Increased ICU resource needs for an academic emergency general surgery service*

Critical Care Medicine
Matthew E LissauerJose J Diaz

Abstract

ICU needs of nontrauma emergency general surgery patients are poorly described. This study was designed to compare ICU utilization of emergency general surgery patients admitted to an acute care emergency surgery service with other general surgery patients. Our hypothesis is that tertiary care emergency general surgery patients utilize more ICU resources than other general surgical patients. Retrospective database review. Academic, tertiary care, nontrauma surgical ICU. All patients admitted to the surgical ICU over age 18 between March 2004 and June 2012. None. Six thousand ninety-eight patients were evaluated: 1,053 acute care emergency surgery, 1,964 general surgery, 1,491 transplant surgery, 995 facial surgery/otolaryngology, and 595 neurosurgery. Acute care emergency surgery patients had statistically significantly longer ICU lengths of stay than other groups: acute care emergency surgery (13.5 ± 17.4 d) versus general surgery (8.7 ± 12.9), transplant (7.8 ± 11.6), oral-maxillofacial surgery (5.5 ± 4.2), and neurosurgery (4.47 ± 9.8) (all p< 0.01). Ventilator usage, defined by percentage of total ICU days patients required mechanical ventilation, was significantly higher for acute care emergency surgery patients: acute car...Continue Reading

Associated Clinical Trials

Mar 6, 2012·John Holcomb, John Holcomb

References

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Citations

Mar 29, 2016·Journal of the American College of Surgeons·Mayur NarayanJose J Diaz
Sep 2, 2016·Journal of the Chinese Medical Association : JCMA·Yi-Hsuan HuYi-Szu Wen
Apr 25, 2018·Acta Anaesthesiologica Scandinavica·G VogelE Joelsson-Alm
Jun 28, 2019·Trauma Surgery & Acute Care Open·Heena SantryMarie Crandall
May 24, 2014·The Journal of Trauma and Acute Care Surgery·Donald G HarrisMatthew E Lissauer
May 30, 2020·The Journal of Trauma and Acute Care Surgery·Marta L McCrumMarie L Crandall
Feb 11, 2019·Irish Journal of Medical Science·Amy Lee FowlerKevin M Barry
Jan 26, 2021·The Journal of Surgical Research·Devon M LangstonHeena P Santry
Jul 24, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Chrysanthos Dimitris ChristouHaytham Mohamed Ali Kaafarani

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