The effect of admission to intensive care unit on outcomes and complication rates after head and neck reconstruction
The study objective is to evaluate the utilisation and effectiveness of intensive care unit (ICU) in the postoperative period as to its potential benefits to the head and neck reconstruction services.Materials and methods. This is a retrospective study on 143 consecutive patients who underwent 144 m...
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| Format: | Article |
| Language: | Russian |
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ABV-press
2018-11-01
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| Series: | Опухоли головы и шеи |
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| Online Access: | https://ogsh.abvpress.ru/jour/article/view/362 |
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| author | F. Carta A. Figus N. Chuchueva D. Quartu G. B. Sambiagio R. F. Loche C. Gerosa R. Puxeddu |
| author_facet | F. Carta A. Figus N. Chuchueva D. Quartu G. B. Sambiagio R. F. Loche C. Gerosa R. Puxeddu |
| author_sort | F. Carta |
| collection | DOAJ |
| description | The study objective is to evaluate the utilisation and effectiveness of intensive care unit (ICU) in the postoperative period as to its potential benefits to the head and neck reconstruction services.Materials and methods. This is a retrospective study on 143 consecutive patients who underwent 144 major head and neck microvascular reconstructive procedures performed by a single surgeon, that focused on perioperative management and on the relation between admission to ICU and complications/outcomes.Results. Thirty-four (23.6 %) patients were admitted to ICU during the early postoperative period. Admission to ICU was not associated with lower incidence of complications compared to direct admission to the Head and Neck ward: 29.4 % vs 27.3 % (p = 0.807709).Conclusion. Routinely early postoperative admission to ICU seems not to improve outcomes and/or reduce complications, and, as a consequence, ICU admission should be restricted to selected patients only. |
| format | Article |
| id | doaj-art-79657db6635a458996c5d283a4cced59 |
| institution | Kabale University |
| issn | 2222-1468 2411-4634 |
| language | Russian |
| publishDate | 2018-11-01 |
| publisher | ABV-press |
| record_format | Article |
| series | Опухоли головы и шеи |
| spelling | doaj-art-79657db6635a458996c5d283a4cced592025-08-20T03:37:08ZrusABV-pressОпухоли головы и шеи2222-14682411-46342018-11-0183617110.17650/2222-1468-2018-8-3-61-71314The effect of admission to intensive care unit on outcomes and complication rates after head and neck reconstructionF. Carta0A. Figus1N. Chuchueva2D. Quartu3G. B. Sambiagio4R. F. Loche5C. Gerosa6R. Puxeddu7Unit of Otorhinolaryngology, Department of Surgery, University Hospital, University of Cagliari.Unit of Plastic Surgery & Microsurgery, Department of Surgery, University Hospital, University of Cagliari.Unit of Otorhinolaryngology, Department of Surgery, University Hospital, University of Cagliari; I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia.Unit of Otorhinolaryngology, Department of Surgery, University Hospital, University of Cagliari.NHS Lanarkshire Glasgow.Unit of Otorhinolaryngology, Department of Surgery, University Hospital, University of Cagliari.Unit of Pathology, Department of Surgery, University Hospital, University of Cagliari.Unit of Otorhinolaryngology, Department of Surgery, University Hospital, University of Cagliari.The study objective is to evaluate the utilisation and effectiveness of intensive care unit (ICU) in the postoperative period as to its potential benefits to the head and neck reconstruction services.Materials and methods. This is a retrospective study on 143 consecutive patients who underwent 144 major head and neck microvascular reconstructive procedures performed by a single surgeon, that focused on perioperative management and on the relation between admission to ICU and complications/outcomes.Results. Thirty-four (23.6 %) patients were admitted to ICU during the early postoperative period. Admission to ICU was not associated with lower incidence of complications compared to direct admission to the Head and Neck ward: 29.4 % vs 27.3 % (p = 0.807709).Conclusion. Routinely early postoperative admission to ICU seems not to improve outcomes and/or reduce complications, and, as a consequence, ICU admission should be restricted to selected patients only.https://ogsh.abvpress.ru/jour/article/view/362head and neck cancermicrovascular free flapelderlyintensive care unit |
| spellingShingle | F. Carta A. Figus N. Chuchueva D. Quartu G. B. Sambiagio R. F. Loche C. Gerosa R. Puxeddu The effect of admission to intensive care unit on outcomes and complication rates after head and neck reconstruction Опухоли головы и шеи head and neck cancer microvascular free flap elderly intensive care unit |
| title | The effect of admission to intensive care unit on outcomes and complication rates after head and neck reconstruction |
| title_full | The effect of admission to intensive care unit on outcomes and complication rates after head and neck reconstruction |
| title_fullStr | The effect of admission to intensive care unit on outcomes and complication rates after head and neck reconstruction |
| title_full_unstemmed | The effect of admission to intensive care unit on outcomes and complication rates after head and neck reconstruction |
| title_short | The effect of admission to intensive care unit on outcomes and complication rates after head and neck reconstruction |
| title_sort | effect of admission to intensive care unit on outcomes and complication rates after head and neck reconstruction |
| topic | head and neck cancer microvascular free flap elderly intensive care unit |
| url | https://ogsh.abvpress.ru/jour/article/view/362 |
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