University of Oulu

Ylimartimo, A. T., Koskela, M., Lahtinen, S., Kaakinen, T., Vakkala, M., & Liisanantti, J. (2022). Outcomes in patients requiring intensive care unit (icu) admission after emergency laparotomy: A retrospective study. Acta Anaesthesiologica Scandinavica, 66(8), 954–960. https://doi.org/10.1111/aas.14103

Outcomes in patients requiring intensive care unit (ICU) admission after emergency laparotomy : a retrospective study

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Author: Ylimartimo, Aura T.1,2; Koskela, Marjo1,2; Lahtinen, Sanna1,3;
Organizations: 1Medical Research Center of Oulu, Research Group of Surgery, Anesthesiology and Intensive Care Medicine, Oulu, Finland
2Department of Surgery, Oulu University Hospital, Oulu, Finland
3Department of Anesthesiology, Oulu University Hospital, Oulu, Finland
Format: article
Version: published version
Access: open
Online Access: PDF Full Text (PDF, 0.4 MB)
Persistent link: http://urn.fi/urn:nbn:fi-fe2022122773898
Language: English
Published: John Wiley & Sons, 2022
Publish Date: 2022-12-27
Description:

Abstract

Purpose: Outcomes after emergency laparotomy (EL) are poor. These patients are often admitted to an intensive care unit (ICU). This study explored outcomes in patients who were admitted to an ICU within 48 h after EL.

Materials and Methods: This retrospective single-center registry study included all patients over 16 years of age that underwent an EL and were admitted to an ICU within 48 h after surgery in Oulu University Hospital, Finland between January 2005 and May 2015. Survival was followed until the end of 2019.

Results: We included 525 patients. Hospital mortality was 13.3%, 30-day mortality was 17.3%, 90-day mortality was 24.2%, 1-year mortality was 33.0%, and 5-year mortality was 59.4%. Survivors were younger (57 [45–70] years) than the non-survivors (73 [62–80] years; p < .001). According to the Cox regression model, death during the follow-up was associated with age, APACHE II-score, lower postoperative CRP levels and platelet count of the first postoperative day, and the admission from the post-anesthesia care unit (PACU) to the ICU instead of direct ICU admission.

Conclusion: Age, high APACHE II-score, low CRP and platelet count, and admission from the PACU to the ICU associated with mortality after EL in patients admitted to an ICU within 48 h after EL.

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Series: Acta anaesthesiologica Scandinavica
ISSN: 0001-5172
ISSN-E: 1399-6576
ISSN-L: 0001-5172
Volume: 66
Issue: 8
Pages: 954 - 960
DOI: 10.1111/aas.14103
OADOI: https://oadoi.org/10.1111/aas.14103
Type of Publication: A2 Review article in a scientific journal
Field of Science: 3126 Surgery, anesthesiology, intensive care, radiology
Subjects:
Copyright information: © 2022 The Authors. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
  https://creativecommons.org/licenses/by/4.0/