Mortality after XXXX surgery.

@entity1 @entity3877 @entity944 @entity21233 @entity1315 @entity302 @entity204
PURPOSE: To report mortality, after a longer interval, in a cohort of @entity1 with @entity302 treated by temporal lobe surgery between 1975 and 1995. A previous audit of these @entity1 ending December 1, 1997 observed a standardized mortality ratio (SMR) of 4.5. METHODS: We analyzed mortality in a cohort of 306 @entity1 with @entity1315 ( @entity1315 ) who underwent temporal lobe resections between December 1, 1975 and December 1, 1995. @entity204 occurring after December 1,1997 and until December 1, 2009 were evaluated. Medical records, @entity204 certificates, postmortem examination reports, coroner officer's reports, and coroner's inquest reports were sought, and causes of @entity204 were ascertained. @entity944 ( @entity944 ) cases were identified. KEY FINDINGS: In 3,569 @entity1 -years of follow-up 19 @entity204 occurred, [ @entity21233 .00, 95% confidence interval (CI) 1.27-3.13], 14 @entity1 ( @entity21233 .01, 95% CI 1.19-3.39) and 5 @entity1 (SMR 1.68, 95% CI 0.70-4.03). On analysis of subgroups, SMRs were significantly elevated in @entity1 with @entity3877 ( @entity3877 ) ( @entity21233 .50, 95% CI 1.38-4.51), @entity1 with @entity3877 (SMR 3.12, 95% CI 1.56-6.25), @entity1 with nonspecific lesions ( @entity21233 .68, 95% CI 1.00-7.09), and right-sided resections in @entity3877 (SMR 3.33, 95% CI 1.39-8.00). During follow-up, six @entity944 cases were observed with a rate of 1/595 @entity1 -years. SIGNIFICANCE: In this cohort, the risk for @entity204 in @entity1 undergoing @entity1315 surgery decreased over time but remained above the standard population. @entity1 had a slightly higher risk than @entity1 , as did right-sided resections in @entity3877 , confirming this observation in the original cohort. Although lower, the risk of @entity944 remained. Without up-to-date information on seizure outcome, we were unable to directly relate this to mortality.
