Journals / Eastern Journal of Medicine / 2021 / Cilt: 26 - Sayı: 1

Evaluation of Patients Delivered To The Postoperative Intensive Care Unit

Pages
86–91
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

It was revealed that our hospital needed intermediary intensive care for the effective use of ICU capacities and optimum postoperative patient care.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:In our study, the purpose was to investigate the preoperative evaluations and indications of hospitalization of patients projected to be followed-up in postoperative Intensive Care Unit (ICU).A total of 77 patients who were projected to need ICU in the postoperative period and referred to postoperative ICU peroperatively as a result of preoperative evaluations for one year, were included in the study.
📊
Key Findings & Data:The age, gender, ASA, type of surgery (elective/emergency), anesthesia method, postoperative stay in postoperative Intensive Care Unit and results (discharge/exitus) of the patients were recorded.In preoperative evaluation, it was determined that a total of 12.5% of patients projected to be hospitalized in postoperative ICU were referred to postoperative services.
💡
Conclusion & Impact:It was revealed that our hospital needed intermediary intensive care for the effective use of ICU capacities and optimum postoperative patient care.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

In our study, the purpose was to investigate the preoperative evaluations and indications of hospitalization of patients projected to be followed-up in postoperative Intensive Care Unit (ICU).A total of 77 patients who were projected to need ICU in the postoperative period and referred to postoperative ICU peroperatively as a result of preoperative evaluations for one year, were included in the study. The age, gender, ASA, type of surgery (elective/emergency), anesthesia method, postoperative stay in postoperative Intensive Care Unit and results (discharge/exitus) of the patients were recorded.In preoperative evaluation, it was determined that a total of 12.5% of patients projected to be hospitalized in postoperative ICU were referred to postoperative services. It was determined that 89.6% of patients were ASA III-V, 24.7% had malignancy, and 49.4% were operated urgently. As the indication of hospitalization at ICU, follow-up with monitoring was detected at 57.1%, hemodynamic instability at 27.3%, respiratory failure at 11.7%, and peroperative complications at 3.9%. While 92.5% of our patients were discharged with cure, 4.5% were exitus, and 3% were referred to another center. It was determined that our patients with postoperative ICU indications were elderly, male, and ASA III and above. The need for postoperative monitoring and hemodynamic instability were observed to be the most common indications for hospitalization. It was revealed that our hospital needed intermediary intensive care for the effective use of ICU capacities and optimum postoperative patient care.

🔖

Cite This Article

BABAYİĞİT, M., DERELİ, N., GÜLEÇ, H., TUTAL, Z. B., ŞAHAP, M., BABAYİĞİT, M. A., HOROSANLI, E. (2021). Evaluation of Patients Delivered To The Postoperative Intensive Care Unit. Eastern Journal of Medicine, Cilt: 26 - Sayı: 1, 86–91. https://ajindex.com/articles/149148

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. Bhat SA, Shinde VS, Chaudhari LS. Audit of IntensiveCareUnitadmissionsfromtheoperating room. IndianJ Anaesth 2006; 50: 193-200
  2. Rose K, Byrick RJ, CohenMM. Planned and unplanned postoperative admissions to critical care for mechanical ventilation. Can J Anesth 1996; 43: 333-340
  3. Swann D, Houstin O, Goldberg J. Audit of intensive care unit admissions from the operating room. Can J Anesth 1993; 40: 137- 141
  4. Rhodes A, Cecconi M. Can surgical outcomes be prevented by postoperative admission to critical care?CritCare 2013; 17: 110
  5. Tın PP, Kulkarnı A, Lım KH. Unplanned post-operative intensive care unit admissions. Brunei Int Med J 2013; 9: 302-306
  6. Kılıç M, Yüzkat N, Soyalp C, Gülhaş N. Cost Analysis on Intensive Care Unit Costs Based on the Length of Stay. Turk J Anaesthesiol Reanim 2019; 47: 142-145., 7. Tan SS, Bakker J, Hoogendoorn ME,et all.Direct Cost Analysis of Intensive Care Unit Stay in Four European Countries: Applying a Standardized Costing Methodology. Value in Health 2012; 15: 81-86
  7. Sobol JB, Wunsch H. Triage of high-risk surgical patients for intensive care. Crit Care 2011; 15: 217
  8. Oerlemans AJ, vanSluisveld N, vanLeeuwen ES, Wollersheim H, Dekkers WJM, Zeggers M. Ethical problems in intensive care unit admission and discharge decisions: a qualitative study among physicians and nurses in the Netherlands. BMC Med Ethics 2015; 16: 9
  9. Task Force of the American Colllege of Critical Care Medcine. Guidelines for intensive care unit admission, discharge, andtriage. CritCareMed 1999; 27: 633-638
  10. Caldeira VM, Silva Júnior JM, Oliveira AM, et al. Criteria for patient admission to an intensive care unit and related mortality rates. Rev Assoc Med Bras (1992) 2010; 56: 528-534
  11. Satyawan AB, Shinde VS, Chaudhari LS. Audit of intensive care unit admissions from the operating room. Indian J Anaesth 2006; 50: 193-200
  12. Özer AB, Demirel İ, Erhan ÖL, Bayar MK, Düzgöl Ö. Postoperative appropriateness of assigning an intensive care bed preoperatively for high-risk patients: a retrospectivestudy. TurkJ Geriatr 2013; 16: 439-445
  13. Klein N, Weissman C. Evaluating intraoperative the therapeutic and diagnostic interventions. AnesthAnalg 2002; 95: 1373- 1380
  14. Wolters U, Wolf T, Stützer H. ASA classification and perioperative variables as predictors of postoperative outcome. Br J Anaesth 1996; 77: 217-222
  15. Koutsoukou A. Admission of critically ill patients with cancer to the ICU: many uncertainties remain. ESMO Open 20