التفاصيل البيبلوغرافية
| العنوان: |
Critical care admission of South African (SA) surgical patients: Results of the SA Surgical Outcomes Study |
| المؤلفون: |
Skinner, D.L., de Vasconcellos, K, Wise, R, Esterhuizen, T.M., Fourie, C, Mahomed, A Goolam, Gopalan, P.D., Joubert, I, Kluyts, H, Mathivha, L.R., Mrara, B, Pretorius, J.P., Richards, G, Smith, O, Spruyt, M.G.L., Pearse, R.M., Madiba, T.E., Biccard, B.M. |
| المصدر: |
South African Medical Journal; Vol 107, No 5 (2017); 411-419 ; 0256-95749 ; 2078-5135 |
| بيانات النشر: |
Health and Medical Publishing Group |
| سنة النشر: |
2017 |
| المجموعة: |
AJOL - African Journals Online |
| الوصف: |
Background. Appropriate critical care admissions are an important component of surgical care. However, there are few data describing postoperative critical care admission in resource-limited low- and middle-income countries.Objective. To describe the demographics, organ failures, organ support and outcomes of non-cardiac surgical patients admitted to critical care units in South Africa (SA).Methods. The SA Surgical Outcomes Study (SASOS) was a 7-day national, multicentre, prospective, observational cohort study of all patients ≥16 years of age undergoing inpatient non-cardiac surgery between 19 and 26 May 2014 at 50 government-funded hospitals. All patients admitted to critical care units during this study were included for analysis.Results. Of the 3 927 SASOS patients, 255 (6.5%) were admitted to critical care units; of these admissions, 144 (56.5%) were planned, and 111 (43.5%) unplanned. The incidence of confirmed or strongly suspected infection at the time of admission was 35.4%, with a significantly higher incidence in unplanned admissions (49.1 v. 24.8%, p<0.001). Unplanned admission cases were more frequently hypovolaemic, had septic shock, and required significantly more inotropic, ventilatory and renal support in the first 48 hours after admission. Overall mortality was 22.4%, with unplanned admissions having a significantly longer critical care length of stay and overall mortality (33.3 v. 13.9%, p<0.001).Conclusion. The outcome of patients admitted to public sector critical care units in SA is strongly associated with unplanned admissions. Adequate ‘high care-dependency units’ for postoperative care of elective surgical patients could potentially decrease the burden on critical care resources in SA by 23%. This study was registered on ClinicalTrials.gov (NCT02141867). |
| نوع الوثيقة: |
article in journal/newspaper |
| وصف الملف: |
application/pdf |
| اللغة: |
English |
| العلاقة: |
https://www.ajol.info/index.php/samj/article/view/155615/145244Test; https://www.ajol.info/index.php/samj/article/view/155615Test |
| الإتاحة: |
https://www.ajol.info/index.php/samj/article/view/155615Test |
| حقوق: |
The SAMJ reserves copyright of the material published. |
| رقم الانضمام: |
edsbas.CECEF1B6 |
| قاعدة البيانات: |
BASE |
