Study of Direct Admission of Postoperative Patients to ICU

NCT04680208 | Completed

• 1 other identifier: MREC#1937
• Study Type: observational
• Target: 68
• Locations: 1 country
• Sites: 1

Brief Summary

Background: This study assessed perioperative factors associated with planned and unplanned postoperative ICU admission and evaluated the outcome of the two groups. There are limited researches evaluating these factors. Hence, it is important to do an audit that assesses the perioperative factors to help creating a criteria for postoperative ICU admissions. Materials and methods: This retrospective study evaluated medical records of 68 patients above 18 years between January'2016- December'2018 that were admitted to ICU postoperatively in Sultan Qaboos University hospital in Oman. Both planned and unplanned admissions were assessed who underwent elective as well as emergency surgeries. Neurologic and cardiothoracic surgeries were excluded. Data collected included patient's demographics, social status like smoking, ASA physical status (American Society of Anesthesiologists), associated comorbidities, other perioperative factors and investigations, surgical and anesthesia details were recorded. The primary outcome studied was reasons of admission for planned versus unplanned postoperative ICU admissions. The secondary outcomes included mortality outcome and length of stay in ICU.

Conditions

Postoperative Complications; Comorbidities and Coexisting Conditions

Outcome Measures

Primary Outcomes (1)

• Reasons of admission for postoperative ICU patients.

  Study of main reasons of ICU admissions directly from operating room. The reasons like type of surgery, ASA grading, preoperative functional status, co-morbidities: diabetes, hypertension, ischemic heart disease etc, intraoperative events like hemodynamic instability/shock, respiratory compromise, prolonged duration of surgery and other anesthesia complications will be studied as reasons of admission for planned versus unplanned ICU admissions for postoperative patients.

  1-2 days

Secondary Outcomes (2)

• ICU length of stay

  1-30 days

• Mortality

  1-45 days

Study Arms (2)

Planned ICU admission

Cases who were planned for postoperative ICU admission at the time of preanesthetic check up

Procedure: Surgical procedure under anesthesia

Unplanned ICU admission

Cases who got admitted to ICU postoperatively without anticipation

Procedure: Surgical procedure under anesthesia

Interventions

Surgical procedure under anesthesia PROCEDURE

Different varieties of surgical procedures done under anesthesia

Planned ICU admission; Unplanned ICU admission

Eligibility Criteria

• Age: 18 Years - 82 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Adult patients (above 18 years old) who underwent surgery and got admitted to ICU directly from operating theatre

You may qualify if:

• Adult patients over the age of 18 who underwent surgery and got admitted directly to ICU postoperatively

You may not qualify if:

• Patients who were admitted to specialized ICU ( cardiothoracic and neurosurgery ) or to the ward and then ICU
• Pediatric patients

Sponsors & Collaborators

• Sultan Qaboos University: lead

Study Sites (1)

Sultan Qaboos University Hospital,

Muscat, 123, Oman

Location

Related Publications (5)

• Meziane M, El Jaouhari SD, ElKoundi A, Bensghir M, Baba H, Ahtil R, Aboulaala K, Balkhi H, Haimeur C. Unplanned Intensive Care Unit Admission following Elective Surgical Adverse Events: Incidence, Patient Characteristics, Preventability, and Outcome. Indian J Crit Care Med. 2017 Mar;21(3):127-130. doi: 10.4103/ijccm.IJCCM_428_16.

  PMID: 28400682 BACKGROUND

• 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(3):R81. doi: 10.1186/cc4928. Epub 2006 Jun 2.

  PMID: 16749940 BACKGROUND

• Smith G, Nielsen M. ABC of intensive care. Criteria for admission. BMJ. 1999 Jun 5;318(7197):1544-7. doi: 10.1136/bmj.318.7197.1544. No abstract available.

  PMID: 10356016 BACKGROUND

• Sobol JB, Wunsch H. Triage of high-risk surgical patients for intensive care. Crit Care. 2011;15(2):217. doi: 10.1186/cc9999. Epub 2011 Mar 22. No abstract available.

  PMID: 21457500 BACKGROUND

• Patel SK, Kacheriwala SM, Duttaroy DD. Audit of Postoperative Surgical Intensive Care Unit Admissions. Indian J Crit Care Med. 2018 Jan;22(1):10-15. doi: 10.4103/ijccm.IJCCM_387_17.

  PMID: 29422726 RESULT

MeSH Terms

Conditions

Postoperative Complications

Condition Hierarchy (Ancestors)

Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Jyoti Burad, M.D E.D.I.C

  Sultan Qaboos University Hospital

  PRINCIPAL INVESTIGATOR

• Batool Al Ajmi, Student

  Sultan Qaboos University Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Consultant Intensivist

Study Record Dates

• First Submitted: December 7, 2020
• First Posted: December 22, 2020
• Study Start: July 1, 2019
• Primary Completion: October 31, 2019
• Study Completion: June 30, 2020
• Last Updated: December 22, 2020

Record last verified: 2020-12

Locations

OM (1)