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Critical Care
Published in: Critical Care 1/2013

01-02-2013 | Editorial

Can surgical outcomes be prevented by postoperative admission to critical care?

Authors: Andrew Rhodes, Maurizio Cecconi

Published in: Critical Care | Issue 1/2013

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Excerpt

Postoperative complications are hugely important for both the patient involved and also the health-care system that they develop within. Potentially disastrous for the patient, they cause prolonged lengths of stay and can be an expensive problem to resolve. Indeed, recent data suggest that these costs may not just be relevant to the short-term hospital stay but may result in significant increased costs for the longer term following repeated hospital admissions and chronic ill health [1‐4]. The prevention of these complications is thus of the utmost importance for anyone caring for this group of patients. This involves developing systems that can avoid the complications occurring in the first place and then to identify and rapidly treat the complications when they arise [5]. …
Literature
1.
Nathan DP, Brinster CJ, Jackson BM, Wang GJ, Carpenter JP, Fairman RM, Woo EY: Predictors of decreased short- and long-term survival following open abdominal aortic aneurysm repair in a large contemporary series. J Vasc Surg 2011, 54: 1237-1243. 10.1016/j.jvs.2011.05.028CrossRefPubMed
2.
Kamphues C, Bova R, Schricke D, Hippler-Benscheidt M, Klauschen F, Stenzinger A, Seehofer D, Glanemann M, Neuhaus P, Bahra M: Postoperative complications deteriorate long-term outcome in pancreatic cancer patients. Ann Surg Oncol 2011, 19: 856-863.CrossRefPubMed
3.
Khuri SF, Henderson WG, DePalma RG, Mosca C, Healey NA, Kumbhani DJ, Participants in the VA National Surgical Quality Improvement Program: Determinants of long-term survival after major surgery and the adverse effect of postoperative complications. Ann Surg 2005, 242: 326-341.PubMedPubMedCentral
4.
Rhodes A, Cecconi M, Hamilton M, Poloniecki J, Woods J, Boyd O, Bennett D, Grounds RM: Goal-directed therapy in high-risk surgical patients: a 15-year follow-up study. Intensive Care Med 2010, 36: 1327-1332. 10.1007/s00134-010-1869-6CrossRefPubMed
5.
Ghaferi AA, Birkmeyer JD, Dimick JB: Variation in hospital mortality\associated with inpatient surgery. N Engl J Med 2009, 361: 1368-1375. 10.1056/NEJMsa0903048CrossRefPubMed
6.
Weiser TG, Regenbogen SE, Thompson KD, Haynes AB, Lipsitz SR, Berry WR, Gawande AA: An estimation of the global volume of surgery: a modelling strategy based on available data. Lancet 2008, 372: 139-144. 10.1016/S0140-6736(08)60878-8CrossRefPubMed
7.
Pearse RM, Moreno RP, Bauer P, Pelosi P, Metnitz P, Spies C, Vallet B, Vincent JL, Hoeft A, Rhodes A, European Surgical Outcomes Study (EuSOS) group for the Trials groups of the European Society of Intensive Care Medicine and the European Society of Anaesthesiology: Mortality after surgery in Europe: a 7 day cohort study. Lancet 2012, 380: 1059-1065. 10.1016/S0140-6736(12)61148-9CrossRefPubMedPubMedCentral
8.
9.
Findlay G, Goodwin A, Protopappa K, Smith N, Mason M: Knowing the Risk: A Review of the Peri-operative Care of Surgical Patients. London: National Confidential Enquiry into Patient Outcome and Death (NCEPOD); 2011.
10.
Rhodes A, Moreno RP, Metnitz B, Hochrieser H, Bauer P, Metnitz P: Epidemiology and outcome following post-surgical admission to critical care. Intensive Care Med 2011, 37: 1466-1472. 10.1007/s00134-011-2299-9CrossRefPubMed
11.
Pearse RM, Holt PJ, Grocott MP: Managing perioperative risk in patients undergoing elective non-cardiac surgery. BMJ 2011, 343: d5759. 10.1136/bmj.d5759CrossRefPubMed
12.
Pearse RM, Harrison DA, James P, Watson D, Hinds C, Rhodes A, Grounds RM, Bennett ED: Identification and characterisation of the high-risk surgical population in the United Kingdom. Crit Care 2006, 10: R81. 10.1186/cc4928CrossRefPubMedPubMedCentral
13.
Hamilton MA, Cecconi M, Rhodes A: A systematic review and meta-analysis on the use of preemptive hemodynamic intervention to improve postoperative outcomes in moderate and high-risk surgical patients. Anesth Analg 2010, 112: 1392-1402.CrossRefPubMed
14.
Squadrone V, Coha M, Cerutti E, Schellino MM, Biolino P, Occella P, Belloni G, Vilianis G, Fiore G, Cavallo F, Ranieri VM, Piedmont Intensive Care Units Network (PICUN): Continuous positive airway pressure for treatment of postoperative hypoxemia: a randomized controlled trial. JAMA 2005, 293: 589-595. 10.1001/jama.293.5.589CrossRefPubMed
15.
Wunsch H, Angus DC, Harrison DA, Collange O, Fowler R, Hoste EA, de Keizer NF, Kersten A, Linde-Zwirble WT, Sandiumenge A, Rowan KM: Variation in critical care services across North America and Western Europe. Crit Care Med 2008, 36: 2787-2793. 10.1097/CCM.0b013e318186aec8CrossRefPubMed
16.
Rhodes A, Ferdinande P, Flaatten H, Guidet B, Metnitz PG, Moreno RP: The variability of critical care bed numbers in Europe. Intensive Care Med 2012, 38: 1647-1653. 10.1007/s00134-012-2627-8CrossRefPubMed
17.
Metadata
Title
Can surgical outcomes be prevented by postoperative admission to critical care?
Authors
Andrew Rhodes
Maurizio Cecconi
Publication date
01-02-2013
Publisher
BioMed Central
Published in
Critical Care / Issue 1/2013
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/cc11687

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