Characteristics and Outcomes for Low-Risk Hospital Admissions Admitted to the ICU: A Multisite Cohort Study

Prager, Ross; Pratte, Michael; Thompson, Laura H.; McNeill, Kylie; Milani, Christina; Maslove, David; Fernando, Shannon M.; Kyeremanteng, Kwadwo

doi:10.1097/cce.0000000000000596

Cited by 1 publication

(2 citation statements)

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“…Therefore, there is a paucity of data to evaluate whether it is safe to discharge the patient from the ICU following a short routine monitoring period after surgery. However, given that these patients are similarly exposed to risk factors of mortality such as organ failure due to pre-existing organ susceptibility or surgical inflammation [ 6 ], a reliable tool is clinically needed.…”

Section: Introductionmentioning

confidence: 99%

“…However, the suitability of the SOFA score for predicting postoperative outcomes in patients after a short stay in the ICU has never been investigated. In this study, we hypothesized that the predictive value of the SOFA score could be reproduced for outcomes of low-risk patients considering that they share multiorgan dysfunction as a major cause of death [ 6 ]. We aimed to determine the association between the SOFA score and postoperative outcomes in patients who stayed in the ICU for less than one day after non-cardiac surgery.…”

Section: Introductionmentioning

confidence: 99%

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Association between Mortality and Sequential Organ Failure Assessment Score during a Short Stay in the Intensive Care Unit after Non-Cardiac Surgery

Park

Lee

et al. 2022

JCM

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Background: The sequential organ failure assessment (SOFA) score has been validated in various clinical situations. However, it has not been investigated during a short stay in the intensive care unit (ICU). This study aimed to evaluate the association between the SOFA score and outcomes in patients who were monitored for less than one day after non-cardiac surgery. Methods: From a total of 203,787 consecutive adult patients who underwent non-cardiac surgery between January 2011 and June 2019, we selected 17,714 who were transferred to the ICU immediately after surgery and stayed for less than 24 h. Patients were divided according to quartile value and change between the initial and follow-up levels of SOFA score. Results: Three-year mortality tended to increase with a higher initial SOFA score (11.7%, 11.8%, 15.1%, and 17.8%, respectively). The patients were divided according to changes in the SOFA score at the midnight postoperative follow-up check: 16,176 (91.3%) in the stable group and 1538 (8.7%) in the worsened group. The worsened group showed significantly higher three-year mortality and complications (13.2% vs. 18.6%; HR [hazard ratio]: 1.236; 95% CI [confidence interval]: 1.108–1.402; p £ 0.0021 for three-year mortality and 3.8% vs. 9.1%; HR: 2.13; 95% CI: 1.73–2.60; p < 0.001 for acute kidney injury). Conclusions: The SOFA score during a short stay in the ICU after non-cardiac surgery showed an association with mortality. The change in SOFA score may need to be considered at discharge from the ICU.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%