Predictors of Intensive Care Unit Utilization in Gynecologic Oncology Surgery

Ruskin, R.; Urban, Renata R.; Sherman, Alexander E.; Chen, Lee Lynn; Powell, C. Bethan; Burkhardt, Dan; Chen, Lee May

doi:10.1097/igc.0b013e31822d0ed0

Cited by 12 publications

(21 citation statements)

References 22 publications

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“…() described a 12% and 5 years later Ruskin 2.4% 30‐day mortality rate in gynaecologic oncology patients requiring ICU admission following surgery (Ruskin et al . ). Other studies who have focused on patients with ovarian cancer report higher 30‐day mortality rates, ranging from 11% to 27.4% (Abbas et al .…”

Section: Outcome Of Critically Ill Gynaecological Oncology Patientsmentioning

confidence: 97%

“…Ruskin reports that 19% of gynaecologic oncology patients required post‐operative admission to the ICU, and Thomakos that 56% of gynaecologic oncology patients required post‐operative admission to the HDU, but about 17% of them remained in the HDU under close observation for >24 h (Ruskin et al . ; Thomakos et al . ).…”

Section: Who Should Be Admitted To Icu/sicu/hdu?mentioning

confidence: 99%

“…Admission to SICU after the operation ranges from 21% to 36% for ovarian cancer patients (Amir et al 1997;Brooks et al 2002;Diaz-Montes et al 2007). Ruskin reports that 19% of gynaecologic oncology patients required post-operative admission to the ICU, and Thomakos that 56% of gynaecologic oncology patients required post-operative admission to the HDU, but about 17% of them remained in the HDU under close observation for >24 h (Ruskin et al 2011;Thomakos et al 2014). In comparison with gynaecological patients who have benign diseases, the cancer patients are specifically at high risk for ICU admission (Heinonen et al 2002).…”

Section: Who Should Be Admitted To Icu/sicu/ Hdu?mentioning

confidence: 99%

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Do critical care units play a role in the management of gynaecological oncology patients? The contribution of gynaecologic oncologist in running critical care units

et al. 2016

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Routine post-operative care in high dependency unit (HDU), surgical intensive care unit (SICU) and intensive care unit (ICU) after high-risk gynaecological oncology surgical procedures may allow for greater recognition and correct management of post-operative complications, thereby reducing long-term morbidity and mortality. On the other hand, unnecessary admissions to these units lead to increased morbidity - nosocomial infections, increased length of hospital stay and higher hospital costs. Gynaecological oncology surgeons continue to look after their patient in the HDU/SICU and have the final role in decision-making on day-to-day basis, making it important to be well versed in critical care management and ensure the best care for their patients. Post-operative monitoring and the presence of comorbid illnesses are the most common reasons for admission to the HDU/SICU. Elderly and malnutritioned patients, as well as, bowel resection, blood loss or greater fluid resuscitation during the surgery have prolonged HDU/SICU stay. Patients with ovarian cancer have a worse survival outcome than the patients with other types of gynaecological cancer. Dependency care is a part of surgical management and it should be incorporated formally into gynaecologic oncology training programme.

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Section: Outcome Of Critically Ill Gynaecological Oncology Patientsmentioning

confidence: 97%

Section: Who Should Be Admitted To Icu/sicu/hdu?mentioning

confidence: 99%

Section: Who Should Be Admitted To Icu/sicu/ Hdu?mentioning

confidence: 99%

See 1 more Smart Citation

Do critical care units play a role in the management of gynaecological oncology patients? The contribution of gynaecologic oncologist in running critical care units

et al. 2016

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“…Alguns estudos avaliaram a correlação entre utilização de recursos hospitalares e desfechos, especificamente para cirurgias abdominais 71,72 . As taxas de utilização de cuidados intensivos pós-operatórios é variável, com baixas taxas de utilização de 6 a 16% [71][72][73] , mesmo para cirurgias de alto risco.…”

Section: Suporte Intensivo Pós-operatóriounclassified

“…As taxas de utilização de cuidados intensivos pós-operatórios é variável, com baixas taxas de utilização de 6 a 16% [71][72][73] , mesmo para cirurgias de alto risco.…”

Section: Suporte Intensivo Pós-operatóriounclassified

Avaliação dos fatores de risco para morbimortalidade após cirurgia abdominal em pacientes oncológicos

Simões¹

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Development and Validation of a Multivariable Prediction Model for Postoperative Intensive Care Unit Stay in a Broad Surgical Population

et al. 2022

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IMPORTANCE Despite limited capacity and expensive cost, there are minimal objective data to guide postoperative allocation of intensive care unit (ICU) beds. The Surgical Risk Preoperative Assessment System (SURPAS) uses 8 preoperative variables to predict many common postoperative complications, but it has not yet been evaluated in predicting postoperative ICU admission. OBJECTIVE To determine if the SURPAS model could accurately predict postoperative ICU admission in a broad surgical population. DESIGN, SETTING, AND PARTICIPANTS This decision analytical model was a retrospective, observational analysis of prospectively collected patient data from the 2012 to 2018 American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) database, which were merged with individual patients' electronic health record data to capture postoperative ICU use. Multivariable logistic regression modeling was used to determine how the 8 preoperative variables of the SURPAS model predicted ICU use compared with a model inputting all 28 preoperatively available NSQIP variables. Data included in the analysis were collected for the ACS NSQIP at 5 hospitals (1 tertiary academic center, 4 academic affiliated hospitals) within the University of Colorado Health System between January 1, 2012, and December 31, 2018. Included patients were those undergoing surgery in 9 surgical specialties during the 2012 to 2018 period. Data were analyzed from May 29 to July 30, 2021.

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Predictors of Intensive Care Unit Utilization in Gynecologic Oncology Surgery

Abstract: The ability to predict ICU admission helps in appropriate counseling of patients and identification of institutional resource utilization.

Cited by 12 publications

References 22 publications

Do critical care units play a role in the management of gynaecological oncology patients? The contribution of gynaecologic oncologist in running critical care units

Do critical care units play a role in the management of gynaecological oncology patients? The contribution of gynaecologic oncologist in running critical care units

Avaliação dos fatores de risco para morbimortalidade após cirurgia abdominal em pacientes oncológicos

Development and Validation of a Multivariable Prediction Model for Postoperative Intensive Care Unit Stay in a Broad Surgical Population

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