The importance of differentiating between elective and emergency postoperative critical care patients

Journal of Critical Care
Charles Weissman, Nava Klein

Abstract

The purpose of the study is to demonstrate the importance of separately analyzing data on elective and emergency surgery patients admitted postoperatively to intensive and intermediate care units. A prospective observational study was performed in a tertiary care university hospital to assess the demographic and clinical differences between emergency and elective surgical patients (>14 years old). Group 1 included patients transferred to a floor bed or the ambulatory surgery unit for discharge home after a short stay (<12 hours) in the postanesthesia care unit. Group 2 patients were admitted to the cardiothoracic intensive care unit (ICU), neurosurgical ICU, general ICU, or for an extended intermediate care postanesthesia care unit stay (>12 hours). In groups 1 (n = 1059), there were significant differences between the elective and emergency patients. Emergency, as compared with elective group 2 (n= 1883) patients, experienced more severe preexisting illnesses (ie, had higher American Society of Anesthesiology classifications), underwent different and shorter operations, required prolonged postoperative mechanical ventilation, required longer ICU stays, and had higher mortality. Substantial differences between elective and emer...Continue Reading

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Citations

Sep 10, 2010·European Journal of Anaesthesiology·Charles Weissman, Nava Kleln
Dec 18, 2010·European Journal of Anaesthesiology·Bernhard Walder
Dec 14, 2011·Journal of the American College of Surgeons·Robert D BecherPreston R Miller
Oct 17, 2015·World Journal of Surgery·Colleen M TrevinoTravis P Webb
Jul 3, 2019·Acta Anaesthesiologica Scandinavica·Charles WeissmanYoram G Weiss
Apr 24, 2013·The Journal of Trauma and Acute Care Surgery·Jason P FarrahNathan T Mowery
Dec 29, 2012·The Journal of Trauma and Acute Care Surgery·John A MorrisUNKNOWN American Association for the Surgery of Trauma's EGS Research
Feb 3, 2021·American Journal of Respiratory and Critical Care Medicine·Wytske W GeenseMark van den Boogaard

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