A brain neoplasm follow-up in a tertiary public hospital of northeast of Brazil: 2014-2016 data. 

Abstract Background. A brain neoplasm is a growth of abnormal cells in the brain. Brain tumors are dangerous because they can increase pressure on the brain and are associated to high mortality rates. Methods. This study evaluated 669 patients; however, 42 patients were excluded from the study since they were diagnosed with conditions different from neoplasm. Thus, 627 were enrolled in the study. The patients were investigated for histologic type, localization, topography and laterality, the influence of early extubation and the diagnosis and management of hydrocephalus. All the patients enrolled on this study had diagnostic of at least brain dysplasia. Results. Older patients (43±15.9) group significantly demonstrated the need for more urgency surgery compared to younger ones (30±14.6) (p<0.0001). Patients with previous surgery remained in the hospital, longer than patients that developed their first surgery (p=0.0171). This study demonstrated that the presence of hydrocephalus impacted in patients leading to increasing the duration of surgery (p<0.0001), length stay at intensive care unit (p=0.0023) and hospital (p<0.0001) respectively. This study found the early extubation protocol was associated to decreased duration of surgery (p<0.0001), also reduces length stay on intensive care unit (p<0.0001) and hospital stay (p<0.0001) respectively. Conclusions. Low-grade gliomas were found in majority of females in the study, also, a male predominance among patients with craniopharyngioma. Early extubation was associated with a reduced duration of surgery and a shorter length of stay in the hospital and ICU. Hydrocephalus was associated with longer surgeries, increased length of stay in ICU and hospital.