Post-operative intensive care admission may improve outcomes, especially in high-risk patients. More than 310 million surgical procedures are performed worldwide every year 1 but there are few data describing subsets of populations that may be at particularly high risk of post-operative mortality.
En esta cohorte, la edad y la mortalidad hospitalaria no se asociaron significativamente. ConclusionesĮn los hospitales españoles, los pacientes ancianos (más de 80 años) son menos propensos a ser ingresados en la UCI tras cirugía no cardiaca. El grado ASA, cirugía urgente, especialidad quirúrgica y diabetes fueron predictores de mortalidad hospitalaria. El riesgo global ajustado de mortalidad fue de 1,4 (IC 95%: 0,9-2,2). La edad, el grado ASA, el grado de la cirugía (menor, intermedia, mayor), la cirugía urgente, la especialidad quirúrgica, la cirugía laparoscópica y la enfermedad metastásica fueron factores independientes de ingreso en la UCI. La odds ratio ajustada (intervalo de confianza del 95%) de ingreso en la UCI fue de 1,1 (0,8-1,4) para 65-74 años, 0,7 (0,5-1) para 75-85 años y de 0,4 (0,2-0,8) para más de 85 años, respectivamente.
Resultadosĭe 5.412 pacientes, 677 (12,5%) fueron ingresados en la UCI tras la cirugía. Tasa de ingreso en la UCI, factores asociados con ingreso en la UCI y mortalidad hospitalaria, analizadas mediante regresión logística y regresión fraccional polinómica. Pacientes consecutivos mayores de 16 años sometidos a cirugía no cardiaca con ingreso durante un periodo de 7 días del mes de abril de 2011. Hospitales públicos y privados en España. DiseñoĮstudio observacional de cohortes del subgrupo español del European Surgical Outcome Study (EuSOS). There was no significant association between age and postoperative mortality in this cohort.Įvaluar si la edad del paciente se asociaba independientemente con el ingreso en la unidad de cuidados intensivos (UCI) tras cirugía no cardiaca. ConclusionsĮlderly patients (over 80 years) appear less likely to be admitted to ICU after non-cardiac surgery in Spanish hospitals. The ASA score, urgent surgery, surgical specialty and diabetes were predictors of hospital mortality. Global risk-adjusted mortality was 1.4 (95% CI 0.9–2.2). Age, ASA score, grade of surgery (minor, intermediate, major), urgent surgery, surgical specialty, laparoscopic surgery and metastatic disease were independent factors for ICU admission. The adjusted odds ratio (95% confidence interval ) for ICU admission was 1.1 (0.8–1.4) for patients aged 65–74 years, 0.7 (0.5–1) for patients aged 75–85 years, and 0.4 (0.2–0.8) for patients over 85 years, respectively. Out of 5412 patients, 677 (12.5%) were admitted to the ICU after surgery. ICU admission rate, factors associated with ICU admission and hospital mortality were assessed using logistic regression analysis and fractional polynomial regression. InterventionĪll patients over 16 years of age undergoing inpatient non-cardiac surgery in the participating hospitals during a 7-day period in the month of April 2011 were consecutively included. Hospitals of the public National Health Care System and private hospitals in Spain. DesignĪn observational cohort study of the Spanish subset of the European Surgical Outcome Study (EuSOS) was carried out. To assess whether patient age is independently associated to Intensive Care Unit (ICU) admission after non-cardiac surgery.
0 kommentar(er)
