Key result
Emergency abdominal surgical procedures were strongly associated with a prolonged intensive care unit stay of 14 days or more (OR 12.983, p<0.001).
Why the study?
Prolonged stay in the intensive care unit carries a high risk of mortality, making predictability important to reduce mortality.
What are the factors affecting prolonged stay in a secondary general surgery intensive care unit?
Case-Control (n=136)
No
What are the factors affecting prolonged stay in a secondary general surgery intensive care unit?
Odds Ratio: 12.983
Absolute Event Rate: 86.8% vs 33.8%
p-value: p=<0.001
Emergency abdominal surgery, older age, and higher mortality are significantly associated with prolonged stay in the general surgery ICU.
Identifies candidate predictors of prolonged postsurgical ICU stay; hypothesis-generating and should not yet change practice.
Aim:Prolonged stay in intensive care unit is associated with a high risk of mortality. Predictability of it is important to reduce mortality. The aim of this study is to determine the factors affecting prolonged stay in secondary general surgery intensive care unit.Materials and Methods: Between January 2014 and October 2017, 68 patients with prolonged stay undergoing general surgery ICU follow-up in the postoperative period after the general surgical procedure and the same number of randomly selected patients with similar characteristics were compared in two groupsResults:The median age of the patients with prolonged stay was 69,00 (22,50) and the median age of the patients in the control group was 59,00 (14,75) (p < 0,001).In prolonged stay group, 59 patients underwent abdominal emergency surgery, and 9 patients underwent abdominal elective surgery. The number of patients undergoing abdominal emergency procedures in the control group was 23, and the number of patients undergoing abdominal elective procedure was 45 ( p=0,001). Fourty eight of the patients in the prolonged stay group had mortality, 7 of the patients in the control group had mortality (p=0,001). As a result of multivariate analysis; in the prolonged stay group, emergency abdominal surgical procedure rate (p <0.001) (Odds ratio:12.983), age (p = 0.006) (Odds ratio:0.96) and mortality rate (p <0.001) (Odds ratio: 20,91) was found to be statistically significant.Conclusion: . Emergency abdominal surgical procedure, age and high mortality rate are associated with prolonged stay.
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Üstün et al. (2019) conducted a case-control in Postoperative general surgery intensive care (n=136). Emergency abdominal surgical procedure vs. Elective abdominal surgical procedure was evaluated on Prolonged ICU stay (≥14 days) (OR 12.983, p=<0.001). Emergency abdominal surgical procedures were strongly associated with a prolonged intensive care unit stay of 14 days or more (OR 12.983, p<0.001).
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