Discharge on the First Post-operative Day After Tumour Resection via Craniotomy

Category	Detail
Condition	Tumour Resection via Craniotomy
Key Mechanisms	Enhanced Recovery After Surgery (ERAS) pathways facilitate reduced length of stay without compromising safety.
Target Population	Neuro-oncology patients undergoing craniotomy for tumour resection.
Care Setting	Neurosurgical practice at University Hospital Southampton NHS Foundation Trust.

55.5% of patients were discharged on post-operative day one (POD1).
8.0% of patients experienced unplanned readmission within 30 days.
Good pre-operative functional status is predictive of POD1 discharge.
Eligibility for POD1 discharge includes stable neurological examination and completion of post-operative MRI.
Patients received follow-up via telephone clinic review after discharge.

Conduct post-operative MRI and ensure physiotherapy and occupational therapy clearance.

263 neuro-oncology patients undergoing craniotomy.

Patients with good baseline functional status and no major medical frailty are suitable for early discharge.

Provide printed discharge summaries and post-craniotomy instructions.
Ensure patients have contact information for clinical nurse specialists for post-discharge concerns.
Utilize a prospective assessment for POD1 discharge suitability.

Post-operative day one discharge following craniotomy for tumour resection
Minimizing Complication Rates in Repeat Craniotomies for Glioma Patients: Insights from a Single Surgeon's Experience and Literature Review
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2024 AHA/ACC/ACS/ASNC/HRS/SCA/SCCT/SCMR/SVM Guideline for Perioperative Cardiovascular Management for Noncardiac Surgery
Acknowledgment of the Editorial Response Regarding the Posterior Question Mark Incision in Unilateral Decompressive Hemicraniectomy
AANN Brain Tumor Clinical Practice Guideline
Level of evidence of enhanced recovery after surgery (ERAS) strategies for elective craniotomy
2024 AHA/ACC/ACS/ASNC/HRS/SCA/SCCT/SCMR/SVM Guideline for Perioperative Cardiovascular Management for Noncardiac Surgery: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines | JACC
Post-operative day one discharge following craniotomy for tumour resection | Journal of Neuro-Oncology | Springer Nature Link
Necessary Intensity of Monitoring After Elective Craniotomies: A Prediction Score for Postoperative Complications to Stratify Postoperative Monitoring | Neurocritical Care | Springer Nature Link