التفاصيل البيبلوغرافية
| العنوان: |
Postoperative Critical Care Admission Was Not Associated with Improved Postoperative Outcomes in Elective Colorectal Surgery: Secondary Analysis Of POWER Trial. |
| المؤلفون: |
Suárez-de-la-Rica, Alejandro, Ripollés-Melchor, Javier, Aldecoa, César, Abad-Motos, Ane, Ferrando, Carlos, Abad-Gurumeta, Alfredo, Díaz-Almirón, Mariana, Gil-Lapetra, Cristina, García-Miguel, Francisco Javier, Pedregosa-Sanz, Ana, Esteve-Pérez, Neus, Rodríguez-Jiménez, Rita, Gimeno Fernandez, Pablo, Maseda, Emilio, on behalf of the POWER Study Investigators Group for the Spanish Perioperative Audit and Research Network (RedGERM-SPARN), Garcia-Perez, Cristina, Higuera-Míguelez, Eva, Marcos-Vidal, José M., Merino-García, María, Rubio-López, Ana B. |
| المصدر: |
Journal of Gastrointestinal Surgery; Oct2023, Vol. 27 Issue 10, p2187-2198, 12p |
| مصطلحات موضوعية: |
PROCTOLOGY, ELECTIVE surgery, POSTOPERATIVE care, INTENSIVE care units, CRITICAL care medicine, TREATMENT effectiveness |
| مستخلص: |
Background: The efficacy of routine admission of high-risk patients to a critical care unit after surgery is not clear. The aim of our study was to investigate the association between critical care admission after scheduled colorectal surgery and postoperative complications, 30-day mortality, and length of stay in hospital. Methods: A pre-defined secondary substudy of POWER study was performed. POWER study was a prospective multicenter observational study of patients undergoing elective primary colorectal surgery during a single period of two months of recruitment between September and December 2017. Results: A total of 2084 patients from 80 Spanish hospitals were included, of which 722 (34.6%) were admitted to critical care unit (CCU) after elective surgery. After adjusting for confounding factors in the multivariate analysis, postoperative CCU admission was independently associated with a higher incidence of moderate-to-severe postoperative complications (adjusted OR 1.951, 95% CI 1.570, 2.425; p < 0.001). Regarding secondary outcomes, postoperative critical care admission was independently associated with higher 30-day mortality (adjusted OR 6.736; 95% CI 2.507, 18.101; p < 0.001) and independently associated with an increased hospital length of stay (adjusted OR 1.143, 95% CI 1.112, 1.175; p < 0.001). Conclusions: Direct admission to CCU after scheduled colorectal surgery was not associated with a reduction in moderate-to-severe postoperative complications. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
