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

Detalhes bibliográficos
Autor(a) principal: Pinheiro, Liana [UNIFESP]
Data de Publicação: 2016
Outros Autores: Santoro, Ilka Lopes [UNIFESP], Faresin, Sonia Maria [UNIFESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNIFESP
dARK ID: ark:/48912/001300000ztcs
DOI: 10.1155/2016/3981506
Texto Completo: http://dx.doi.org/10.1155/2016/3981506
http://repositorio.unifesp.br/handle/11600/49455
Resumo: Background. 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 reintubation
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spelling Who needs to be allocated in icu after thoracic surgery? An observational studyIntensive-Care-UnitCell Lung-CancerCompletion PneumonectomyPulmonary ResectionAdmissionRiskComplicationsInterventionGuidelinesDiseaseBackground. 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 reintubationacute respiratory failurehemodynamic instability or shockand 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.Respiratory Division, Universidade Federal de São Paulo (UNIFESP), 04023-062 São Paulo, SP, BrazilRespiratory Division, Universidade Federal de São Paulo (UNIFESP), 04023-062 São Paulo, SP, BrazilWeb of ScienceCoordenacao de Aperfeicoamento de Pessoal de Nivel Superior (Capes)Royal Soc2019-01-21T10:29:53Z2019-01-21T10:29:53Z2016info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttp://dx.doi.org/10.1155/2016/3981506Canadian Respiratory Journal. London, 2016.10.1155/2016/3981506WOS000380691200001.pdf1198-2241http://repositorio.unifesp.br/handle/11600/49455WOS:000380691200001ark:/48912/001300000ztcsengCanadian Respiratory Journalinfo:eu-repo/semantics/openAccessPinheiro, Liana [UNIFESP]Santoro, Ilka Lopes [UNIFESP]Faresin, Sonia Maria [UNIFESP]reponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-02T07:36:58Zoai:repositorio.unifesp.br/:11600/49455Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-12-11T20:46:13.480233Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv Who needs to be allocated in icu after thoracic surgery? An observational study
title Who needs to be allocated in icu after thoracic surgery? An observational study
spellingShingle Who needs to be allocated in icu after thoracic surgery? An observational study
Who needs to be allocated in icu after thoracic surgery? An observational study
Pinheiro, Liana [UNIFESP]
Intensive-Care-Unit
Cell Lung-Cancer
Completion Pneumonectomy
Pulmonary Resection
Admission
Risk
Complications
Intervention
Guidelines
Disease
Pinheiro, Liana [UNIFESP]
Intensive-Care-Unit
Cell Lung-Cancer
Completion Pneumonectomy
Pulmonary Resection
Admission
Risk
Complications
Intervention
Guidelines
Disease
title_short Who needs to be allocated in icu after thoracic surgery? An observational study
title_full Who needs to be allocated in icu after thoracic surgery? An observational study
title_fullStr Who needs to be allocated in icu after thoracic surgery? An observational study
Who needs to be allocated in icu after thoracic surgery? An observational study
title_full_unstemmed Who needs to be allocated in icu after thoracic surgery? An observational study
Who needs to be allocated in icu after thoracic surgery? An observational study
title_sort Who needs to be allocated in icu after thoracic surgery? An observational study
author Pinheiro, Liana [UNIFESP]
author_facet Pinheiro, Liana [UNIFESP]
Pinheiro, Liana [UNIFESP]
Santoro, Ilka Lopes [UNIFESP]
Faresin, Sonia Maria [UNIFESP]
Santoro, Ilka Lopes [UNIFESP]
Faresin, Sonia Maria [UNIFESP]
author_role author
author2 Santoro, Ilka Lopes [UNIFESP]
Faresin, Sonia Maria [UNIFESP]
author2_role author
author
dc.contributor.author.fl_str_mv Pinheiro, Liana [UNIFESP]
Santoro, Ilka Lopes [UNIFESP]
Faresin, Sonia Maria [UNIFESP]
dc.subject.por.fl_str_mv Intensive-Care-Unit
Cell Lung-Cancer
Completion Pneumonectomy
Pulmonary Resection
Admission
Risk
Complications
Intervention
Guidelines
Disease
topic Intensive-Care-Unit
Cell Lung-Cancer
Completion Pneumonectomy
Pulmonary Resection
Admission
Risk
Complications
Intervention
Guidelines
Disease
description Background. 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 reintubation
publishDate 2016
dc.date.none.fl_str_mv 2016
2019-01-21T10:29:53Z
2019-01-21T10:29:53Z
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1155/2016/3981506
Canadian Respiratory Journal. London, 2016.
10.1155/2016/3981506
WOS000380691200001.pdf
1198-2241
http://repositorio.unifesp.br/handle/11600/49455
WOS:000380691200001
dc.identifier.dark.fl_str_mv ark:/48912/001300000ztcs
url http://dx.doi.org/10.1155/2016/3981506
http://repositorio.unifesp.br/handle/11600/49455
identifier_str_mv Canadian Respiratory Journal. London, 2016.
10.1155/2016/3981506
WOS000380691200001.pdf
1198-2241
WOS:000380691200001
ark:/48912/001300000ztcs
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Canadian Respiratory Journal
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Royal Soc
publisher.none.fl_str_mv Royal Soc
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
_version_ 1822250820489445376
dc.identifier.doi.none.fl_str_mv 10.1155/2016/3981506

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