The effect of admission to intensive care unit on outcomes and complication rates after head and neck reconstruction-Reference-Cited by-同舟云学术

The effect of admission to intensive care unit on outcomes and complication rates after head and neck reconstruction

Published:2018-11-08 Issue:3 Volume:8 Page:61-71
ISSN:2411-4634
Container-title:Head and neck tumors (HNT)
language:
Short-container-title:Opuholi golovy i šei

Author:

Carta F.¹,Figus A.²,Chuchueva N.³,Quartu D.¹,Sambiagio G. B.⁴,Loche R. F.¹,Gerosa C.⁵,Puxeddu R.¹^ORCID

Affiliation:

1. Unit of Otorhinolaryngology, Department of Surgery, University Hospital, University of Cagliari.

2. Unit of Plastic Surgery & Microsurgery, Department of Surgery, University Hospital, University of Cagliari.

3. Unit of Otorhinolaryngology, Department of Surgery, University Hospital, University of Cagliari; I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia.

4. NHS Lanarkshire Glasgow.

5. Unit of Pathology, Department of Surgery, University Hospital, University of Cagliari.

Abstract

The study objectiveis to evaluate the utilisation and effectiveness of intensive care unit (ICU) in the postoperative period as to its potential benefits to the head and neck reconstruction services.Materials and methods. This is a retrospective study on 143 consecutive patients who underwent 144 major head and neck microvascular reconstructive procedures performed by a single surgeon, that focused on perioperative management and on the relation between admission to ICU and complications/outcomes.Results.Thirty-four (23.6 %) patients were admitted to ICU during the early postoperative period. Admission to ICU was not associated with lower incidence of complications compared to direct admission to the Head and Neck ward: 29.4 % vs 27.3 % (p = 0.807709).Conclusion.Routinely early postoperative admission to ICU seems not to improve outcomes and/or reduce complications, and, as a consequence, ICU admission should be restricted to selected patients only.

Publisher

Publishing House ABV Press

Subject

Pharmacology (medical),Cancer Research,Radiology, Nuclear Medicine and imaging,Oncology,Otorhinolaryngology,Surgery

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