Objective To investigate the significance of geriatric score system(GSS)in predicting postoperative complications of intracranial meningioma patients over 65 years old.Methods Seventy-nine patients who underwent surgery for intracranial meningioma between 2012 and 2023 were retrospectively studied.Patients were divided into a complication group(n=25)and a non-complication group(n=54)according to the presence or absence of major complications.The relationship between GSS and clinicopathological parameters was analyzed.Logistic regression model was used to analyze the influencing factors of postoperative complications.Results The preoperative baseline GSS of 79 patients was 13.0(12.0,14.0).The incidence of major postoperative complications was 31.65%,and the length of hospital stay,ICU stay and ventilator use days were significantly increased(P＜0.05).The GSS score of patients with complications was significantly lower than that of patients without complications,and the GSS score of patients with KPS≥80 was slightly lower than that of patients with KPS＜80(P＜0.05).In Logistic regression model,GSS was an independent predictor of major postoperative complications of intracranial meningioma[HR(95%CI)=0.514(0.324-0.815);P=0.005].Conclusion In patients with meningioma over 65,the improvement of GSS assessment before surgery is beneficial to comprehensively evaluate the physical function of patients and predict the postoperative complications.
MeningiomaElderlySurgical complicationsGeriatric scoring system
NETL
NSTL
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