Postoperative Admission in Critical Care Units Following Gynecologic Oncology Surgery: Outcomes Based on a Systematic Review and Authors' Recommendations

Abstract

Background/Aim: The present study aimed to evaluate the predictors of admission to the Critical Care Units (CCUs) and factors predisposing to prolonged stay in CCUs after gynecological oncology surgery. Patients and Methods: Studies which addressed cases of women who underwent surgery for gynecological malignancies and required postoperative CCU admission were included. Results: Seven studies with 3820 patients were included. Among them, 1680 required admission to CCU. Advanced age, higher Charlson Comorbidity Index (CCI) score, longer operative times, protracted blood loss and intestinal resection were associated with higher probability of CCU admission. Patients' age, operative times, blood loos and intestinal resection were significant predictors of prolonged stay to CCUs. Conclusion: Admission to CCU and length of stay following surgery for gynecologic malignancies is driven by specific patient characteristics as well as intraoperative values. Further studies are needed to validate high risk patients who will benefit from postoperative care to CCUs to ensure favorable postoperative outcomes and cost-effectiveness. Advances in surgical techniques, anesthetics and critical care management as well as the development of specialized centers for the management of gynecologic oncology patients, during 2201 This article is freely accessible online.

Nursing Admission Form for Oncology Intensive Care Unit Patients: Production and Validation

“…In addition, cancer patients undergoing potentially curative therapy and even those with an advanced form of the disease, but with a chance of long-term survival, can benefit from ICU admission (30). Some studies have found that the reasons why cancer patients are admitted to the ICU are age (elderly), operating time, bleeding, intestinal resection, hospital readmissions and low survival rates, hemodynamic instability, and fluid management (31), advanced-stage cancer, emergencies, sepsis/septic shock, respiratory failure (32), being male, of mixed race, married, post-surgical, hypertensive, diabetic, and with pulmonary comorbidities (33).…”

Is Polypharmacy Related to the Intensive Care Unit Length of Stay in Patients Who Have Been Operated on Due to Gynecological Cancers?

“…Cerrahi ve anestezi işlemleri ve postoperatif yoğun bakım takiplerindeki gelişmeler sonrasında; jinekolojik kanser nedenli operasyonlara bağlı mortalite ve komplikasyonların sıklığında azalma görülmüştür. Postoperatif dönemde rutin yoğun bakım takibi, özellikle evreleme cerrahisi yapılan ve operasyon süresi uzun olan ileri evre over ve endometrium kanserinde gerekli görülmektedir (2).…”