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Is close monitoring in the intensive care unit necessary after elective liver resection?

Authors
 Sung Hoon Kim  ;  Jae Gil Lee  ;  So Young Kwon  ;  Jin Hong Lim  ;  Won Oak Kim  ;  Kyung Sik Kim 
Citation
 JOURNAL OF THE KOREAN SURGICAL SOCIETY , Vol.83(3) : 155-161, 2012 
Journal Title
 JOURNAL OF THE KOREAN SURGICAL SOCIETY 
ISSN
 2233-7903 
Issue Date
2012
Keywords
Hepatectomy ; Intensive care units ; Intraoperative transfusion ; Major resection
Abstract
PURPOSE: Many surgical patients are admitted to the intensive care unit (ICU), resulting in an increased demand, and possible waste, of resources. Patients who undergo liver resection are also transferred postoperatively to the ICU. However, this may not be necessary in all cases. This study was designed to assess the necessity of ICU admission. METHODS: The medical records of 313 patients who underwent liver resections, as performed by a single surgeon from March 2000 to December 2010 were retrospectively reviewed. RESULTS: Among 313 patients, 168 patients (53.7%) were treated in the ICU. 148 patients (88.1%) received only observation during the ICU care. The ICU re-admission and intensive medical treatment significantly correlated with major liver resection (odds ratio [OR], 6.481; P = 0.011), and intraoperative transfusions (OR, 7.108; P = 0.016). Patients who underwent major liver resection and intraoperative transfusion were significantly associated with need for mechanical ventilator care, longer postoperative stays in the ICU and the hospital, and hospital mortality. CONCLUSION: Most patients admitted to the ICU after major liver resection just received close monitoring. Even though patients underwent major liver resection, patients without receipt of intraoperative transfusion could be sent to the general ward. Duration of ICU/hospital stay, ventilator care and mortality significantly correlated with major liver resection and intraoperative transfusion. Major liver resection and receipt of intraoperative transfusions should be considered indicators for ICU admission.
Files in This Item:
T201202988.pdf Download
DOI
22977762
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kwon, So Young(권소영)
Kim, Kyung Sik(김경식) ORCID logo https://orcid.org/0000-0001-9498-284X
Kim, Won Oak(김원옥)
Lee, Jae Gil(이재길) ORCID logo https://orcid.org/0000-0002-1148-8035
Lim, Jin Hong(임진홍)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/91157
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