Intraoperative haemodynamics and postoperative intensive care unit admission in older patients with cancer Journal Article
| Authors: | Afonso, A. M.; Sastow, D.; Cadwell, J. B.; Downey, R. J.; Fischer, G. W.; Shahrokni, A. |
| Article Title: | Intraoperative haemodynamics and postoperative intensive care unit admission in older patients with cancer |
| Abstract: | Purpose: Research on the impact of various intraoperative haemodynamic variables on the incidence of postoperative ICU admission among older patients with cancer is limited. In this study, the relationship between intraoperative haemodynamic status and postoperative intensive care unit admission among older patients with cancer is explored. Methods: Patients aged ≥75 who underwent elective oncologic surgery lasting ≥120min were analysed. Chi-squared and t-tests were used to assess the associations between intraoperative variables with postoperative intensive care unit admission. Multivariable regressions were used to analyse potential predict risk factors for postoperative intensive care unit admission. Results: Out of 994 patients, 48 (4.8%) were admitted to the intensive care unit within 30 days following surgery. Intensive care unit admission was associated with the presence of ≥4 comorbid conditions, intraoperative blood loss ≥100mL, and intraoperative tachycardia and hypertensive urgency. On multivariable analysis, operation time ≥240min (Odds Ratio [OR] = 2.29, p = 0.01), and each minute spent with intraoperative hypertensive urgency (OR = 1.06, p = 0.01) or tachycardia (OR = 1.01, p = 0.002) were associated with postoperative intensive care unit admission. Conclusion: Intraoperative hypertensive urgency and tachycardia were associated with postoperative intensive care unit admission in older patients undergoing cancer surgery. © The Author(s) 2021. |
| Keywords: | aged; retrospective studies; neoplasm; neoplasms; risk factors; retrospective study; risk factor; postoperative complication; postoperative complications; intensive care unit; intensive care units; hospital admission; hemodynamics; tachycardia; geriatrics; elective surgery; patient admission; humans; human; elective surgical procedures; intensive care unit admission; haemodynamics; hypertensive urgency; perioperative outcome |
| Journal Title: | Journal of Perioperative Practice |
| Volume: | 32 |
| Issue: | 11 |
| ISSN: | 17504589 |
| Publisher: | The Author(s) 2021 |
| Date Published: | 2022-11-01 |
| Start Page: | 301 |
| End Page: | 309 |
| Language: | English |
| DOI: | 10.1177/17504589211012351 |
| PUBMED: | 34134558 |
| PROVIDER: | scopus |
| PMCID: | PMC11251495 |
| DOI/URL: | |
| Notes: | Article -- Export Date: 1 December 2022 -- Source: Scopus |
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