Noncardiac surgical patients admitted to the ICU experienced an overall hospital mortality of 7.9%, with APACHE-II score, sepsis, AKI, and ICU length of stay as independent predictors of mortality.
Observational (n=392)
No
High-risk noncardiac surgical patients admitted to the ICU experience significant morbidity and a 7.9% hospital mortality rate, driven by factors like sepsis, acute kidney injury, and high APACHE-II scores.
CONTEXT: Surgical procedures carry significant morbidity and mortality depending on the type of surgery and patients. There is a dearth of evidence from India on the outcome of surgical patients admitted to an Intensive Care Unit (ICU). AIMS: We aimed to describe the incidence and risk factors of postoperative complications and mortality in noncardiac surgical patients admitted to the ICU. SETTINGS AND DESIGN: This was a prospective observational study on all perioperative patients admitted to a multidisciplinary ICU for 18 months. SUBJECTS AND METHODS: Data on demography, admission Acute Physiology and Chronic Health Evaluation II (APACHE-II), Sequential Organ Failure Assessment (SOFA) scores, perioperative course, type and duration of surgery, reason for ICU admission, ICU interventions, and perioperative complications were recorded. The primary outcomes analyzed were perioperative complications and mortality. RESULTS: = 392). Common complications observed were hemodynamic instability 24%, hypothermia 17.2%, sepsis 17.3%, poor glycemic control 11.2%, perioperative myocardial infarction 7.1%, cardiac arrest 0.13%, and acute kidney injury (AKI) 10.1%. The overall hospital mortality was 7.9%. Multivariate logistic regression analysis showed that admission APACHE-II score, sepsis, AKI, and ICU length of stay were independent predictors for mortality. CONCLUSIONS: High risk perioperative patients after noncardiac surgery have significant mortality and morbidity.
Renuka et al. (Sun,) conducted a observational in Noncardiac surgery requiring ICU admission (n=392). Noncardiac surgery requiring ICU admission was evaluated on Perioperative complications and mortality. Noncardiac surgical patients admitted to the ICU experienced an overall hospital mortality of 7.9%, with APACHE-II score, sepsis, AKI, and ICU length of stay as independent predictors of mortality.