Published in:
01-04-2011 | Review
Triage of high-risk surgical patients for intensive care
Authors:
Julia B Sobol, Hannah Wunsch
Published in:
Critical Care
|
Issue 2/2011
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Excerpt
Patients who undergo high-risk non-cardiac surgical procedures represent a large proportion of admissions to intensive care units (ICUs) in the developed world [
1]. Ideally, surgeons, anesthesiologists, and intensivists admitting surgical patients to ICUs target the patients who will benefit most from this highest level of post-operative care. However, accurately identifying which patients are at high risk of complications or death after major surgery remains difficult. For example, a recent study in the United Kingdom demonstrated that patients undergoing high-risk general surgical procedures comprised only 12.5% of surgical admissions to hospitals but over 80% of deaths, with less than 15% of these high-risk patients admitted to the ICU postoperatively [
2]. …