Predictors of Intensive Care Unit Admission Following Cytoreductive Surgery For Stage III-IV Ovarian Carcinoma
Objective: To demonstrate that preoperative and intraoperative data of ovarian carcinoma patients can be used for prediction of postoperative ICU admission. Material and Method: The charts of all patients with ovarian carcinoma who underwent cytoreductive surgery from January 2007 to December 2009...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Galenos Yayinevi
2012-12-01
|
| Series: | Türk Yoğun Bakim Derneği Dergisi |
| Subjects: | |
| Online Access: | http://www.yogunbakimderg.com/article_2653/Predictors-Of-Intensive-Care-Unit-Admission-Following-Cytoreductive-Surgery-For-Stage-Iii-iv-Ovarian-Carcinoma |
| _version_ | 1797916172666011648 |
|---|---|
| author | Cafer Kaplan Coşkun Araz Selim Candan Arash Pirat Pınar Zeyneloğlu Ali Ayhan Gülnaz Arslan |
| author_facet | Cafer Kaplan Coşkun Araz Selim Candan Arash Pirat Pınar Zeyneloğlu Ali Ayhan Gülnaz Arslan |
| author_sort | Cafer Kaplan |
| collection | DOAJ |
| description | Objective: To demonstrate that preoperative and intraoperative data of ovarian carcinoma patients can be used for prediction of postoperative ICU admission.
Material and Method: The charts of all patients with ovarian carcinoma who underwent cytoreductive surgery from January 2007 to December 2009 were reviewed. The data recorded were demographic features, co-existing disease, preoperative laboratory findings, intraoperative data, and admission/no admission to ICU postoperatively.
Results: Out of 122 patients who underwent cytoreductive surgery for advanced ovarian carcinoma, 58 patients (48%) required ICU admission postoperatively. Compared with the group not admitted to ICU, the patients with ICU admission were significantly different regarding the frequency of chronic obstructive pulmonary disease, occurrence of intraoperative hypotension and sinus tachycardia, intraoperative need for blood products and total fluid transfusion, preoperative oxygen saturation, mean age and mean body mass index (BMI). Binary logistic regression analysis revealed that age (OR, 1.1; p=0.036), ASA score (OR, 6.2; p=0.044), occurrence of intraoperative sinus tachycardia (OR, 8.6; p=0.013), need for intraoperative transfusions (OR, 7.7; p=0.026) and preoperative oxygen saturations (OR, 1.3; p=0.050) were the predictors of ICU admission in these patients.
Conclusion: The results suggest that age, high ASA scores, low preoperative oxygen saturations, intraoperative sinus tachycardia and blood product transfusions were predictors of ICU admission following cytoreductive surgery for ovarian carcinoma. |
| first_indexed | 2024-04-10T12:54:08Z |
| format | Article |
| id | doaj.art-ada4414f6b4b46d3ab22f4e03b1ffd1c |
| institution | Directory Open Access Journal |
| issn | 2146-6416 2147-267X |
| language | English |
| last_indexed | 2024-04-10T12:54:08Z |
| publishDate | 2012-12-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Türk Yoğun Bakim Derneği Dergisi |
| spelling | doaj.art-ada4414f6b4b46d3ab22f4e03b1ffd1c2023-02-15T16:13:37ZengGalenos YayineviTürk Yoğun Bakim Derneği Dergisi2146-64162147-267X2012-12-0110310210910.4274/Tybdd.205Predictors of Intensive Care Unit Admission Following Cytoreductive Surgery For Stage III-IV Ovarian CarcinomaCafer Kaplan0Coşkun Araz1Selim Candan2Arash Pirat3Pınar Zeyneloğlu4Ali Ayhan5Gülnaz Arslan6Başkent Üniversitesi Tıp Fakültesi, Anesteziyoloji Anabilim Dalı, Ankara, TürkiyeBaşkent Üniversitesi Tıp Fakültesi, Anesteziyoloji Anabilim Dalı, Ankara, TürkiyeBaşkent Üniversitesi Tıp Fakültesi, Anesteziyoloji Anabilim Dalı, Ankara, TürkiyeBaşkent Üniversitesi Tıp Fakültesi, Anesteziyoloji Anabilim Dalı, Ankara, TürkiyeBaşkent Üniversitesi Tıp Fakültesi, Anesteziyoloji Anabilim Dalı, Ankara, TürkiyeBaşkent Üniversitesi Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Ankara, TürkiyeBaşkent Üniversitesi Tıp Fakültesi, Anesteziyoloji Anabilim Dalı, Ankara, TürkiyeObjective: To demonstrate that preoperative and intraoperative data of ovarian carcinoma patients can be used for prediction of postoperative ICU admission. Material and Method: The charts of all patients with ovarian carcinoma who underwent cytoreductive surgery from January 2007 to December 2009 were reviewed. The data recorded were demographic features, co-existing disease, preoperative laboratory findings, intraoperative data, and admission/no admission to ICU postoperatively. Results: Out of 122 patients who underwent cytoreductive surgery for advanced ovarian carcinoma, 58 patients (48%) required ICU admission postoperatively. Compared with the group not admitted to ICU, the patients with ICU admission were significantly different regarding the frequency of chronic obstructive pulmonary disease, occurrence of intraoperative hypotension and sinus tachycardia, intraoperative need for blood products and total fluid transfusion, preoperative oxygen saturation, mean age and mean body mass index (BMI). Binary logistic regression analysis revealed that age (OR, 1.1; p=0.036), ASA score (OR, 6.2; p=0.044), occurrence of intraoperative sinus tachycardia (OR, 8.6; p=0.013), need for intraoperative transfusions (OR, 7.7; p=0.026) and preoperative oxygen saturations (OR, 1.3; p=0.050) were the predictors of ICU admission in these patients. Conclusion: The results suggest that age, high ASA scores, low preoperative oxygen saturations, intraoperative sinus tachycardia and blood product transfusions were predictors of ICU admission following cytoreductive surgery for ovarian carcinoma.http://www.yogunbakimderg.com/article_2653/Predictors-Of-Intensive-Care-Unit-Admission-Following-Cytoreductive-Surgery-For-Stage-Iii-iv-Ovarian-CarcinomaOvarian carcinomaintensive care unitpredictors |
| spellingShingle | Cafer Kaplan Coşkun Araz Selim Candan Arash Pirat Pınar Zeyneloğlu Ali Ayhan Gülnaz Arslan Predictors of Intensive Care Unit Admission Following Cytoreductive Surgery For Stage III-IV Ovarian Carcinoma Türk Yoğun Bakim Derneği Dergisi Ovarian carcinoma intensive care unit predictors |
| title | Predictors of Intensive Care Unit Admission Following Cytoreductive Surgery For Stage III-IV Ovarian Carcinoma |
| title_full | Predictors of Intensive Care Unit Admission Following Cytoreductive Surgery For Stage III-IV Ovarian Carcinoma |
| title_fullStr | Predictors of Intensive Care Unit Admission Following Cytoreductive Surgery For Stage III-IV Ovarian Carcinoma |
| title_full_unstemmed | Predictors of Intensive Care Unit Admission Following Cytoreductive Surgery For Stage III-IV Ovarian Carcinoma |
| title_short | Predictors of Intensive Care Unit Admission Following Cytoreductive Surgery For Stage III-IV Ovarian Carcinoma |
| title_sort | predictors of intensive care unit admission following cytoreductive surgery for stage iii iv ovarian carcinoma |
| topic | Ovarian carcinoma intensive care unit predictors |
| url | http://www.yogunbakimderg.com/article_2653/Predictors-Of-Intensive-Care-Unit-Admission-Following-Cytoreductive-Surgery-For-Stage-Iii-iv-Ovarian-Carcinoma |
| work_keys_str_mv | AT caferkaplan predictorsofintensivecareunitadmissionfollowingcytoreductivesurgeryforstageiiiivovariancarcinoma AT coskunaraz predictorsofintensivecareunitadmissionfollowingcytoreductivesurgeryforstageiiiivovariancarcinoma AT selimcandan predictorsofintensivecareunitadmissionfollowingcytoreductivesurgeryforstageiiiivovariancarcinoma AT arashpirat predictorsofintensivecareunitadmissionfollowingcytoreductivesurgeryforstageiiiivovariancarcinoma AT pınarzeyneloglu predictorsofintensivecareunitadmissionfollowingcytoreductivesurgeryforstageiiiivovariancarcinoma AT aliayhan predictorsofintensivecareunitadmissionfollowingcytoreductivesurgeryforstageiiiivovariancarcinoma AT gulnazarslan predictorsofintensivecareunitadmissionfollowingcytoreductivesurgeryforstageiiiivovariancarcinoma |