Predicted Factors of Prolonged Postoperative ICU Admission more than Four Days: Thai Tertiary University Hospital

Main Article Content

Thitima Chinachoti

Abstract

Objective: To identify the risk factors associated with prolonged intensive care unit admission (>4 days) and mortality in postoperative surgical patients.
Methods: A retrospective, case-control study was conducted in 527 patients admitted to postoperative intensive care units during a 1-year period. Fifteen factors were included in univariate and only significant factors were included in multivariate analyses.
Results: Twenty one percent of all admissions had prolonged length-of-stay. From multivariate analysis, predicted risk factors were emergency surgery (OR 2.9, p=0.001, CI 1.6-5.2); remained intubation (OR 2.6, p=0.007, CI 1.3-5.4), unplanned ICU admission (OR 2.1, p=0.03, CI 1.1-4.2); SAPS II score >52 (OR 4.8, p<0.001, CI 2.5-9.2), SAPS II score >64 (OR 6.1, p<0.001, CI 2.7-13.8) and inotrope infusion in ICU (OR 4.5, p<0.001, CI 2.5-8) which  were associated with prolonged ICU admission. Factors associated with ICU mortality (10.06%) were; ASA physical status >3 (OR 8.2, p=0.003, CI 2-32.9), ICU readmission (OR 3.9, p=0.007, CI 1.5-10.8), inotrope infusion in ICU (OR 3, p=0.006, CI 1.4-6.7), renal replacement therapy (OR 3.2, p=0.007, CI 1.3-8.2), SAPS II score 52-63 (OR 3.6, p=0.018, CI 1.2-6.8), SAPSII score >64 (OR 3.9, p=0.006, CI 1.4-9) and cirrhosis (OR 4.9, p=0.04, CI 1.1-21).
Conclusion: ASA physical status >3 and SAPS II score >52 were independent predictive factors of both prolonged intensive care unit admission and mortality.

Downloads

Download data is not yet available.

Article Details

How to Cite
Chinachoti, T. (2016). Predicted Factors of Prolonged Postoperative ICU Admission more than Four Days: Thai Tertiary University Hospital. Siriraj Medical Journal, 68(5), 277–283. Retrieved from https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/69327
Section
Original Article

Most read articles by the same author(s)