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Rehabilitation Outcomes for Patients with Motor Deficits after Initial and Repeat Brain Tumor Surgery

Author

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  • Stanisław Krajewski

    (Department of Physiotherapy, University of Bydgoszcz, Unii Lubelskiej 4, 85-059 Bydgoszcz, Poland
    Department of Neurosurgery, 10th Military Research Hospital and Polyclinic, 85-681 Bydgoszcz, Poland)

  • Jacek Furtak

    (Department of Neurosurgery, 10th Military Research Hospital and Polyclinic, 85-681 Bydgoszcz, Poland
    Department of Neurooncology and Radiosurgery, Franciszek Łukaszczyk Oncology Center, 85-796 Bydgoszcz, Poland)

  • Monika Zawadka-Kunikowska

    (Department of Human Physiology, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Karłowicza 24, 85-092 Bydgoszcz, Poland)

  • Michał Kachelski

    (Department of Neurosurgery, 10th Military Research Hospital and Polyclinic, 85-681 Bydgoszcz, Poland)

  • Marcin Birski

    (Department of Neurosurgery, 10th Military Research Hospital and Polyclinic, 85-681 Bydgoszcz, Poland)

  • Marek Harat

    (Department of Neurosurgery, 10th Military Research Hospital and Polyclinic, 85-681 Bydgoszcz, Poland
    Department of Neurosurgery and Neurology, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, M. Sklodowskiej-Curie 9, 85-094 Bydgoszcz, Poland)

Abstract

Repeat surgery is often required to treat brain tumor recurrences. Here, we compared the functional state and rehabilitation of patients undergoing initial and repeat surgery for brain tumors to establish their individual risks that might impact management. In total, 835 patients underwent operations, and 139 (16.6%) required rehabilitation during the inpatient stay. The Karnofsky performance status, Barthel index, and the modified Rankin scale were used to assess functional status, and the gait index was used to assess gait efficiency. Motor skills, postoperative complications, and length of hospital stay were recorded. Patients were classified into two groups: first surgery ( n = 103) and repeat surgery ( n = 30). Eighteen percent of patients required reoperations, and these patients required prolonged postoperative rehabilitation as often as those operated on for the first time. Rehabilitation was more often complicated in the repeat surgery group ( p = 0.047), and the complications were more severe and persistent. Reoperated patients had significantly worse motor function and independence in activities of daily living before surgery and at discharge, but the deterioration after surgery affected patients in the first surgery group to a greater extent according to all metrics ( p < 0.001). The length of hospital stay was similar in both groups. These results will be useful for tailoring postoperative rehabilitation during a hospital stay on the neurosurgical ward as well as planning discharge requirements after leaving the hospital.

Suggested Citation

  • Stanisław Krajewski & Jacek Furtak & Monika Zawadka-Kunikowska & Michał Kachelski & Marcin Birski & Marek Harat, 2022. "Rehabilitation Outcomes for Patients with Motor Deficits after Initial and Repeat Brain Tumor Surgery," IJERPH, MDPI, vol. 19(17), pages 1-13, August.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:17:p:10871-:d:903082
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    References listed on IDEAS

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    1. Julie Gould, 2018. "Breaking down the epidemiology of brain cancer," Nature, Nature, vol. 561(7724), pages 40-41, September.
    2. Stanisław Krajewski & Jacek Furtak & Monika Zawadka-Kunikowska & Michał Kachelski & Marcin Birski & Marek Harat, 2022. "Comparison of the Functional State and Motor Skills of Patients after Cerebral Hemisphere, Ventricular System, and Cerebellopontine Angle Tumor Surgery," IJERPH, MDPI, vol. 19(4), pages 1-14, February.
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