Who needs to be allocated in icu after thoracic surgery? An observational study

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dc.contributor.authorPinheiro, Liana [UNIFESP]
dc.contributor.authorSantoro, Ilka Lopes [UNIFESP]
dc.contributor.authorFaresin, Sonia Maria [UNIFESP]
dc.date.accessioned2019-01-21T10:29:53Z
dc.date.available2019-01-21T10:29:53Z
dc.date.issued2016
dc.description.abstractBackground. The effective use of ICU care after lung resections has not been completely studied. The aims of this study were to identify predictive factors for effective use of ICU admission after lung resection and to develop a risk composite measure to predict its effective use. Methods. 120 adult patients undergoing elective lung resection were enrolled in an observational prospective cohort study. Preoperative evaluation and intraoperative assessment were recorded. In the postoperative period, patients were stratified into two groups according to the effective and ineffective use of ICU. The use of ICU care was considered effective if a patient experienced one or more of the following: maintenance of controlled ventilation or reintubationen
dc.description.abstractacute respiratory failureen
dc.description.abstracthemodynamic instability or shocken
dc.description.abstractand presence of intraoperative or postanesthesia complications. Results. Thirty patients met the criteria for effective use of ICU care. Logistic regression analysis identified three independent predictors of effective use of ICU care: surgery for bronchiectasis, pneumonectomy, and age >= 57 years. In the absence of any predictors the risk of effective need of ICU care was 6%. Risk increased to 25-30%, 66-71%, and 93% with the presence of one, two, or three predictors, respectively. Conclusion. ICU care is not routinely necessary for all patients undergoing lung resection.en
dc.description.affiliationRespiratory Division, Universidade Federal de São Paulo (UNIFESP), 04023-062 São Paulo, SP, Brazil
dc.description.affiliationUnifespRespiratory Division, Universidade Federal de São Paulo (UNIFESP), 04023-062 São Paulo, SP, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipCoordenacao de Aperfeicoamento de Pessoal de Nivel Superior (Capes)
dc.identifierhttp://dx.doi.org/10.1155/2016/3981506
dc.identifier.citationCanadian Respiratory Journal. London, 2016.
dc.identifier.doi10.1155/2016/3981506
dc.identifier.fileWOS000380691200001.pdf
dc.identifier.issn1198-2241
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/49455
dc.identifier.wosWOS:000380691200001
dc.language.isoeng
dc.publisherRoyal Soc
dc.relation.ispartofCanadian Respiratory Journal
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectIntensive-Care-Uniten
dc.subjectCell Lung-Canceren
dc.subjectCompletion Pneumonectomyen
dc.subjectPulmonary Resectionen
dc.subjectAdmissionen
dc.subjectRisken
dc.subjectComplicationsen
dc.subjectInterventionen
dc.subjectGuidelinesen
dc.subjectDiseaseen
dc.titleWho needs to be allocated in icu after thoracic surgery? An observational studyen
dc.typeinfo:eu-repo/semantics/article
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