Peri-operative Variables Associated With Prolonged Intensive Care Stay Following Cytoreductive Surgery for Ovarian Cancer

Background: Peri-operative variables associated with prolonged Intensive Care Unit (ICU) admission following cytoreductive surgery for ovarian cancer were investigated. Patients and Methods: A retrospective review was carried out of patients admitted to the ICU following cytoreductive surgery for ov...

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Published in:Anticancer research 2021-06, Vol.41 (6), p.3059-3065
Main Authors: COLLINS, ANNA, SPOONER, STEPHANIE, HORNE, JONATHAN, CHAINRAI, MIRA, RUNAU, FRANSCOIS, BOURNE, TIM, MOSS, ESTHER L., DAVIES, QUENTIN, CHATTOPADHYAY, SUPRATIK, BHARATHAN, RASIAH
Format: Article
Language:English
Subjects:
Albumins
Blood
Cancer
Fluid management
Intensive care
Lactic acid
Ovarian cancer
Risk analysis
Risk assessment
Risk factors
Surgery
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container_end_page 3065
container_issue 6
container_start_page 3059
container_title Anticancer research
container_volume 41
creator COLLINS, ANNA
SPOONER, STEPHANIE
HORNE, JONATHAN
CHAINRAI, MIRA
RUNAU, FRANSCOIS
BOURNE, TIM
MOSS, ESTHER L.
DAVIES, QUENTIN
CHATTOPADHYAY, SUPRATIK
BHARATHAN, RASIAH
description Background: Peri-operative variables associated with prolonged Intensive Care Unit (ICU) admission following cytoreductive surgery for ovarian cancer were investigated. Patients and Methods: A retrospective review was carried out of patients admitted to the ICU following cytoreductive surgery for ovarian cancer in a single tertiary referral centre from 2015-2019. Patients were categorized according to length of ICU stay (
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Patients and Methods: A retrospective review was carried out of patients admitted to the ICU following cytoreductive surgery for ovarian cancer in a single tertiary referral centre from 2015-2019. Patients were categorized according to length of ICU stay (&lt;48 h and ≥48 h), and peri-operative variables were compared across the two groups. Results: A total of 56 patients were admitted to the ICU post-operatively, 37 for &lt;48 h and 19 for ≥48 h (range=3-11 days). Greater duration of procedure and estimated blood loss, bowel resection, higher post-operative lactate level, lower post-operative albumin level and requirement for post-operative blood products were associated with prolonged ICU stay. Increased intraoperative fluid requirement was an independent predictor of extended ICU stay. Conclusion: Utilizing identified intra-operative risk factors to perform individualized risk assessments might improve planning of ICU resources. 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source EZB-FREE-00999 freely available EZB journals
subjects Albumins
Blood
Cancer
Fluid management
Intensive care
Lactic acid
Ovarian cancer
Risk analysis
Risk assessment
Risk factors
Surgery
title Peri-operative Variables Associated With Prolonged Intensive Care Stay Following Cytoreductive Surgery for Ovarian Cancer
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