Álvarez-Maldonado P, Pérez-Rosales A, Núñez-Pérez RC, Navarro-Reynoso F, Cicero-Sabido R

Language: Spanish
References: 25
Page: 133-137
PDF size: 206.67 Kb.

ABSTRACT

Purpose: To compare the outcomes in a Respiratory Intensive Care Unit (RICU) between thoracic and non-thoracic emergency surgery.
Material and methods: Retrospective and transversal cohort study. All patients admitted to a RICU who underwent emergency surgery between March of 2010 and October of 2014 were included.
Results: In the study period, emergency surgery was the reason for admission in 126 patients (thoracic surgery in 70; non-thoracic surgery in 56). Diagnoses of thoracic surgery patients were: mediastinitis (81.5%), penetrating thoracic wound (8.6%), empyema (7.1%), and other (2.8%). Diagnoses of non-thoracic surgery patients were: intestinal perforation (55.4%), appendicitis/cholecystitis (14.3%), mesenteric thrombosis (8.9%), intestinal occlusion (7.1%), abdominopelvic fasciitis (7.1%), and other (7.2%). Sex did not differed among groups (woman 30% versus 41%, p 0.27); but, a difference in age was observed (39.4 ± 11.6 versus 55 ± 16.4 years, p ‹ 0.001), as well as in Simplified Acute Physiology Score 3 (36 ± 11 versus 59 ± 17, p ‹ 0.001), Sequential Organ Failure Assessment score (3.4 ± 3.5 versus 7.9 ± 4.9, p ‹ 0.001), mean days on mechanical ventilation (5.9 ± 5.2 versus 11.5 ± 12.1, p ‹ 0.001) and mortality in the intensive care unit (21.4% versus 57.1%, p ‹ 0.001). There was no difference in the length of stay in intensive care (9.4 ± 6.6 versus 12.6 ± 13.8, p 0.08).
Conclusions: When comparing thoracic versus non-thoracic emergency surgery patients in the RICU, non-thoracic surgery patients were older, had worst prognosis, spend more resources and had three times more mortality compared to thoracic surgery patients.

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