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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 1 - 7 (7page)
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초록· 키워드
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Background: Postoperative admission to the surgical intensive care unit (S-ICU) is commonly planned to prevent and treat complications,unnecessary admission to the S-ICU increases medical costs and length of hospital stay. This study aimed evaluated outcome and the predictive factors for mortality in patients admitted to the S-ICU after abdominal surgery.
Methods: The 168 patients admitted to the S-ICU immediately after abdominal surgery were reviewed retrospectively from January to December 2011.
Results: The mortality rate of patients admitted to the S-ICU after abdominal surgery was 8.9% (15 of 168). Two preoperative factors (body mass index [BMI] < 18.5 kg/m2 [p < 0.001] and serum albumin < 3.0 g/dL [p = 0.018]), two operative factors (the need for transfusion[p = 0.008] or vasopressors [p = 0.013] during surgery), and three postoperative variables (mechanical ventilation immediately following surgery [p < 0.001], sequential organ failure assessment [p = 0.001] and SAPS II [p = 0.001] score) were associated with mortalityin univariate analysis. After adjusting for age, gender, and SAPS II by a Cox regression, which revealed that BMI < 18.5 kg/m2 (p < 0.001, hazard ratio [HR] 9.690, 95% confidence interval [CI] 2.990-25.258) and the use of mechanical ventilation on admission to S-ICU (p < 0.001, HR 34.671, 95% CI 6.440-186.649) were independent prognostic factors.
Conclusions: In patients in S-ICU after abdominal surgery, low BMI and postsurgical mechanical ventilation should be considered importantpredictors of mortality.
목차
등록된 정보가 없습니다.
참고문헌 (27)
참고문헌 신청
Atalay F / 2011 / Postoperative complications after abdominal surgery in patients with chronic obstructive pulmonary disease / Turk J Gastroenterol 22 : 523 ~ 528
Azoulay E / 2003 / Determinants of postintensive care unit mortality: a prospective multicenter study / Crit Care Med 31 : 428 ~ 432
Bapoje SR / 2007 / Preoperative evaluation of the patient with pulmonary disease / Chest 132 : 1637 ~ 1645
Bastounis E / 2003 / Selective use of the intensive care unit after elective infrarenal abdominal aortic aneurysm repair / Int Angiol 22 : 308 ~ 316
Bertges DJ / 2000 / Is routine use of the intensive care unit after elective infrarenal abdominal aortic aneurysm repair necessary? / J Vasc Surg 32 : 634 ~ 642
Azoulay E / 2003 / Determinants of postintensive care unit mortality: a prospective multicenter study / Crit Care Med 31 : 428 ~ 432
Bapoje SR / 2007 / Preoperative evaluation of the patient with pulmonary disease / Chest 132 : 1637 ~ 1645
Bastounis E / 2003 / Selective use of the intensive care unit after elective infrarenal abdominal aortic aneurysm repair / Int Angiol 22 : 308 ~ 316
Bertges DJ / 2000 / Is routine use of the intensive care unit after elective infrarenal abdominal aortic aneurysm repair necessary? / J Vasc Surg 32 : 634 ~ 642
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