Thomakos N, Prodromidou A, Haidopoulos D, Machairas N, Rodolakis A. Postoperative Admission in Critical Care Units Following Gynecologic Oncology Surgery: Outcomes Based on a Systematic Review and Authors' Recommendations.
In Vivo 2021;
34:2201-2208. [PMID:
32871742 DOI:
10.21873/invivo.12030]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2020] [Revised: 05/15/2020] [Accepted: 05/16/2020] [Indexed: 11/10/2022]
Abstract
BACKGROUND/AIM
The present study aimed to evaluate the predictors of admission to the Critical Care Units (CCUs) and factors predisposing to prolonged stay in CCUs after gynecological oncology surgery.
PATIENTS AND METHODS
Studies which addressed cases of women who underwent surgery for gynecological malignancies and required postoperative CCU admission were included.
RESULTS
Seven studies with 3820 patients were included. Among them, 1680 required admission to CCU. Advanced age, higher Charlson Comorbidity Index (CCI) score, longer operative times, protracted blood loss and intestinal resection were associated with higher probability of CCU admission. Patients' age, operative times, blood loos and intestinal resection were significant predictors of prolonged stay to CCUs.
CONCLUSION
Admission to CCU and length of stay following surgery for gynecologic malignancies is driven by specific patient characteristics as well as intraoperative values. Further studies are needed to validate high risk patients who will benefit from postoperative care to CCUs to ensure favorable postoperative outcomes and cost-effectiveness.
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