Who needs to be allocated in icu after thoracic surgery? An observational study

Who needs to be allocated in icu after thoracic surgery? An observational study

Author Pinheiro, Liana Autor UNIFESP Google Scholar
Santoro, Ilka Lopes Autor UNIFESP Google Scholar
Faresin, Sonia Maria Autor UNIFESP Google Scholar
Abstract 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.
Keywords Intensive-Care-Unit
Cell Lung-Cancer
Completion Pneumonectomy
Pulmonary Resection
Admission
Risk
Complications
Intervention
Guidelines
Disease
Language English
Sponsor Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior (Capes)
Date 2016
Published in Canadian Respiratory Journal. London, 2016.
ISSN 1198-2241 (Sherpa/Romeo, impact factor)
Publisher Royal Soc
Origin http://dx.doi.org/10.1155/2016/3981506
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000380691200001
URI http://repositorio.unifesp.br/handle/11600/49455

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