Who Needs to Be Allocated in ICU after Thoracic Surgery? An Observational Study
Joint Authors
Pinheiro, Liana
Santoro, Ilka Lopes
Faresin, Sonia Maria
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-07-17
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
The effective use of ICU care after lung resections has not been completely studied.
The aims of this study were to identify predictive factors for effective use of ICU admission after lung resection and to develop a risk composite measure to predict its effective use.
Methods.
120 adult patients undergoing elective lung resection were enrolled in an observational prospective cohort study.
Preoperative evaluation and intraoperative assessment were recorded.
In the postoperative period, patients were stratified into two groups according to the effective and ineffective use of ICU.
The use of ICU care was considered effective if a patient experienced one or more of the following: maintenance of controlled ventilation or reintubation; acute respiratory failure; hemodynamic instability or shock; and presence of intraoperative or postanesthesia complications.
Results.
Thirty patients met the criteria for effective use of ICU care.
Logistic regression analysis identified three independent predictors of effective use of ICU care: surgery for bronchiectasis, pneumonectomy, and age ≥ 57 years.
In the absence of any predictors the risk of effective need of ICU care was 6%.
Risk increased to 25–30%, 66–71%, and 93% with the presence of one, two, or three predictors, respectively.
Conclusion.
ICU care is not routinely necessary for all patients undergoing lung resection.
American Psychological Association (APA)
Pinheiro, Liana& Santoro, Ilka Lopes& Faresin, Sonia Maria. 2016. Who Needs to Be Allocated in ICU after Thoracic Surgery? An Observational Study. Canadian Respiratory Journal،Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1103192
Modern Language Association (MLA)
Pinheiro, Liana…[et al.]. Who Needs to Be Allocated in ICU after Thoracic Surgery? An Observational Study. Canadian Respiratory Journal No. 2016 (2016), pp.1-6.
https://search.emarefa.net/detail/BIM-1103192
American Medical Association (AMA)
Pinheiro, Liana& Santoro, Ilka Lopes& Faresin, Sonia Maria. Who Needs to Be Allocated in ICU after Thoracic Surgery? An Observational Study. Canadian Respiratory Journal. 2016. Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1103192
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1103192