume":"107","author":"Serletis D","year":"2007","unstructured":"Serletis D, Bernstein M. Prospective study of awake craniotomy used routinely and nonselectively for supratentorial tumors. J Neurosurg. 2007;107(1):1\u20136."},{"issue":"4","key":"b11","series-title":"J Neurosurg Anesthesiol","first-page":"299","article-title":"Anesthesia for same day discharge after craniotomy: review of a single center experience","volume":"30","author":"Sheshadri V","year":"2018","unstructured":"Sheshadri V, Venkatraghavan L, Manninen P, Bernstein M. Anesthesia for same day discharge after craniotomy: review of a single center experience. J Neurosurg Anesthesiol. 2018;30(4):299\u2013304."},{"issue":"2","key":"b12","series-title":"J Neurosurg","first-page":"307","article-title":"Relevance of early head CT scans following neurosurgical procedures: an analysis of 892 intracranial procedures at Rush University Medical Center","volume":"121","author":"Fontes RBV","year":"2014","unstructured":"Fontes RBV, Smith AP, Mu\u00f1oz LF, Byrne RW, Traynelis VC. Relevance of early head CT scans following neurosurgical procedures: an analysis of 892 intracranial procedures at Rush University Medical Center. J Neurosurg. 2014;121(2):307\u2013312."},{"key":"b13","series-title":"World Neurosurg","first-page":"e476","article-title":"Perioperative factors affecting readmission after awake craniotomy: analysis of 609 consecutive cases","volume":"158","author":"Takami H","year":"2022","unstructured":"Takami H, Venkatraghavan L, Bernstein M. Perioperative factors affecting readmission after awake craniotomy: analysis of 609 consecutive cases. World Neurosurg. 2022;158:e476\u2013e487."},{"key":"b14","series-title":"J Clin Neurosci","first-page":"162","article-title":"Hospital costs associated with inpatient versus outpatient awake craniotomy for resection of brain tumors","volume":"59","author":"Nassiri F","year":"2019","unstructured":"Nassiri F, Li L, Badhiwala JH,  Hospital costs associated with inpatient versus outpatient awake craniotomy for resection of brain tumors. J Clin Neurosci. 2019;59:162\u2013166."},{"key":"b15","series-title":"Surg Neurol Int","first-page":"71","article-title":"Challenging the myth of outpatient craniotomy for brain tumor in a Sub-Saharan African setting: a case series of two patients in Ibadan, Nigeria","volume":"10","author":"Balogun JA","year":"2019","unstructured":"Balogun JA, Kayode Idowu O, Obanisola Malomo A. Challenging the myth of outpatient craniotomy for brain tumor in a Sub-Saharan African setting: a case series of two patients in Ibadan, Nigeria. Surg Neurol Int. 2019;10:71."},{"issue":"3","key":"b16","series-title":"J Clin Anesth","first-page":"200","article-title":"Patient satisfaction following day surgery","volume":"21","author":"Lemos P","year":"2009","unstructured":"Lemos P, Pinto A, Morais G,  Patient satisfaction following day surgery. J Clin Anesth. 2009;21(3):200\u2013205."},{"issue":"5","key":"b17","series-title":"J Neurosurg","first-page":"1056","article-title":"Patients\u2019 perceptions of awake and outpatient craniotomy for brain tumor: a qualitative study","volume":"112","author":"Khu KJ","year":"2010","unstructured":"Khu KJ, Doglietto F, Radovanovic I,  Patients\u2019 perceptions of awake and outpatient craniotomy for brain tumor: a qualitative study. J Neurosurg. 2010;112(5):1056\u20131060."},{"issue":"5","key":"b18","series-title":"J Neurosurg","first-page":"1631","article-title":"Preoperative factors associated with adverse events during awake craniotomy: analysis of 609 consecutive cases","volume":"134","author":"Takami H","year":"2020","unstructured":"Takami H, Khoshnood N, Bernstein M. Preoperative factors associated with adverse events during awake craniotomy: analysis of 609 consecutive cases. J Neurosurg. 2020;134(5):1631\u20131639."},{"issue":"2","key":"b19","series-title":"J Neurosurg Anesthesiol","first-page":"194","article-title":"Risk factors and characteristics of intraoperative seizures during awake craniotomy: a retrospective cohort study of 562 consecutive patients with a space-occupying brain lesion","volume":"35","author":"Paquin-Lanthier G","year":"2023","unstructured":"Paquin-Lanthier G, Subramaniam S, Leong KW,  Risk factors and characteristics of intraoperative seizures during awake craniotomy: a retrospective cohort study of 562 consecutive patients with a space-occupying brain lesion. J Neurosurg Anesthesiol. 2023;35(2):194\u2013200."},{"key":"b20","series-title":"World Neurosurg","first-page":"e922","article-title":"Tolerability of repeat awake craniotomy: a propensity-score-matched analysis on 607 consecutive cases","volume":"167","author":"Takami H","year":"2022","unstructured":"Takami H, Venkatraghavan L, Chowdhury T, Bernstein M. 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